Las expectativas de autoeficacia y el ajuste emocional en el afrontamiento de la fibromialgia

Miguel Ángel Vallejo Pareja; Mº Isabel  Comeche Moreno; José Ortega Pardo; María de la Fe Rodríguez Muñoz; Marta I.  Díaz García

doi:10.24310/espsiescpsi.v2i2.13373

Autores/as

Miguel Ángel Vallejo Pareja Universidad Nacional de Educación a Distancia (UNED) España
Mº Isabel Comeche Moreno Universidad Nacional de Educación a Distancia (UNED) España
José Ortega Pardo Universidad Nacional de Educación a Distancia (UNED) España
María de la Fe Rodríguez Muñoz Universidad Nacional de Educación a Distancia (UNED) España
Marta I. Díaz García Universidad Nacional de Educación a Distancia (UNED) España

DOI:

https://doi.org/10.24310/espsiescpsi.v2i2.13373

Palabras clave:

Fibromialgia, autoeficacia, ansiedad, depresión, afrontamiento

Resumen

El objetivo fue evaluar de forma descriptiva la relacio?n entre las expectativas de autoeficacia, malestar emocional y estrategias de afrontamiento en pacientes con fibromialgia, considerando los componentes fi?sicos y psicosociales de la experiencia de dolor, y sobre todo la necesidad de clarificar la relacio?n entre ellos para mejorar la adaptacio?n a cualquier situacio?n de dolor cro?nico. En el estudio participaron 100 mujeres pacientes de fibromialgia del Instituto Provincial de Rehabilitacio?n del Hospital Universitario Gregorio Maran?o?n de Madrid quienes completaron la siguiente bateri?a de cuestionarios: la Escala de ansiedad y depresio?n en hospital (HADS), el Inventario de estrategias de afrontamiento en dolor (CPCI), y la Escala de autoeficacia en dolor cro?nico (CPSS). Los resultados muestran que la autoeficacia correlaciona inversamente con el malestar emocional (ansiedad y depresio?n). Con relacio?n a las estrategias de afrontamiento, la persistencia en la tarea se relaciona significativamente con las expectativas de autoeficacia, mientras que esta variable lo hace de forma inversa con la depresio?n. Descansar y protegerse se relacionan de forma negativa con la autoeficacia. Estos resultados sugieren que las expectativas de autoeficacia juegan un papel importante en el uso de estrategias positivas de afrontamiento y en el funcionamiento emocional adecuado en pacientes con fibromialgia

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Anderson, K. O., Dowds, B. N., Pelletz, R. E., Edwards, W. T. y Peeters-Asdourian, C. (1995). Development and initial validation of a scale to measure self-efficacy beliefs in patients with chronic pain. Pain, 63, 77-84.

Altman, A. (2004). The impact of self-efficacy, catastrophizing and pain intensity on psychological distress levels in individuals with chronic pain. Dissertation Abstracts International: Section B: The Science and Engineering, 65, 474.

Arnstein, P., Caudill, M., Mandle, C. L. Norris, A. y Beasley, R. (1999). Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients. Pain, 80, 483-491.

Arnstein, P. (2000). The mediation of disability by self efficacy in different samples of chronic pain patients. Disability & Rehabilitation, 22, 794-801.

Asghari, A. y Nicholas, M. K. (2001). Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain, 94, 85-100.

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.

Bandura, (1992). Discurso con motivo de su investidura como Doctor Honores Causa. xcSalamanca: Universidad de Salamanca.

Bayazit,Y., Gürsoy, S., Özer, E., Karakurum, G y Madenci, E. (2002). Neurotologic manifestations of fibromyalgic syndrome. Journal of Neurological Sciences, 196, 77-80.

Bennett, R.M. (2002). Rational management of fibromyalgia. Rheumatic Disease Clinics of North America, 28, 13-15

Bettina, S.A., Alpers, G.W., Süß, H., Friedel, E., Kosmützky, G., Geier, A. y Pauli, P. (2008). Affective pain modulation in fibromyalgia, somatoform pain disorder, back pain and health control. European Journal of Pain, 12, 329-338.

