2.50
Hdl Handle:
http://hdl.handle.net/10755/159255
Type:
Presentation
Title:
Developing an Intervention to Decrease Catastrophizing in Fibromyalgia Patients
Abstract:
Developing an Intervention to Decrease Catastrophizing in Fibromyalgia Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Nelson, Pamela, RN
P.I. Institution Name:Mayo Clinic
Title:King Hussein Scholar
Contact Address:Division of Nursing Research, 200 First Street SW, Rochester, MN, 55905, USA
Co-Authors:Sharon Tucker, DNSc, RN, CNS, Clinical Nurse Researcher
Development of an Intervention to Decrease Catastrophizing in Fibromyalgia Patients The purpose of this pilot study is to examine relationships between pain catastrophizing, thinking the worst; pain coping self-efficacy; and physical and psychological functioning in persons with fibromyalgia (FM); and to develop a psychoeducational intervention to alter catastrophizing in persons with fibromyalgia. Fibromyalgia is a chronic pain syndrome frequently accompanied by migraines, irritable bowel syndrome, anxiety, and depressive symptoms. Persons with this widespread pain are high utilizers of health care and often believe that their symptoms are dismissed by health care providers. Factors associated with poor adjustment include pain catastrophizing and decreased pain coping self-efficacy, confidence in one’s ability to cope with pain. These factors are predictors of psychological and physical functioning, yet structured nursing interventions to target these factors, especially catastrophizing, have not been developed and tested. Nurses in multi-disciplinary treatment programs often provide cognitive-behavioral interventions to promote symptom management. Especially needed in this era of health care cost containment are briefer nurse-led interventions, important in tertiary treatment programs where longer-term treatment is not possible for persons far from home. 35 fibromyalgia patients in an out-patient treatment program for FM will be recruited to participate in this study. Using a case-study design various sources of information will be gathered from patients: Pain Catastrophizing Scale (PSC), Pain Coping Self-Efficacy Scale (PCSES), Center for Epidemiologic Studies Depression Scale (CES-D), and the Fibromyalgia Impact Questionnaire (FIQ) to examine physical and psychological functioning. Patients and family members, and a separate group of treatment team members, will participate in focus groups to collect data about use of coping strategies in FM. Data analysis will include integration of themes from focus groups, correlations between the variables, and findings from observation of treatment activities. A brief intervention will be designed and pilot tested, with a future study planned for further testing.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping an Intervention to Decrease Catastrophizing in Fibromyalgia Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159255-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing an Intervention to Decrease Catastrophizing in Fibromyalgia Patients </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Nelson, Pamela, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mayo Clinic</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">King Hussein Scholar</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Division of Nursing Research, 200 First Street SW, Rochester, MN, 55905, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sharon Tucker, DNSc, RN, CNS, Clinical Nurse Researcher</td></tr><tr><td colspan="2" class="item-abstract">Development of an Intervention to Decrease Catastrophizing in Fibromyalgia Patients The purpose of this pilot study is to examine relationships between pain catastrophizing, thinking the worst; pain coping self-efficacy; and physical and psychological functioning in persons with fibromyalgia (FM); and to develop a psychoeducational intervention to alter catastrophizing in persons with fibromyalgia. Fibromyalgia is a chronic pain syndrome frequently accompanied by migraines, irritable bowel syndrome, anxiety, and depressive symptoms. Persons with this widespread pain are high utilizers of health care and often believe that their symptoms are dismissed by health care providers. Factors associated with poor adjustment include pain catastrophizing and decreased pain coping self-efficacy, confidence in one&rsquo;s ability to cope with pain. These factors are predictors of psychological and physical functioning, yet structured nursing interventions to target these factors, especially catastrophizing, have not been developed and tested. Nurses in multi-disciplinary treatment programs often provide cognitive-behavioral interventions to promote symptom management. Especially needed in this era of health care cost containment are briefer nurse-led interventions, important in tertiary treatment programs where longer-term treatment is not possible for persons far from home. 35 fibromyalgia patients in an out-patient treatment program for FM will be recruited to participate in this study. Using a case-study design various sources of information will be gathered from patients: Pain Catastrophizing Scale (PSC), Pain Coping Self-Efficacy Scale (PCSES), Center for Epidemiologic Studies Depression Scale (CES-D), and the Fibromyalgia Impact Questionnaire (FIQ) to examine physical and psychological functioning. Patients and family members, and a separate group of treatment team members, will participate in focus groups to collect data about use of coping strategies in FM. Data analysis will include integration of themes from focus groups, correlations between the variables, and findings from observation of treatment activities. A brief intervention will be designed and pilot tested, with a future study planned for further testing. </td></tr></table>en_GB
dc.date.available2011-10-26T21:50:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:50:53Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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