Format

Send to

Choose Destination
J Pain. 2017 May;18(5):546-555. doi: 10.1016/j.jpain.2016.12.013. Epub 2017 Jan 4.

Activity Pattern Profiles: Relationship With Affect, Daily Functioning, Impairment, and Variables Related to Life Goals.

Author information

1
Universidad de Málaga, Andalucía Tech, Facultad de Psicología, Málaga, Spain. Electronic address: zarazaga@uma.es.
2
Universidad de Málaga, Andalucía Tech, Facultad de Psicología, Málaga, Spain.
3
Maastricht University, Department of Psychology and Neuroscience, Clinical Psychological Science, Behavioural Medicine, The Netherlands.
4
Unidad de Rehabilitación de la Unidad de Gestión Clínica Carihuela, Torremolinos, Málaga, Spain.

Abstract

The aim of this cross-sectional study was to identify subgroups of patients on the basis of their activity patterns and to investigate their relationship with life goals, optimism, affect, and functioning. The sample was comprised of 276 patients with chronic musculoskeletal pain. Hierarchical cluster analysis was performed on the activity pattern variables and the resulting clusters were compared using 1-way analysis of variance. The 4-cluster was the optimal solution. The 4 clusters comprised: 1) avoiders: patients with high levels of avoidance and low levels of persistence, who use pacing to reduce pain, 2) doers: patients with high levels of persistence and low levels of pacing and avoidance, 3) extreme cyclers: patients with high levels of avoidance and persistence and low levels of pacing, and 4) medium cyclers: patients with moderately high levels of avoidance and persistence and high levels of pacing. Comparison of the clusters showed that doers had the most adaptive profile, whereas avoiders, followed by extreme cyclers, had unhealthy profiles. Doers showed a high level of optimism and a good balance between goal value, expectancy, and conflict.

PERSPECTIVE:

It is useful to distinguish profiles on the basis of various activity patterns. In contrast to profiles characterized by avoidance, profiles characterized by high persistence and low avoidance were associated with adaptive results. Patients with this profile also showed a high level of optimism and a good balance between goal value, expectancy, and conflict.

KEYWORDS:

Activity patterns; avoidance; chronic pain; life goals; pacing; persistence

PMID:
28063959
DOI:
10.1016/j.jpain.2016.12.013
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center