Brister, H., Turner, J. A., Aaron, L. A. y Mancl, L. (2006). Selfefficacy is associated with pain, functioning, and coping in patients with chronic temporomandibular disorder pain. Journal of Orofacial Pain, 20, 115-124.

Buckelew, S. P., Huyser, B., Hewett, J. E. y Parker, J. C., Johnson, J. C., Conway, R. y Kay, D. R. (1996). Self-efficacy predicting outcome among fibromyalgia subjects. Arthritis Care and Research, 9, 97-104.

Buckelew, S. P., Murray, S. E., Hewett, J. E., Johnson, J. y Huyser, B. (1995). Self efficacy, pain, and physical activity among fibromyalgia subjects. Arthritis Care and Research, 8, 43-50.

Buckelew, S. P., Parker, J. C., Keefe, F. J., Deuser, W. E., Crew, T. M., Conway, R., Kay, D. R. y Hewett, J. E. (1994). Selfefficacy and pain behavior among subjects with Fibromyalgia. Pain, 59, 377-384.

Buckhard, C.S. y Bjelle, A. (1996). Perceived control: a comparison of women with fibromyalgia, rheumatoid arthritis, and systemic lupus erythematosus using Swedish version of the Rheumatology Attitude Index. Scandinavian Journal of Rheumatology, 25, 300-306.

Buescher, K. L., Johnston, J. A., Parker, J. C., Smarr, K. L., Bickelew, S. P., Anderson, S. K. y Walker, S. E. (1991). Relationship of self-efficacy to pain behaviour. Journal of Rheumatology, 18, 968-972.

Cooper-Evans, S., Alderman, N., Kinht, C. y Oddy, M. (2008). Self-esteem as predictor of psychological distress after severe acquired injury: an exploratory study. Neuropsychological Rehabilitation, 18, 607-626.

Dolce, J.J., Crocker, M. F. y Doleys, D.M. (1986). Prediction of outcome among chronic pain patients. Behaviour Research and Therapy, 24, 313-319.

Dresh, J., Polatin, P.B. y Gatchel, R.J. (2002). Chronic pain and psychopathology: Research findings and theoretical considerations. Psychosomatic Medicine, 64, 773-786.

Gutiérrez, R. y Gorricho, J. (2006). Fibromialgia. Boletín de información farmacoterapéutica de Navarra, 14, 17-26. Han, S. S. y Lee, S. C. (2005). Effecting factors on depression in patients with fibromyalgia. Taehan Kanho Hakhoe Chi, 35, 87-94.

Jensen, M.P., Turner, J.A. y Romano, J.M. (1991). Self-efficacy and outcome expectancies: relationship to chronic pain coping strategies and adjustment. Pain, 44, 263-269. Jensen, M.P., Turner, J.A., Romano, J.M. y Strom, S.E. (1995). The chronic pain coping inventory: development and preliminary validation. Pain, 60, 203-216.

Kerns, R.D., Rosenberg, R. y Jacob, M.C. (1994). Anger expression and chronic pain. Journal of Behavioral Medicine, 17, 57-67.

Kores, R.C., Murphy, W.D., Rosenthal, T.L., Elias, D.B. y

North, W.C. (1990). Predicting outcome of chronic pain treatment via a modified self-efficacy scale. Behaviour Research and Therapy, 28, 165-169.

Kurtze, N., Gudersen, K.T., Svebak, S. (1998). The role of anxiety and depression in fatigue and patterns of pain among subgroups of fibromyalgia patients. The British Journal of Medical Psychology, 7, 185-194.

Kurtze, N. y Svebak, S. (2001). Fatigue and patterns of pain in fibromyalgia: correlations with anxiety, depression and comorbidity in a female country simple. The British Journal of Medical Psychology, 74, 523-537.

Lorig, K., Chastain, R.L., Ung, E., Shoor, S. y Holman, H.R. (1989). Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis and Rheumatism, 32, 37-44.

McCracken, L.M., Zayfert, C. y Gross, R.T. (1992). The Pain Anxiety Symptoms Scale: development and validation of a scale to measure fear to pain. Pain, 50, 67-73.

