The mediating role of emotional symptomatology between anticipatory fatigue and the perception of fatigue

  1. Juan Francisco Rodríguez Testal 1
  2. Sandra Fuentes Márquez 2
  3. Cristina Senín Calderón 3
  4. Miguel Ángel Carrasco 4
  1. 1 Universidad de Sevilla (España)
  2. 2 Hospital Juan Ramón Jiménez (Huelva, España)
  3. 3 Universidad de Cádiz (España)
  4. 4 Universidad Nacional de Educación a Distancia (UNED) (España)
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Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2016

Volumen: 28

Número: 2

Páginas: 187-193

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Antecedentes: la investigación clínica resalta la importancia de variables cognitivas en la predisposición, inicio y mantenimiento de la fatiga percibida. Se analizan los efectos de mediación de la sintomatología emocional entre la fatiga anticipatoria y la percepción de la fatiga física y cognitiva. Métodos: la muestra se compone de 317 participantes (29% de población clínica) de 18 a 76 años. La fatiga anticipatoria y la percepción de la fatiga se midieron a través de escalas de fatiga y los síntomas emocionales a través del Cuestionario GHQ-28. Resultados: la sintomatología depresiva media la relación entre fatiga anticipatoria y la fatiga cognitiva en ambos grupos, y también para el grupo de pacientes cuando además los síntomas son somáticos. En el caso de la fatiga física, el efecto indirecto se da solo para el grupo clínico, siendo la sintomatología depresiva la variable que media parcialmente la relación. Conclusiones: la fatiga anticipatoria tiene un efecto indirecto parcial sobre la fatiga física e indirecto total sobre la fatiga cognitiva, mediado por los síntomas depresivos y somáticos. Este factor cognitivo es relevante en el diseño de la intervención psicológica para la disminución de la fatiga cognitiva y física.

