Skip to main content
Erschienen in: Quality of Life Research 8/2015

01.08.2015

Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project

verfasst von: Fernando Estévez-López, Cindy M. Gray, Víctor Segura-Jiménez, Alberto Soriano-Maldonado, Inmaculada C. Álvarez-Gallardo, Manuel J. Arrayás-Grajera, Ana Carbonell-Baeza, Virginia A. Aparicio, Manuel Delgado-Fernández, Manuel Pulido-Martos

Erschienen in: Quality of Life Research | Ausgabe 8/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The present study aimed: (1) to test the associations of overall physical fitness and subjective well-being with fibromyalgia severity and (2) to determine whether the combination of overall physical fitness and subjective well-being is associated with fibromyalgia severity among adult women patients.

Methods

This cross-sectional study included 424 participants from Andalusia, southern Spain. Overall physical fitness and the components of subjective well-being (positive affect, negative affect and cognitive well-being), and fibromyalgia severity were assessed using the Functional Senior Physical Fitness Test Battery, the Positive and Negative Affect Schedule, the Satisfaction With Life Scale, and the Fibromyalgia Impact Questionnaire, respectively.

Results

Overall physical fitness (β = −.23), positive affect (β = −.18), negative affect (β = .26), and cognitive well-being (β = −.18) were all associated with fibromyalgia severity. The patients with the highest overall physical fitness and increased subjective well-being reported ~15 % lower fibromyalgia severity than those with the lowest fitness and poorest subjective well-being (Cohen’s d > 1.0).