Meeus, M. y Nijs, J. (2007). Central sensitization: a biopsychosocial explanation for chronic widespread pain in patients with fibromyalgia and chronic fatigue syndrome. Clinical Rheumatology, 26, 465–473.

Mellegard, M., Grossi, G., Soares, J.J. (2001). A comparative study of coping among women with fibromyalgia neck/ shoulder and back pain. International Journal of Behavioural Medicine, 8, 103-115.

Meredith, P., Strong, J. y Feeney, J.A. (2006). Adult attachment, anxiety, and pain self-efficacy as predictors of pain intensity and disability. Pain, 123, 146-154.

Okifuji, A., Turk, D.C. y Sherman, J.J. (2000). Evaluation of the relationship between depression and fibromyalgia syndrome: Why aren’t all patients depressed? Journal of Rheumatology, 27, 212-219.

Oliver, K. y Cronan, T. A. (2005). Correlates of physical activity among women with Fibromyalgia Syndrome. Annals of Behavioral Medicine, 29, 44-53.

Rodríguez-Parra, M.J., Esteve, R. y López, A.E. (2000). Dolor crónico y estrategias de afrontamiento. Análisis y Modificación de Conducta, 27, 391-418.

Pérez-Pareja, J., Borrás, C., Palmer, A., Sesé, A., Molina, F. y Gonzalvo, J. (2004). Fibromialgia y emociones negativas. Psicothema, 16, 415-420.

Rahman, A., Ambler, G., Underwood, M.R. y Shipley, M.E. (2004). Important determinants of self-efficacy in patients with chronic pain musculoskeletal pain. Journal of Rheumatology, 31, 1187-1192.

Snow-Turek, A.L., Norris, M.P. y Tan, G. (1996). Active and passive coping strategies in chronic pain patients. Pain, 64, 455-462.

Soucase, B., Monsalve, V., Soriano, J. F. y de Andrés, J. (2004). Estrategias de afrontamiento ante el dolor y calidad de vida en pacientes diagnosticados de fibromialgia. Revista de la Sociedad Española de Dolor, 11, 353359.

Sung, K.W., Shin, I.H. y Lee, K.H. (2003). The factors influencing on depression of patients for fibromyalgia syndrome. Taehan Kanho Hakhoe Chi, 33, 609-617.

Thieme, K., Turk, D., y Flor, H. (2004). Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables. Psychosomatic Medicine, 66, 837-844.

Tomey, T.C., Mann, J.D., Abashian, S. y Thompson-Pope, S. (1991). Relationship between perceived self-control of pain, pain description and functioning. Pain, 45, 129-133.

Turk, D.C., Okifuji, A. y Scharff, L. (1995). Chronic pain and depression: Role of perceived impact and perceived control in different age cohorts. Pain, 61, 93-101.

Weickgenant, A.L., Slater, M.A., Patterson, T.L., Atkinson, H., Grant, I. y Garfin, S.R. (1993). Coping activities in chronic low back pain: relationship with depression. Pain, 53, 95-103.

White, K.P., Nielson, W.R., Harth, M., Ostbye, T. y Speecheley, M. (2002). Chronic widespread musculoskeletal pain with or without fibromyalgia: psychological distress in a representative community adult sample. The Journal of Rheumatology, 29, 588-594.

Wolfe, F.W., Smythe, H.A.., Yunas, M.B., Bennett, R.M. Bombardier, C., Goldenberg, D.L., Tugwell, P., Campbell, S.M., Abeles, M., Clark, P., Fam, G., Farber, S.J., Fiechtner, J.J., Franklin, C..M., Gatter, R.A., Hamaty, D., Lessard, J., Lichtbrou, A.S., Masl, A.T., MacCain, G.A., Reynolds, W.J., Romano, T.J., Russell, I.J. y Sheon, R.P. (1990). The American College of Rheumatology 1990, Criteria for the classification of fibrmoyalgia: Report of the Multicenter Criteria Committee. Arthritis and Rheumatism, 33, 160-172.

Zigmond, A. S. y Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 76, 361-370.