Referencias bibliográficas

  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, Text Revision4th Ed. [DSM-IV-TR]. Washington DC: APA.
  • Barlow, D. (2002). Anxiety and its disorders. The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
  • Bol, Y., Duits, A. A., Hupperts, R. M. M., Vlaeyen, J. W. S., & Verhey, F. R. J. (2009). The psychology of fatigue in patients with multiple sclerosis: A review. Journal of Psychosomatic Research, 66(1), 3-11.
  • Bollen, K. A. (1989). Structural equations with latent variables. New York: John Wiley & Sons.
  • Caseras, X., Mataix-Cols, D., Rimes, K. A., Giampietro, V., Brammer, M., Zelaya, F., …, Godfrey, E. (2008). The neural correlates of fatigue: An exploratory imaginal fatigue provocation study in chronic fatigue syndrome. Psychological Medicine, 38(7), 941-951.
  • Cella, M., & Chalder, T. (2010). Measuring fatigue in clinical and community settings. Journal of Psychosomatic Research, 69(1), 17-22.
  • Cella, M., Chalder, T., & White, P. D. (2011). Does the heterogeneity of chronic fatigue syndrome moderate the response to cognitive behaviour therapy? An exploratory study. Psychotherapy and Psychosomatics, 80(6), 353-358.
  • Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). Development of a fatigue scale. Journal of Psychosomatic Research, 37, 147-153.
  • Christensen, H., Frostholm, L., Ørnbøl, E., & Schröder, A. (2015). Changes in illness perceptions mediated the effect of cognitive behavioural therapy in severe functional somatic syndromes. Journal of Psychosomatic Research, 78(4), 363-370.
  • Elosua, P., & Zumbo, B.D. (2008). Reliability coeffi cients for ordinal response scales. Psicothema, 20(4), 896-901.
  • Failde, I., & Ramos, I. (2000). Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease. Journal of Clinical Epidemiology, 53(4), 359-365.
  • Forero, C. G., Maydeu-Olivares, A., & Gallardo-Pujol, D. (2009). Factor analysis with ordinal indicators: A Monte Carlo study comparing DWLS and ULS estimation. Structural Equation Modeling, 16(4), 625-641.
  • Fry, A., & Martin, M. (1996). Fatigue in the chronic fatigue syndrome: A cognitive phenomenon? Journal of Psychosomatic Research, 41, 415-426.
  • Fuentes-Márquez, S., Senín-Calderón, C., Rodríguez-Testal, J. F., & Carrasco, M. A. (2015). Perceived experience of fatigue in clinical and general population: Descriptors and associated reactivities. The Spanish Journal of Psychology, 18, 1-8.
  • Goldberg, D. (1996). Cuestionario de Salud General de Goldberg. Barcelona: Masson.
  • Grupe, D. W., & Nitschke, J. B. (2013). Uncertainty and anticipation in anxiety: An integrated neurobiological and psychological perspective. Nature Reviews. Neuroscience, 14(7), 488-501.
  • Hayes, A. F. (1996). Permutation test is not distribution-free: Testing H 0 : = 0. Psychological Methods, 1(2), 184.
  • Hayes, A. F., & Preacher, K. J. (2013). Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology, 451-470.
  • Heins, M., Knoop, H., Nijs, J., Feskens, R., Meeus, M., Moorkens, G., & Bleijenberg, G. (2013). Infl uence of symptom expectancies on stairclimbing performance in chronic fatigue syndrome: Effect of study context. International Journal of Behavioral Medicine, 20(2), 213-218.
  • Helbig-Lang, S., Lang, T., Petermann, F., & Hoyer, J. (2012). Anticipatory anxiety as a function of panic attacks and panic-related self-efficacy: An ambulatory assessment study in panic disorder. Behavioural and Cognitive Psychotherapy, 40(5), 590-604.
  • Hollingshead, A. A. (1975). Five Factor Index of Social Position. New Haven, CT: Unpublished manuscript, Yale University.
  • Jöreskog, K. G., & Sörbom, D. (2003). LISREL (8.52). Retrieved from http://www.ssicentral.com/lisrel/
  • Kluger, B. M., Krupp, L. B., & Enoka, R. M. (2013). Fatigue and fatigability in neurologic illnesses: Proposal for a unified taxonomy. Neurology, 80, 409-416.
  • Knoop, H., Prins, J. B., Moss-Morris, R., & Bleijenberg, G. (2010). The central role of cognitive processes in the perpetuation of chronic fatigue syndrome. Journal of Psychosomatic Research, 68, 489-494.
  • Knoop, H., van Kessel, K., & Moss-Morris, R. (2012). Which cognitions and behaviours mediate the positive effect of cognitive behavioural therapy on fatigue in patients with multiple sclerosis? Psychological Medicine, 42(01), 205-213.
  • Koval, P., Kuppens, P., Allen, N. B., & Sheeber, L. (2012). Getting stuck in depression: The roles of rumination and emotional inertia. Cognition & Emotion, 26(8), 1412-1427.
  • Mallinckrodt, B., Abraham, W. T., Wei, M., & Russell, D. W. (2006). Advances in testing the statistical significance of mediation effects. Journal of Counseling Psychology, 55(3), 372-378.
  • Müller, J. M., & Wytykowska, A. M. (2005). Psychometric properties and validation of a Polish adaptation of Carver and White’s BIS/BAS scales. Personality and Individual Differences, 39(4), 795-805.
  • Muthén, B. (1993). Goodness of fit with categorical and other nonnormal variables. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 205-234). Newbury Park, CA: Sage.
  • Olino, T. M., McMakin, D. L., Dahl, R. E., Ryan, N. D., Silk, J. S., Birmaher, B., …, Forbes, E. E. (2011). “I won, but I’m not getting my hopes up”: Depression moderates the relationship of outcomes and reward anticipation. Psychiatry Research Neuroimaging, 194(3), 393-395.
  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple Mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717-731.
  • Priebe, S., Fakhoury, W. K. H., & Henningsen, P. (2008). Functional incapacity and physical and psychological symptoms: How they interconnect in chronic fatigue syndrome. Psychopathology, 41(6), 339-345.
  • Rief, W., Glombiewski, J. A., Gollwitzer, M., Schubö, A., Schwarting, R., & Thorwart, A. (2015). Expectancies as core features of mental disorders. Current Opinion in Psychiatry, 28(5), 378-385.
  • Robinson, R. G., & Price, T. R. (1982). Post-stroke depressive disorders: A follow-up study of 103 patients. Stroke, 13(5), 635-641.
  • Ruscio, A. M., Seitchik, A. E., Gentes, E. L., Jones, J. D., & Hallion, L. S. (2011). Perseverative thought: A robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder. Behaviour Research and Therapy, 49, 867-874.
  • Sáez-Francàs, N., Hernández-Vara, J., Corominas-Roso, M., Alegre, J., Jacas, C., & Casas, M. (2014). Relationship between poor decision-making process and fatigue perception in Parkinson’s disease patients. Journal of the Neurological Sciences, 337(1-2), 167-172.
  • Schnur, J. B., Hallquist, M. N., Bovbjerg, D. H., Silverstein, J. H., Stojceska, A., & Montgomery, G. H. (2007). Predictors of expectancies for postsurgical pain and fatigue in breast cancer surgical patients. Personality and Individual Differences, 42(3), 419-429.
  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422-445.
  • Valero, S., Sáez-Francàs, N., Calvo, N., Alegre, J., & Casas, M. (2013). The role of neuroticism, perfectionism and depression in chronic fatigue syndrome. A structural equation modeling approach. Comprehensive Psychiatry, 54(7), 1061-1067.
  • Wearden, A. J., Dunn, G., Dowrick, C., & Morriss, R. K. (2012). Depressive symptoms and pragmatic rehabilitation for chronic fatigue syndrome. The British Journal of Psychiatry: The Journal of Mental Science, 201(3), 227-232.
  • Wearden, A. J., & Emsley, R. (2013). Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome. Journal of Consulting and Clinical Psychology, 81, 831-838.
  • Wiborg, J. F., Knoop, H., Prins, J. B., & Bleijenberg, G. (2011). Does a decrease in avoidance behavior and focusing on fatigue mediate the effect of cognitive behavior therapy for chronic fatigue syndrome? Journal of Psychosomatic Research, 70(4), 306-310.
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