Título : Goal Preferences, Affect, Activity Patterns and Health Outcomes in Women With Fibromyalgia |
Autor : Pastor-Mira, María Ángeles López Roig, Sofía Martínez-Zaragoza, Fermín León-Zarceño, Eva Abad, Ester Lledó, Ana Peñacoba, Cecilia |
Editor : Frontiers Media |
Departamento: Departamentos de la UMH::Ciencias del Comportamiento y salud |
Fecha de publicación: 2019-08-21 |
URI : https://hdl.handle.net/11000/30813 |
Resumen :
Some motivational models understand health behavior as a result of the interaction
between goal preferences and mood. However, this perspective has not been explored
in fibromyalgia. Furthermore, in chronic pain, it has only been explored with regard
to negative affect. Thus, our aims were: (1) to develop a Spanish version of the Goal
Pursuit Questionnaire (GPQ); (2) to explore the relationships between goal preferences
and health outcomes, testing the moderator role of affect and the mediating role of
chronic pain activity patterns. We conducted two cross-sectional studies. In Study 1,
after a double translation/back-translation process, we interviewed 94 women attending
the Fibromyalgia Unit of the Community of Valencia in order to identify the cultural
feasibility and the content validity of the GPQ. Study 2 comprised 260 women. We
explored the GPQ structure and performed path analyses to test conditional mediation
relationships. Eight activities from the original GPQ were changed while maintaining
the conceptual equivalence. Exploratory factor analysis showed two factors: ‘Painavoidance goal’ and ‘Mood-management goal’ (37 and 13% of explained variance,
respectively). These factors refer to patients’ preference for hedonic goals (pain
avoidance or mood-management) over achievement goals. Robust RMSEA fit index
of the final models ranged from 0.039 for pain to 0.000 for disability and fibromyalgia
impact. Pain avoidance goals and negative affect influenced pain mediated by taskcontingent persistence. They also affected disability mediated by task and excessive
persistence. Pain avoidance goals and positive affect influenced fibromyalgia impact
mediated by activity avoidance. We also found a direct effect of negative and positive
affect on health outcomes. Preference for pain avoidance goals was always related to
pain, disability and fibromyalgia impact through activity patterns. Affect did not moderate
these relationships and showed direct and indirect paths on health outcomes, mainly
by increasing persistence and showing positive affect as an asset and not a risk factor.
Intervention targets should include flexible reinforcement of achievement goals relative to
pain avoidance goals and positive affect in order to promote task-persistence adaptive
activity patterns and decreased activity avoidance.
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Palabras clave/Materias: fibromyalgia goal preferences activity patterns affect health outcomes |
Área de conocimiento : CDU: Psicología |
Tipo documento : application/pdf |
Derechos de acceso: info:eu-repo/semantics/openAccess |
DOI : https://doi.org/10.3389/fpsyg.2019.01912 |
Aparece en las colecciones: Artículos Ciencias del Comportamiento y Salud
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