Conclusion

Our results suggest that higher levels of overall physical fitness and subjective well-being are independently associated with lower fibromyalgia severity. Moreover, patients with higher overall physical fitness and increased subjective well-being (high positive affect, low negative affect, or high cognitive well-being) reported lower fibromyalgia severity than those with low levels of overall physical fitness and subjective well-being.
Literatur
1.
Zurück zum Zitat Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., et al. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis and Rheumatism, 33(2), 160–172.PubMedCrossRef Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., et al. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis and Rheumatism, 33(2), 160–172.PubMedCrossRef
2.
Zurück zum Zitat Geenen, R., & Bijlsma, J. W. (2010). Deviations in the endocrine system and brain of patients with fibromyalgia: cause or consequence of pain and associated features? Annals of the New York Academy of Sciences, 1193, 98–110.PubMedCrossRef Geenen, R., & Bijlsma, J. W. (2010). Deviations in the endocrine system and brain of patients with fibromyalgia: cause or consequence of pain and associated features? Annals of the New York Academy of Sciences, 1193, 98–110.PubMedCrossRef
3.
Zurück zum Zitat Park, J. H., Niermann, K. J., & Olsen, N. (2000). Evidence for metabolic abnormalities in the muscles of patients with fibromyalgia. Current Rheumatology Reports, 2(2), 131–140.PubMedCrossRef Park, J. H., Niermann, K. J., & Olsen, N. (2000). Evidence for metabolic abnormalities in the muscles of patients with fibromyalgia. Current Rheumatology Reports, 2(2), 131–140.PubMedCrossRef
4.
Zurück zum Zitat Albrecht, P. J., Hou, Q., Argoff, C. E., Storey, J. R., Wymer, J. P., & Rice, F. L. (2013). Excessive peptidergic sensory innervation of cutaneous arteriole–venule shunts (AVS) in the palmar glabrous skin of fibromyalgia patients: Implications for widespread deep tissue pain and fatigue. Pain Medicine, 14(6), 895–915.PubMedCrossRef Albrecht, P. J., Hou, Q., Argoff, C. E., Storey, J. R., Wymer, J. P., & Rice, F. L. (2013). Excessive peptidergic sensory innervation of cutaneous arteriole–venule shunts (AVS) in the palmar glabrous skin of fibromyalgia patients: Implications for widespread deep tissue pain and fatigue. Pain Medicine, 14(6), 895–915.PubMedCrossRef
5.
Zurück zum Zitat Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken), 62(5), 600–610.CrossRef Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken), 62(5), 600–610.CrossRef
6.
Zurück zum Zitat Aparicio, V. A., Carbonell-Baeza, A., Ruiz, J. R., Aranda, P., Tercedor, P., Delgado-Fernandez, M., & Ortega, F. B. (2013). Fitness testing as a discriminative tool for the diagnosis and monitoring of fibromyalgia. Scandinavian Journal of Medicine and Science in Sports, 23(4), 415–423.PubMedCrossRef Aparicio, V. A., Carbonell-Baeza, A., Ruiz, J. R., Aranda, P., Tercedor, P., Delgado-Fernandez, M., & Ortega, F. B. (2013). Fitness testing as a discriminative tool for the diagnosis and monitoring of fibromyalgia. Scandinavian Journal of Medicine and Science in Sports, 23(4), 415–423.PubMedCrossRef
7.
Zurück zum Zitat Aparicio, V. A., Ortega, F. B., Heredia, J. M., Carbonell-Baeza, A., Sjostrom, M., & Delgado-Fernandez, M. (2011). Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Archives of Physical Medicine and Rehabilitation, 92(1), 83–88.PubMedCrossRef Aparicio, V. A., Ortega, F. B., Heredia, J. M., Carbonell-Baeza, A., Sjostrom, M., & Delgado-Fernandez, M. (2011). Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Archives of Physical Medicine and Rehabilitation, 92(1), 83–88.PubMedCrossRef
8.
Zurück zum Zitat Assumpcao, A., Sauer, J. F., Mango, P. C., & Pascual Marques, A. (2010). Physical function interfering with pain and symptoms in fibromyalgia patients. Clinical and Experimental Rheumatology, 28(6 Suppl 63), S57–S63.PubMed Assumpcao, A., Sauer, J. F., Mango, P. C., & Pascual Marques, A. (2010). Physical function interfering with pain and symptoms in fibromyalgia patients. Clinical and Experimental Rheumatology, 28(6 Suppl 63), S57–S63.PubMed
9.
