3 research outputs found
Psychological Flexibility Is Key for Reducing the Severity and Impact of Fibromyalgia
Fibromyalgia has a significant impact on the lives of patients; symptoms are influenced by psychological factors, such as psychological flexibility and catastrophizing. The objective of this study was to determine the importance of these variables in moderating the association between the severity and impact of fibromyalgia symptoms. A total of 187 patients from a general hospital population were evaluated using the Combined Index of Severity of Fibromyalgia (ICAF), the Fibromyalgia Impact Questionnaire (FIQ), the Acceptance and Action Questionnaire-II (AAQ-II), and the Pain Catastrophizing Scale (PCS). A series of multiple regression analyses were carried out using the PROCESS macro and decision tree analysis. The results show that psychological flexibility modulates the relation between severity and the impact of fibromyalgia symptoms. Catastrophism has residual importance and depends on the interaction with psychological flexibility. Interaction occurs if the severity of the disease is in transition from a mild to a moderate level and accounts for 40.1% of the variance in the sample. These aspects should be considered for evaluation and early intervention in fibromyalgia patients
Tratamientos Psicol贸gicos Emp铆ricamente Apoyados Para Adultos: Una Revisi贸n Selectiva [Evidence-Based Psychological Treatments for Adults: A Selective Review]
Antecedentes: los tratamientos psicol贸gicos han mostrado su efi cacia,
efectividad y efi ciencia para el abordaje de los trastornos mentales; no
obstante, considerando el conocimiento cient铆fi co generado en los 煤ltimos
a帽os, no se dispone de trabajos de actualizaci贸n en espa帽ol sobre cu谩les
son los tratamientos psicol贸gicos con respaldo emp铆rico. El objetivo fue
realizar una revisi贸n selectiva de los principales tratamientos psicol贸gicos
emp铆ricamente apoyados para el abordaje de trastornos mentales en personas
adultas. M茅todo: se recogen niveles de evidencia y grados de recomendaci贸n
en funci贸n de los criterios propuestos por el Sistema Nacional de Salud
de Espa帽a (en las Gu铆as de Pr谩ctica Cl铆nica) para diferentes trastornos
psicol贸gicos. Resultados: los resultados sugieren que los tratamientos
psicol贸gicos disponen de apoyo emp铆rico para el abordaje de un amplio
elenco de trastornos psicol贸gicos. El grado de apoyo emp铆rico oscila de bajo
a alto en funci贸n del trastorno psicol贸gico analizado. La revisi贸n sugiere
que ciertos campos de intervenci贸n necesitan una mayor investigaci贸n.
Conclusiones: a partir de esta revisi贸n selectiva, los profesionales de la
psicolog铆a podr谩n disponer de informaci贸n rigurosa y actualizada que les
permita tomar decisiones informadas a la hora de implementar aquellos
procedimientos psicoterap茅uticos emp铆ricamente fundamentados en
funci贸n de las caracter铆sticas de las personas que demandan ayuda.
// Evidence-Based Psychological Treatments for Adults: A Selective Review. Background: Psychological treatments have shown their effi cacy,
effectiveness, and effi ciency in dealing with mental disorders. However,
considering the scientifi c knowledge generated in recent years, in the
Spanish context, there are no updating studies about empirically supported psychological treatments. The main goal was to carry out a selective
review of the main empirically supported psychological treatments for
mental disorders in adults. Method: Levels of evidence and degrees of recommendation were collected based on the criteria proposed by the Spanish National Health System (Clinical Practice Guidelines) for different
psychological disorders. Results: The results indicate that psychological
treatments have empirical support for the approach to a wide range of
psychological disorders. These levels of empirical evidence gathered range from low to high depending on the psychological disorder analysed.
The review indicates the existence of certain fi elds of intervention that
need further investigation. Conclusions: Based on this selective review,
psychology professionals will be able to have rigorous, up-to-date information that allows them to make informed decisions when implementing
empirically based psychotherapeutic procedures based on the characteristics of the people who require help
Clinical Impact of Confinement Due to the COVID-19 Pandemic on Patients With Fibromyalgia: A Cohort Study
Objective. To our knowledge, the impact of the COVID-19 pandemic on fibromyalgia (FM) patients has not been studied before. FM patients often experience clinical impairment with stress. The aim of this study was to determine whether severity of FM increases because of confinement by the COVID-19 pandemic. Methods. This prospective study includes patients from the Combined Index of Severity of Fibromyalgia (ICAF) cohort who met the 2010 ACR FM criteria. In this cohort, all patients have a periodical evaluation of their quality of life through two questionnaires, the ICAF, which assesses the ability to perform daily living activities, anxiety and depression, and through the Patient Global Impression of Change (PGIC), which assesses overall change after a therapeutical intervention. Pre- and post-confinement measurements were analysed. Inferential statistical analysis and ANOVA for repeated measurements were used. Results. A total of 93 patients received a phone consultation, (95.5% females), mean (SD) age of 48.23 (8.38) years. Four patients were excluded as presenting COVID-19 and 51 (57%) completed the post-confinement ICAF. Following confinement, 25 (49%) patients got worse (group-worse) and 26 (51%) patients experienced no change or improved (group-stable). Comparisons between pre- and post-confinement ICAF did not show significant differences in both groups. Passive coping was significantly different in group-worse in pre-confinement evaluation. In the 80% of patients with passive coping predominance there were no changes in coping strategy. Conclusion. No clinical impairment due to COVID-19 confinement occurred. The perceived worsening among FM patients relies primarily on how patients cope with their disease, without a real impact on clinical manifestations