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When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality

2011; Wiley; Volume: 16; Issue: 4 Linguagem: Inglês

10.1111/j.2044-8287.2011.02016.x

2044-8287

Elena Miró, Pilar Martínez Narváez-Cabeza de Vaca, Ana I. Sánchez, Germán Prados, Ana Medina,

Sleep and Work-Related Fatigue

British Journal of Health PsychologyVolume 16, Issue 4 p. 799-814 When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality Elena Miró, Corresponding Author Elena Miró Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainElena Miró, PhD, Facultad de Psicología, Universidad de Granada, Campus Universitario de la Cartuja, s/n., CP. 18071, Granada, Spain (e-mail: emiro@ugr.es).Search for more papers by this authorMaría Pilar Martínez, María Pilar Martínez Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this authorAna Isabel Sánchez, Ana Isabel Sánchez Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this authorGermán Prados, Germán Prados Internal Medicine Service, Virgen de las Nieves Hospital, Granada, SpainSearch for more papers by this authorAna Medina, Ana Medina Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this author Elena Miró, Corresponding Author Elena Miró Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainElena Miró, PhD, Facultad de Psicología, Universidad de Granada, Campus Universitario de la Cartuja, s/n., CP. 18071, Granada, Spain (e-mail: emiro@ugr.es).Search for more papers by this authorMaría Pilar Martínez, María Pilar Martínez Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this authorAna Isabel Sánchez, Ana Isabel Sánchez Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this authorGermán Prados, Germán Prados Internal Medicine Service, Virgen de las Nieves Hospital, Granada, SpainSearch for more papers by this authorAna Medina, Ana Medina Department of Personality, Assessment and Psychological Treatment, University of Granada, SpainSearch for more papers by this author First published: 17 February 2011 https://doi.org/10.1111/j.2044-8287.2011.02016.xCitations: 71Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Objectives. Fibromyalgia (FM) is a chronic pain syndrome associated with adverse symptoms of cognitive, behavioural, and emotional dysfunction. Accumulating evidence supports the notion that sleep dysfunction, which affects almost all FM patients, has a reciprocal influence on pain. Yet, little is known about the relationship between sleep and other FM symptoms. The present study analysed the role of sleep dysfunction as a mediator of the impact of pain intensity on anxiety, depression, and daily functioning, comparing them with the mediating role of self-efficacy. Design. A cross-sectional design was used. Methods. A sample of 104 women with FM and 86 healthy control women completed a semi-structured interview and self-reported measures of pain, sleep quality, anxiety, depression, and daily functioning. Multiple mediation models were proposed and a bootstrapping approach was used to test these models. Results. Women diagnosed with FM had more dysfunctional scores on the variables examined than control participants, and there were significant relationships between all the variables examined in the mediation models for the FM group. The mediation analyses suggested that sleep quality and self-efficacy significantly mediated the relationship between pain and emotional distress. Additionally, self-efficacy was a significant mediator and sleep quality a likely mediator that was marginally significant in the relationship between pain and functioning. Conclusions. Sleep dysfunction is importantly related to FM symptoms and deserves more attention in both research and clinical practice. Our results suggest that, in addition to the usual treatment of FM, improving sleep could optimize the current management of the syndrome. Citing Literature Volume16, Issue4November 2011Pages 799-814 RelatedInformation