RT journal article
T1 Adaptation profiles comprising objective and subjective measures in fibromyalgia: The al-Ándalus project
A1 Estévez  López, Fernando
A1 Segura Jiménez, Víctor
A1 Álvarez Gallardo, Inmaculada Concepción
A1 Borges Cosic, Milkana
A1 Pulido Martos, Manuel
A1 Carbonell Baeza, Ana
A1 Aparicio, Virginia Ariadna
A1 Greenen, Rinie
A1 Delgado Fernández, Manuel
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 Accelerometry
K1 Chronic pain
K1 Cognitive performance
K1 Coping
K1 Epidemiology
K1 Functional capacity
K1 Patient subgroups
K1 Quality of life
K1 Resilience (psychological)
K1 Vulnerability (psychological)
AB Objectives. The aim of this study was to identify subgroups in terms of adaptation to FM and to test differences in FM severity between these subgroups. Methods. The al-Ándalus project made it possible to perform a comprehensive population-based crosssectional study in 486 FM patients including multiple assessments of modifiable (could be targeted in therapy) resilience and vulnerability factors, measured by objective and subjective assessments, related to psychological and physical function. FM severity was assessed by means of FM impact (total score of the Revised Fibromyalgia Impact Questionnaire) and distress (Polysymptomatic Distress Scale of the modified 2011 preliminary criteria for FM). Exploratory factor analysis, cluster analysis and analysis of variance were conducted. Results. Factor analysis yielded eight factors: three included objective measures (declarative memory, active lifestyle and objective physical fitness) and five included subjective measures (fatigue, psychological distress, catastrophizing, resilience and subjective physical fitness). Cluster analysis based on these eight factors identified five profiles: Adapted (16%), Fit (18%), Poor performer (20%), Positive (20%) and Maladapted (26%). Most profile comparisons revealed different levels of FM severity varying from Adapted (the most favourable profile) to Maladapted (the most unfavourable profile) with Fit, Poor performer and Positive obtaining intermediate positions. Conclusions. Heterogeneity of FM was shown by five clinically meaningful profiles of modifiable factors that were associated with FM severity. It is of clinical interest to examine whether these profiles are associated with FM prognosis and the effectiveness of interventions, which would enhance the development of customized interventions based on adaptation profiles in FM.
PB Oxford University Press
SN 1462-0324
YR 2017
FD 2017
LK http://hdl.handle.net/10498/30570
UL http://hdl.handle.net/10498/30570
LA eng
NO We acknowledge Oxford University Press and Rheumatology for publishing our scientific article: Estévez-López, F., Segura-Jiménez, V., Álvarez-Gallardo, I. C., Borges-Cosic, M., Pulido-Martos, M., Carbonell-Baeza, A., Aparicio, V. A., Geenen, R., & Delgado-Fernández, M. (2017). Adaptation profiles comprising objective and subjective measures in fibromyalgia: The al-Ándalus project. Rheumatology (United Kingdom), 56(11), 2015-2024. https://doi.org/10.1093/RHEUMATOLOGY/KEX302
DS Repositorio Institucional de la Universidad de Cádiz
RD 25-may-2026