Zurück zum Zitat Carbonell-Baeza, A., Ruiz, J. R., Aparicio, V. A., Ortega, F. B., & Delgado-Fernández, M. (2013). The 6-minute walk test in female fibromyalgia patients: Relationship with tenderness, symptomatology, quality of life, and coping strategies. Pain Management Nursing, 14(4), 193–199.PubMedCrossRef Carbonell-Baeza, A., Ruiz, J. R., Aparicio, V. A., Ortega, F. B., & Delgado-Fernández, M. (2013). The 6-minute walk test in female fibromyalgia patients: Relationship with tenderness, symptomatology, quality of life, and coping strategies. Pain Management Nursing, 14(4), 193–199.PubMedCrossRef
10.
Zurück zum Zitat Henriksen, M., Lund, H., Christensen, R., Jespersen, A., Dreyer, L., Bennett, R. M., et al. (2009). Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: A cohort study. Arthritis and Rheumatism, 61(6), 732–739.PubMedCrossRef Henriksen, M., Lund, H., Christensen, R., Jespersen, A., Dreyer, L., Bennett, R. M., et al. (2009). Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: A cohort study. Arthritis and Rheumatism, 61(6), 732–739.PubMedCrossRef
11.
Zurück zum Zitat Hassett, A. L., Simonelli, L. E., Radvanski, D. C., Buyske, S., Savage, S. V., & Sigal, L. H. (2008). The relationship between affect balance style and clinical outcomes in fibromyalgia. Arthritis and Rheumatism, 59(6), 833–840.PubMedCrossRef Hassett, A. L., Simonelli, L. E., Radvanski, D. C., Buyske, S., Savage, S. V., & Sigal, L. H. (2008). The relationship between affect balance style and clinical outcomes in fibromyalgia. Arthritis and Rheumatism, 59(6), 833–840.PubMedCrossRef
12.
Zurück zum Zitat Damsgard, E., Dewar, A., Roe, C., & Hamran, T. (2011). Staying active despite pain: pain beliefs and experiences with activity-related pain in patients with chronic musculoskeletal pain. Scandinavian Journal of Caring Sciences, 25(1), 108–116.PubMedCrossRef Damsgard, E., Dewar, A., Roe, C., & Hamran, T. (2011). Staying active despite pain: pain beliefs and experiences with activity-related pain in patients with chronic musculoskeletal pain. Scandinavian Journal of Caring Sciences, 25(1), 108–116.PubMedCrossRef
13.
Zurück zum Zitat Elfving, B., Andersson, T., & Grooten, W. J. (2007). Low levels of physical activity in back pain patients are associated with high levels of fear-avoidance beliefs and pain catastrophizing. Physiotherapy Research International, 12(1), 14–24.PubMedCrossRef Elfving, B., Andersson, T., & Grooten, W. J. (2007). Low levels of physical activity in back pain patients are associated with high levels of fear-avoidance beliefs and pain catastrophizing. Physiotherapy Research International, 12(1), 14–24.PubMedCrossRef
14.
Zurück zum Zitat Kelley, G. A., Kelley, K. S., Hootman, J. M., & Jones, D. L. (2010). Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health, 10, 198.PubMedCentralPubMedCrossRef Kelley, G. A., Kelley, K. S., Hootman, J. M., & Jones, D. L. (2010). Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health, 10, 198.PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Gauffin, J., Hankama, T., Hannonen, P., Kautiainen, H., Pohjolainen, T., & Haanpaa, M. (2013). Do fibromyalgia patients use active pain management strategies? A cohort study. Journal of Rehabilitation Medicine, 45(5), 477–480.PubMedCrossRef Gauffin, J., Hankama, T., Hannonen, P., Kautiainen, H., Pohjolainen, T., & Haanpaa, M. (2013). Do fibromyalgia patients use active pain management strategies? A cohort study. Journal of Rehabilitation Medicine, 45(5), 477–480.PubMedCrossRef
16.
Zurück zum Zitat Ayan, C., Martin, V., Alonso-Cortes, B., Alvarez, M. J., Valencia, M., & Barrientos, M. J. (2007). Relationship between aerobic fitness and quality of life in female fibromyalgia patients. Clinical Rehabilitation, 21(12), 1109–1113.PubMedCrossRef Ayan, C., Martin, V., Alonso-Cortes, B., Alvarez, M. J., Valencia, M., & Barrientos, M. J. (2007). Relationship between aerobic fitness and quality of life in female fibromyalgia patients. Clinical Rehabilitation, 21(12), 1109–1113.PubMedCrossRef
17.
Zurück zum Zitat Jones, K. D., Clark, S. R., & Bennett, R. M. (2002). Prescribing exercise for people with fibromyalgia. AACN Clinical Issues, 13(2), 277–293.PubMedCrossRef Jones, K. D., Clark, S. R., & Bennett, R. M. (2002). Prescribing exercise for people with fibromyalgia. AACN Clinical Issues, 13(2), 277–293.PubMedCrossRef
18.
