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Open AccessArticle

Exploring Changes in Activity Patterns in Individuals with Chronic Pain

1
Facultad de Psicología, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga, Andalucía Tech, 29071 Málaga, Spain
2
Área de Psicología, Facultad de Ciencias de la Salud, Universidad Isabel I, 09003 Burgos, Spain
3
Department Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King’s College London, London WC2R 2LS, UK
4
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, 6229 ER Maastricht, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(10), 3560; https://doi.org/10.3390/ijerph17103560
Received: 25 March 2020 / Revised: 12 May 2020 / Accepted: 18 May 2020 / Published: 19 May 2020
(This article belongs to the Special Issue Chronic Pain and Headache)
This longitudinal study explored whether activity patterns change over time in a sample of 56 individuals with chronic musculoskeletal pain over a 15-day period. Once a day, the participants recorded their level of pain intensity and the degree to which they had engaged in several specific activity patterns. Linear mixed models with random coefficients were used to investigate the rate of change in the activity patterns. Age, sex, pain intensity, and pain duration were controlled. The results show that excessive persistence was the only self-reported activity pattern to show a linear change over the 15-day period. There was a decrease in excessive persistence, and this decrease was slower with higher levels of activity avoidance. However, no significant association was found between sex, age, pain intensity, and pain duration and excessive persistence at baseline or change over time. At baseline, a positive association was found between excessive persistence and pain avoidance, pain-related persistence, and pacing to reduce pain, and a negative association was found between excessive persistence and pacing to save energy for valued activities. This result suggests a profile characterized by alternate periods of high and low activity that, in this study, were unrelated to longitudinal changes in pain intensity. View Full-Text
Keywords: chronic pain; activity patterns; avoidance; persistence; pacing chronic pain; activity patterns; avoidance; persistence; pacing
MDPI and ACS Style

Serrano-Ibáñez, E.R.; Bendayan, R.; Ramírez-Maestre, C.; López-Martínez, A.E.; Ruíz-Párraga, G.T.; Peters, M.; Esteve, R. Exploring Changes in Activity Patterns in Individuals with Chronic Pain. Int. J. Environ. Res. Public Health 2020, 17, 3560. https://doi.org/10.3390/ijerph17103560

AMA Style

Serrano-Ibáñez ER, Bendayan R, Ramírez-Maestre C, López-Martínez AE, Ruíz-Párraga GT, Peters M, Esteve R. Exploring Changes in Activity Patterns in Individuals with Chronic Pain. International Journal of Environmental Research and Public Health. 2020; 17(10):3560. https://doi.org/10.3390/ijerph17103560

Chicago/Turabian Style

Serrano-Ibáñez, Elena R.; Bendayan, Rebecca; Ramírez-Maestre, Carmen; López-Martínez, Alicia E.; Ruíz-Párraga, Gema T.; Peters, Madelon; Esteve, Rosa. 2020. "Exploring Changes in Activity Patterns in Individuals with Chronic Pain" Int. J. Environ. Res. Public Health 17, no. 10: 3560. https://doi.org/10.3390/ijerph17103560

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