Title
Overlap of cognitive concepts in chronic widespread pain: An exploratory study
Author
Rooij, A.de
Steultjens, M.P.
Siemonsma, P.C.
Vollebregt, J.A.
Roorda, L.D.
Beuving, W.
Dekker, J.
Publication year
2011
Abstract
Background: A wide variety of cognitive concepts have been shown to play an important role in chronic widespread pain (CWP). Although these concepts are generally considered to be distinct entities, some might in fact be highly overlapping. The objectives of this study were to (i) to establish inter-relationships between self-efficacy, cognitive coping styles, fear-avoidance cognitions and illness beliefs in patients with CWP and (ii) to explore the possibility of a reduction of these cognitions into a more limited number of domains. Methods. Baseline measurement data of a prospective cohort study of 138 patients with CWP were used. Factor analysis was used to study the associations between 16 different cognitive concepts. Results: Factor analysis resulted in three factors: 1) negative emotional cognitions, 2) active cognitive coping, and 3) control beliefs and expectations of chronicity. Conclusion: Negative emotional cognitions, active cognitive coping, control beliefs and expectations of chronicity seem to constitute principal domains of cognitive processes in CWP. These findings contribute to the understanding of overlap and uniqueness of cognitive concepts in chronic widespread pain. © 2011 de Rooij et al; licensee BioMed Central Ltd.
Subject
BSS - Behavioural and Societal Sciences
Human
Healthy Living
Adult
Attitude to mental illness
Avoidance behavior
Beck Depression Inventory
Chronic pain
Chronic widespread pain
Clinical evaluation
Cognition
Coping behavior
Depression
Disease duration
Dutch General Self efficacy Scale
Ethnicity
factorial analysis
Fatigue
Fear avoidance
Female
Fibromyalgia impact questionnaire
Human
Major clinical study
Male
Named inventories, questionnaires and rating scales
Numerical rating scale
Pain assessment
Self concept
LS - Life Style
To reference this document use:
http://resolver.tudelft.nl/uuid:57836bdc-13ba-4e5a-9f9d-b0505299b4c2
DOI
https://doi.org/10.1186/1471-2474-12-218
TNO identifier
446481
ISSN
1471-2474
Source
BMC Musculoskeletal Disorders, 12 (12)
Document type
article