Zurück zum Zitat Hauser, W., Bernardy, K., Arnold, B., Offenbacher, M., & Schiltenwolf, M. (2009). Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Arthritis and Rheumatism, 61(2), 216–224.PubMedCrossRef Hauser, W., Bernardy, K., Arnold, B., Offenbacher, M., & Schiltenwolf, M. (2009). Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Arthritis and Rheumatism, 61(2), 216–224.PubMedCrossRef
19.
Zurück zum Zitat Kaleth, A. S., Saha, C. K., Jensen, M. P., Slaven, J. E., & Ang, D. C. (2013). Effect of moderate to vigorous physical activity on long-term clinical outcomes and pain severity in fibromyalgia. Arthritis Care Res (Hoboken), 65(8), 1211–1218.CrossRef Kaleth, A. S., Saha, C. K., Jensen, M. P., Slaven, J. E., & Ang, D. C. (2013). Effect of moderate to vigorous physical activity on long-term clinical outcomes and pain severity in fibromyalgia. Arthritis Care Res (Hoboken), 65(8), 1211–1218.CrossRef
20.
Zurück zum Zitat Mease, P. J., Clauw, D. J., Arnold, L. M., Goldenberg, D. L., Witter, J., Williams, D. A., et al. (2005). Fibromyalgia syndrome. Journal of Rheumatology, 32(11), 2270–2277.PubMed Mease, P. J., Clauw, D. J., Arnold, L. M., Goldenberg, D. L., Witter, J., Williams, D. A., et al. (2005). Fibromyalgia syndrome. Journal of Rheumatology, 32(11), 2270–2277.PubMed
21.
Zurück zum Zitat de Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. Lancet, 372(9634), 246–255.PubMedCrossRef de Ridder, D., Geenen, R., Kuijer, R., & van Middendorp, H. (2008). Psychological adjustment to chronic disease. Lancet, 372(9634), 246–255.PubMedCrossRef
22.
Zurück zum Zitat Sturgeon, J. A., & Zautra, A. J. (2013). Psychological resilience, pain catastrophizing, and positive emotions: Perspectives on comprehensive modeling of individual pain adaptation. Current Pain and Headache Reports, 17(3), 317.PubMedCrossRef Sturgeon, J. A., & Zautra, A. J. (2013). Psychological resilience, pain catastrophizing, and positive emotions: Perspectives on comprehensive modeling of individual pain adaptation. Current Pain and Headache Reports, 17(3), 317.PubMedCrossRef
23.
Zurück zum Zitat Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562.PubMedCentralPubMedCrossRef Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71(3), 543–562.PubMedCentralPubMedCrossRef
24.
Zurück zum Zitat Lamers, S. M., Bolier, L., Westerhof, G. J., Smit, F., & Bohlmeijer, E. T. (2012). The impact of emotional well-being on long-term recovery and survival in physical illness: A meta-analysis. Journal of Behavioral Medicine, 35(5), 538–547.PubMedCentralPubMedCrossRef Lamers, S. M., Bolier, L., Westerhof, G. J., Smit, F., & Bohlmeijer, E. T. (2012). The impact of emotional well-being on long-term recovery and survival in physical illness: A meta-analysis. Journal of Behavioral Medicine, 35(5), 538–547.PubMedCentralPubMedCrossRef
25.
Zurück zum Zitat Roysamb, E., Tambs, K., Reichborn-Kjennerud, T., Neale, M. C., & Harris, J. R. (2003). Happiness and health: environmental and genetic contributions to the relationship between subjective well-being, perceived health, and somatic illness. Journal of Personality and Social Psychology, 85(6), 1136–1146.PubMedCrossRef Roysamb, E., Tambs, K., Reichborn-Kjennerud, T., Neale, M. C., & Harris, J. R. (2003). Happiness and health: environmental and genetic contributions to the relationship between subjective well-being, perceived health, and somatic illness. Journal of Personality and Social Psychology, 85(6), 1136–1146.PubMedCrossRef
26.
Zurück zum Zitat Segura-Jimenez, V., Alvarez-Gallardo, I. C., Carbonell-Baeza, A., Aparicio, V. A., Ortega, F. B., Casimiro, A. J., & Delgado-Fernandez, M. (2014). Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Andalus project. Seminars in Arthritis and Rheumatism. Segura-Jimenez, V., Alvarez-Gallardo, I. C., Carbonell-Baeza, A., Aparicio, V. A., Ortega, F. B., Casimiro, A. J., & Delgado-Fernandez, M. (2014). Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Andalus project. Seminars in Arthritis and Rheumatism.
27.
Zurück zum Zitat Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.PubMedCrossRef Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.PubMedCrossRef
28.
