Coping strategies predict disability in patients with primary fibromyalgia

Michelle Martin, Laurence A. Bradley, Ronald W. Alexander, Graciela S. Alarcón, Mireya Triana-Alexander, Leslie A. Aaron, Kristin R. Alberts

Research output: Contribution to journalArticle

162 Citations (Scopus)

Abstract

We administered the Coping Strategies Questionnaire (CSQ) to 80 patients with fibromyalgia (FM) to determine the relationship between coping strategies and functional disability. A principal components factor analysis revealed two dimensions of patients' CSQ responses: Coping Attempts and Catastrophizing. Coping Attempts consists of five scales: Reinterpreting Pain, Ignoring Pain Sensations, Diverting Attention, Coping Self-Statements and Increasing Activity Level. Catastrophizing is comprised solely of the CSQ Catastrophizing scale. Both coping strategy dimensions were significantly related to patients' disability scores on the Sickness Impact Profile even after controlling for demographic and clinical variables as well as neuroticism. Coping Attempts was associated with higher levels of Physical (P < 0.05) and Total Disability (P < 0.01), and lower levels of Psychosocial Disability (P < 0.05). Catastrophizing was associated with higher levels of Total Disability (P < 0.01). These relationships suggest that investigators should attempt to identify Coping Attempts strategies that best reduce patients' psychological distress in the laboratory. It then may be possible to teach patients to use these strategies to reduce distress in their home and work environments.

Original languageEnglish (US)
Pages (from-to)45-53
Number of pages9
JournalPain
Volume68
Issue number1
DOIs
StatePublished - Nov 1 1996

Fingerprint

Fibromyalgia
Catastrophization
Sickness Impact Profile
Pain
Principal Component Analysis
Statistical Factor Analysis
Research Personnel
Demography
Psychology
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Martin, M., Bradley, L. A., Alexander, R. W., Alarcón, G. S., Triana-Alexander, M., Aaron, L. A., & Alberts, K. R. (1996). Coping strategies predict disability in patients with primary fibromyalgia. Pain, 68(1), 45-53. https://doi.org/10.1016/S0304-3959(96)03179-X

Coping strategies predict disability in patients with primary fibromyalgia. / Martin, Michelle; Bradley, Laurence A.; Alexander, Ronald W.; Alarcón, Graciela S.; Triana-Alexander, Mireya; Aaron, Leslie A.; Alberts, Kristin R.

In: Pain, Vol. 68, No. 1, 01.11.1996, p. 45-53.

Research output: Contribution to journalArticle

Martin, M, Bradley, LA, Alexander, RW, Alarcón, GS, Triana-Alexander, M, Aaron, LA & Alberts, KR 1996, 'Coping strategies predict disability in patients with primary fibromyalgia', Pain, vol. 68, no. 1, pp. 45-53. https://doi.org/10.1016/S0304-3959(96)03179-X
Martin M, Bradley LA, Alexander RW, Alarcón GS, Triana-Alexander M, Aaron LA et al. Coping strategies predict disability in patients with primary fibromyalgia. Pain. 1996 Nov 1;68(1):45-53. https://doi.org/10.1016/S0304-3959(96)03179-X
Martin, Michelle ; Bradley, Laurence A. ; Alexander, Ronald W. ; Alarcón, Graciela S. ; Triana-Alexander, Mireya ; Aaron, Leslie A. ; Alberts, Kristin R. / Coping strategies predict disability in patients with primary fibromyalgia. In: Pain. 1996 ; Vol. 68, No. 1. pp. 45-53.
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