Some fibromyalgia (FM) patients engage in rumination (i.e. a chain of repetitive, passive and relatively uncontrollable thoughts focused on negative content) to cope with the pain and discomfort of daily activities. The partial model of rumination in chronic pain suggests that rumination processes may play a causal role in maintaining pain. Rumination might also be one of the key factors interfering with the reestablishment of adapted physical activity. The objective of this study was to test how rumination vs. distraction induction influence FM patients’ pain intensity, discomfort linked to pain, and affect after physical activity. Forty-seven participants with a diagnosis of FM were randomly assigned to undergo distraction induction vs. rumination induction after performing a physical activity in ecological setting. Their pain intensity, pain-related discomfort, and affect were measured at the baseline, after physical activity, and after rumination versus distraction induction. A series of mixed-design ANOVAs showed that rumination induction after physical activity impairs patients’ recovery in terms of pain intensity and discomfort, but not affect, as compared to the distraction condition. In conclusion, participants with fibromyalgia who engage in rumination following a physical activity recover less from their pain experience as compared to distraction induction. These results are consistent with the partial model of rumination in chronic pain and support the idea that rumination may play a causal role in the development and maintenance of pain.
Authors
Jérémy Fonseca das Neves, Monika Kornacka, Eric Serra, Noemie Rollin, Thierry Kosinski, Virginie Maréchal, Louis Jehel, Stephane Rusinek
- Bibliographic Reference
- Jérémy Fonseca das Neves, Monika Kornacka, Eric Serra, Noemie Rollin, Thierry Kosinski, et al.. The impact of rumination on fibromyalgia pain after physical activity: an experimental study. Scientific Reports, 2023, Scientific Reports, 13 (1), pp.20523. ⟨10.1038/s41598-023-47414-z⟩. ⟨hal-04312016⟩
- DOI
- https://doi.org/10.1038/s41598-023-47414-z
- HAL Collection
- ['Université de Picardie Jules Verne', 'Université Paris Sud - Paris XI', 'AP-HP', 'Université de Versailles Saint-Quentin-en-Yvelines', 'Psychologie : Interactions, Temps, Emotions, Cognition', 'Université Paris-Saclay', 'Université Paris Sud pour Paris Saclay', 'Université de Lille', 'UVSQ-UPSACLAY', 'Graduate School Santé publique']
- HAL Identifier
- 4312016
- Institution
- ['SWPS University of Social Sciences and Humanities', 'Université de Picardie Jules Verne', 'Université de Versailles Saint-Quentin-en-Yvelines', 'Université Paris-Sud - Paris 11', 'Hôpital Paul Brousse', 'Institut National de la Santé et de la Recherche Médicale']
- Laboratory
- ['Psychologie : Interactions, Temps, Emotions, Cognition (PSITEC) - ULR 4072', 'Centre de recherche en épidémiologie et santé des populations']
- Published in
- France
Table of Contents
- The impact of rumination on fibromyalgia pain after physical activity: an experimental study 2
- Materials and method 3
- Study design 3
- Participants and procedure 3
- Materials 5
- Trait questionnaires 5
- Perseverative thinking questionnaire42,43 5
- Fibromyalgia impact questionnaire44,45 5
- Hospital anxiety and depression scale46,47 5
- Experimental measures and materials 5
- Physical activity induction in ecological setting 5
- Rumination versus distraction induction 6
- Positive and negative affective scale—state version51,52 6
- Pain visual analogue scales 6
- Momentary ruminative self-focus inventory (Mor, Marchetti & Koster, unpublished manuscript, 2013) 6
- Statistical analysis plan 6
- Results 7
- The effect of physical activity–manipulation check of pain activation procedure 7
- The effect of rumination versus distraction on pain intensity and discomfort linked to pain 7
- Effect of rumination versus distraction on affect 7
- The effect of induction on state of rumination 7
- Discussion 7
- References 9
- Acknowledgements 11