Zurück zum Zitat Lobo, A., Ezquerra, J., Gómez, B. F., Sala, J., & Seva, D. A. (1979). Cognocitive mini-test (a simple practical test to detect intellectual changes in medical patients). Actas Luso-Españolas de Neurología, Psiquiatría y Ciencias Afines, 7(3), 189.PubMed Lobo, A., Ezquerra, J., Gómez, B. F., Sala, J., & Seva, D. A. (1979). Cognocitive mini-test (a simple practical test to detect intellectual changes in medical patients). Actas Luso-Españolas de Neurología, Psiquiatría y Ciencias Afines, 7(3), 189.PubMed
29.
Zurück zum Zitat Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129–161. Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129–161.
30.
Zurück zum Zitat Carbonell-Baeza, A., Alvarez-Gallardo, I. C., Segura-Jimenez, V., Castro-Pinero, J., Ruiz, J. R., Delgado-Fernandez, M., & Aparicio, V. A. (2014). Reliability and feasibility of physical fitness tests in female fibromyalgia patients. International Journal of Sports Medicine. doi:10.1055/s-0034-1390497. Carbonell-Baeza, A., Alvarez-Gallardo, I. C., Segura-Jimenez, V., Castro-Pinero, J., Ruiz, J. R., Delgado-Fernandez, M., & Aparicio, V. A. (2014). Reliability and feasibility of physical fitness tests in female fibromyalgia patients. International Journal of Sports Medicine. doi:10.​1055/​s-0034-1390497.
31.
Zurück zum Zitat Sandin, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). The PANAS Scales of positive and negative affect: Factor analytic validation and cross-cultural convergence. Psicothema, 11(1), 37–51. Sandin, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). The PANAS Scales of positive and negative affect: Factor analytic validation and cross-cultural convergence. Psicothema, 11(1), 37–51.
32.
Zurück zum Zitat Atienza, F. L., Pons, D., Balaguer, I., & García-Merita, M. (2000). Psychometric properties of the satisfaction with life scale in adolescents. Psicothema, 12(2), 314–319. Atienza, F. L., Pons, D., Balaguer, I., & García-Merita, M. (2000). Psychometric properties of the satisfaction with life scale in adolescents. Psicothema, 12(2), 314–319.
33.
Zurück zum Zitat Davis, M. C., & Zautra, A. J. (2013). An online mindfulness intervention targeting socioemotional regulation in fibromyalgia: Results of a randomized controlled trial. Annals of Behavioral Medicine, 46(3), 273–284.PubMedCrossRef Davis, M. C., & Zautra, A. J. (2013). An online mindfulness intervention targeting socioemotional regulation in fibromyalgia: Results of a randomized controlled trial. Annals of Behavioral Medicine, 46(3), 273–284.PubMedCrossRef
34.
Zurück zum Zitat Lumley, M. A., Cohen, J. L., Stout, R. L., Neely, L. C., Sander, L. M., & Burger, A. J. (2008). An emotional exposure-based treatment of traumatic stress for people with chronic pain: Preliminary results for fibromyalgia syndrome. Psychotherapy (Chic), 45(2), 165–172.CrossRef Lumley, M. A., Cohen, J. L., Stout, R. L., Neely, L. C., Sander, L. M., & Burger, A. J. (2008). An emotional exposure-based treatment of traumatic stress for people with chronic pain: Preliminary results for fibromyalgia syndrome. Psychotherapy (Chic), 45(2), 165–172.CrossRef
35.
Zurück zum Zitat Pernambuco, A. P., Schetino, L. P., Viana, R. S., Carvalho, L. S., & d’Avila Reis, D. (2014). The involvement of melatonin in the clinical status of patients with fibromyalgia syndrome. Clinical and Experimental Rheumatology. Pernambuco, A. P., Schetino, L. P., Viana, R. S., Carvalho, L. S., & d’Avila Reis, D. (2014). The involvement of melatonin in the clinical status of patients with fibromyalgia syndrome. Clinical and Experimental Rheumatology.
36.
Zurück zum Zitat van Middendorp, H., Lumley, M. A., Jacobs, J. W., van Doornen, L. J., Bijlsma, J. W., & Geenen, R. (2008). Emotions and emotional approach and avoidance strategies in fibromyalgia. Journal of Psychosomatic Research, 64(2), 159–168.PubMedCrossRef van Middendorp, H., Lumley, M. A., Jacobs, J. W., van Doornen, L. J., Bijlsma, J. W., & Geenen, R. (2008). Emotions and emotional approach and avoidance strategies in fibromyalgia. Journal of Psychosomatic Research, 64(2), 159–168.PubMedCrossRef
37.
Zurück zum Zitat Rivera, J., & Gonzalez, T. (2004). The Fibromyalgia Impact Questionnaire: A validated Spanish version to assess the health status in women with fibromyalgia. Clinical and Experimental Rheumatology, 22(5), 554–560.PubMed Rivera, J., & Gonzalez, T. (2004). The Fibromyalgia Impact Questionnaire: A validated Spanish version to assess the health status in women with fibromyalgia. Clinical and Experimental Rheumatology, 22(5), 554–560.PubMed
