@misc{10498/30570,
year = {2017},
url = {http://hdl.handle.net/10498/30570},
abstract = {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.},
publisher = {Oxford University Press},
keywords = {Accelerometry},
keywords = {Chronic pain},
keywords = {Cognitive performance},
keywords = {Coping},
keywords = {Epidemiology},
keywords = {Functional capacity},
keywords = {Patient subgroups},
keywords = {Quality of life},
keywords = {Resilience (psychological)},
keywords = {Vulnerability (psychological)},
title = {Adaptation profiles comprising objective and subjective measures in fibromyalgia: The al-Ándalus project},
doi = {10.1093/rheumatology/kex302},
author = {Estévez  López, Fernando and Segura Jiménez, Víctor and Álvarez Gallardo, Inmaculada Concepción and Borges Cosic, Milkana and Pulido Martos, Manuel and Carbonell Baeza, Ana and Aparicio, Virginia Ariadna and Greenen, Rinie and Delgado Fernández, Manuel},
}