38.
Zurück zum Zitat Zautra, A. J., Johnson, L. M., & Davis, M. C. (2005). Positive affect as a source of resilience for women in chronic pain. Journal of Consulting and Clinical Psychology, 73(2), 212–220.PubMedCentralPubMedCrossRef Zautra, A. J., Johnson, L. M., & Davis, M. C. (2005). Positive affect as a source of resilience for women in chronic pain. Journal of Consulting and Clinical Psychology, 73(2), 212–220.PubMedCentralPubMedCrossRef
39.
Zurück zum Zitat Carville, S. F., Arendt-Nielsen, S., Bliddal, H., Blotman, F., Branco, J. C., Buskila, D., et al. (2008). EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Annals of the Rheumatic Diseases, 67(4), 536–541.PubMedCrossRef Carville, S. F., Arendt-Nielsen, S., Bliddal, H., Blotman, F., Branco, J. C., Buskila, D., et al. (2008). EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Annals of the Rheumatic Diseases, 67(4), 536–541.PubMedCrossRef
40.
Zurück zum Zitat de Souza, J. B., Goffaux, P., Julien, N., Potvin, S., Charest, J., & Marchand, S. (2009). Fibromyalgia subgroups: profiling distinct subgroups using the Fibromyalgia Impact Questionnaire. A preliminary study. Rheumatology International, 29(5), 509–515.PubMedCrossRef de Souza, J. B., Goffaux, P., Julien, N., Potvin, S., Charest, J., & Marchand, S. (2009). Fibromyalgia subgroups: profiling distinct subgroups using the Fibromyalgia Impact Questionnaire. A preliminary study. Rheumatology International, 29(5), 509–515.PubMedCrossRef
41.
Zurück zum Zitat Calandre, E. P., Garcia-Carrillo, J., Garcia-Leiva, J. M., Rico-Villademoros, F., Molina-Barea, R., & Rodriguez-Lopez, C. M. (2011). Subgrouping patients with fibromyalgia according to the results of the Fibromyalgia Impact Questionnaire: A replication study. Rheumatology International, 31(12), 1555–1559.PubMedCrossRef Calandre, E. P., Garcia-Carrillo, J., Garcia-Leiva, J. M., Rico-Villademoros, F., Molina-Barea, R., & Rodriguez-Lopez, C. M. (2011). Subgrouping patients with fibromyalgia according to the results of the Fibromyalgia Impact Questionnaire: A replication study. Rheumatology International, 31(12), 1555–1559.PubMedCrossRef
42.
Zurück zum Zitat Wilson, H. D., Robinson, J. P., & Turk, D. C. (2009). Toward the identification of symptom patterns in people with fibromyalgia. Arthritis and Rheumatism, 61(4), 527–534.PubMedCentralPubMedCrossRef Wilson, H. D., Robinson, J. P., & Turk, D. C. (2009). Toward the identification of symptom patterns in people with fibromyalgia. Arthritis and Rheumatism, 61(4), 527–534.PubMedCentralPubMedCrossRef
43.
Zurück zum Zitat van Koulil, S., Effting, M., Kraaimaat, F. W., van Lankveld, W., van Helmond, T., Cats, H., et al. (2007). Cognitive–behavioural therapies and exercise programmes for patients with fibromyalgia: State of the art and future directions. Annals of the Rheumatic Diseases, 66(5), 571–581.PubMedCentralPubMedCrossRef van Koulil, S., Effting, M., Kraaimaat, F. W., van Lankveld, W., van Helmond, T., Cats, H., et al. (2007). Cognitive–behavioural therapies and exercise programmes for patients with fibromyalgia: State of the art and future directions. Annals of the Rheumatic Diseases, 66(5), 571–581.PubMedCentralPubMedCrossRef
44.
Zurück zum Zitat van Koulil, S., van Lankveld, W., Kraaimaat, F. W., van Helmond, T., Vedder, A., van Hoorn, H., et al. (2011). Tailored cognitive–behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia. Annals of the Rheumatic Diseases, 70(12), 2131–2133.PubMedCrossRef van Koulil, S., van Lankveld, W., Kraaimaat, F. W., van Helmond, T., Vedder, A., van Hoorn, H., et al. (2011). Tailored cognitive–behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia. Annals of the Rheumatic Diseases, 70(12), 2131–2133.PubMedCrossRef
Metadaten
Titel
Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project
verfasst von
Fernando Estévez-López
Cindy M. Gray
Víctor Segura-Jiménez
Alberto Soriano-Maldonado
Inmaculada C. Álvarez-Gallardo
Manuel J. Arrayás-Grajera
Ana Carbonell-Baeza
Virginia A. Aparicio
Manuel Delgado-Fernández
Manuel Pulido-Martos
Publikationsdatum
01.08.2015
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 8/2015
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-0917-7

Weitere Artikel der Ausgabe 8/2015

Quality of Life Research 8/2015 Zur Ausgabe