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Carrasco-Querol N, Cabricano-Canga L, Bueno Hernández N, Gonçalves AQ, Caballol Angelats R, Pozo Ariza M, Martín-Borràs C, Montesó-Curto P, Castro Blanco E, Dalmau Llorca MR, Aguilar Martín C. Nutrition and Chronobiology as Key Components of Multidisciplinary Therapeutic Interventions for Fibromyalgia and Associated Chronic Fatigue Syndrome: A Narrative and Critical Review. Nutrients 2024; 16:182. [PMID: 38257075 PMCID: PMC10818822 DOI: 10.3390/nu16020182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 12/27/2023] [Accepted: 12/30/2023] [Indexed: 01/24/2024] Open
Abstract
Fibromyalgia (FM) is often accompanied by chronic fatigue syndrome (CFS). It is a poorly understood disorder that mainly affects women and leads to chronic pain, fatigue, and insomnia, among other symptoms, which decrease quality of life. Due to the inefficiency of current pharmacological treatments, increasing interest is being directed towards non-pharmacological multicomponent therapies. However, nutrition and chronobiology are often overlooked when developing multicomponent therapies. This narrative and critical review explore the relevance of nutritional and chronobiological strategies in the therapeutic management of FM and the often-associated CFS. Reviewed literature offers scientific evidence for the association of dietary habits, nutrient levels, body composition, gut microbiota imbalance, chronobiological alterations, and their interrelation with the development and severity of symptoms. This review highlights the key role of nutrition and chronobiology as relevant and indispensable components in a multidisciplinary approach to FM and CFS.
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Affiliation(s)
- Noèlia Carrasco-Querol
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
| | | | - Nerea Bueno Hernández
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
| | - Alessandra Queiroga Gonçalves
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
- Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), 08007 Barcelona, Spain
| | - Rosa Caballol Angelats
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 08007 Barcelona, Spain; (R.C.A.); (P.M.-C.); (M.R.D.L.)
- Servei d’Atenció Primària Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
| | - Macarena Pozo Ariza
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
| | - Carme Martín-Borràs
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
- Departament de Fisioteràpia, Facultat de Ciencies de la Salut Blanquerna, Universitat Ramón Llull, 08025 Barcelona, Spain
| | - Pilar Montesó-Curto
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 08007 Barcelona, Spain; (R.C.A.); (P.M.-C.); (M.R.D.L.)
- Servei d’Atenció Primària Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
- Departament de Medicina i Cirurgia, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili (URV), 43201 Reus, Spain
| | - Elisabet Castro Blanco
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
| | - Maria Rosa Dalmau Llorca
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 08007 Barcelona, Spain; (R.C.A.); (P.M.-C.); (M.R.D.L.)
- Servei d’Atenció Primària Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
| | - Carina Aguilar Martín
- Unitat de Suport a la Recerca Terres de l’Ebre, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), 43500 Tortosa, Spain; (N.B.H.); (A.Q.G.); (M.P.A.); (C.M.-B.); (E.C.B.); (C.A.M.)
- Unitat d’Avaluació i Recerca, Direcció d’Atenció Primària Terres de l’Ebre i Gerència Territorial Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
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Montesó-Curto P, Toussaint L, Kueny A, Ruschak I, Lunn S, Rosselló L, Campoy C, Clark S, Luedtke C, Gonçalves AQ, Martín CA, Vincent A, Mohabbat AB. Physical Activity and Exercise Experience in Spanish and US Men with Fibromyalgia: A Qualitative Cross-Cultural Study. Int J Environ Res Public Health 2023; 20:6731. [PMID: 37754590 PMCID: PMC10531223 DOI: 10.3390/ijerph20186731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 08/29/2023] [Accepted: 09/04/2023] [Indexed: 09/28/2023]
Abstract
Physical exercise is an indispensable element in the multidisciplinary treatment of fibromyalgia syndrome (FMS). The present study examined if men diagnosed with FMS engaged in any type of physical activity or exercise, the perceived effects from exercise, and who specifically recommended exercise. A qualitative cross-cultural study was performed in fibromyalgia clinical units in Spain and the United States. A total of 17 participants, 10 men from Spain and 7 men from the US, were included. In Spain, a focus group was completed in two parts, one month apart in 2018. In the US, five individual interviews and one joint interview with two men were completed in 2018. Three central themes appeared in the qualitative data: (1) Understanding what constitutes physical activity or exercise, (2) Facilitating or discouraging the performance of physical exercise, and (3) Effects of physical activity or exercise on psychological and social symptoms. The actual practice of exercise by patients with FMS is often perceived as leading to pain and fatigue, rather than a treatment facilitator. Physical activity and exercise can provide benefits, including relaxation, socialization, and increased muscle tone. However, minor opioids limit physical activity as they cause addiction, drowsiness, and decrease physical activity in Spanish men. Recommendations in a clinical setting should incorporate exercise as well as physical activity via daily life activities.
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Affiliation(s)
- Pilar Montesó-Curto
- Primary Care, Catalan Healthcare System, 43500 Tortosa, Spain
- Department of Medicine, Rovira I Virgili University, 43201 Reus, Spain
| | - Loren Toussaint
- Department of Psychology, Luther College, Decorah, IA 52101, USA;
| | - Angela Kueny
- Department of Nursing, Luther College, Decorah, IA 52101, USA;
| | - Ilga Ruschak
- Internal Medicine Unit, Sant Pau i Santa Tecla Hospital, 43880 Tarragona, Spain;
- Faculty and Department of Nursing, Rovira I Virgili University, 43002 Tarragona, Spain
| | - Shannon Lunn
- Research Division, United Hospital Allina Health, St. Paul, MN 55102, USA;
| | | | - Carme Campoy
- Faculty of Nursing and Physiotherapy, Lleida University, 25198 Lleida, Spain;
| | - Stephanie Clark
- Mayo Clinic, Rochester, MN 55901, USA; (S.C.); (C.L.); (A.V.); (A.B.M.)
| | - Connie Luedtke
- Mayo Clinic, Rochester, MN 55901, USA; (S.C.); (C.L.); (A.V.); (A.B.M.)
| | - Alessandra Queiroga Gonçalves
- Research Support Unit, Terres de l’Ebre, Jordi Gol Primary Healthcare University Institute, 43500 Tortosa, Spain; (A.Q.G.); (C.A.M.)
- Family and Community Medicine Educational Unit, Tortosa-Terres de L’Ebre, Catalan Healthcare System, 43500 Tortosa, Spain
| | - Carina Aguilar Martín
- Research Support Unit, Terres de l’Ebre, Jordi Gol Primary Healthcare University Institute, 43500 Tortosa, Spain; (A.Q.G.); (C.A.M.)
- Evaluation Unit, Terres de l’Ebre Primary Care Division, Catalan Healthcare System, 43500 Tortosa, Spain
| | - Ann Vincent
- Mayo Clinic, Rochester, MN 55901, USA; (S.C.); (C.L.); (A.V.); (A.B.M.)
| | - Arya B. Mohabbat
- Mayo Clinic, Rochester, MN 55901, USA; (S.C.); (C.L.); (A.V.); (A.B.M.)
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Montesó-Curto P, Panisello-Chavarria ML, Sarrió-Colás L, Toussaint L. Nurses' Perceptions of Patient Fibromyalgia Illness Experiences after Performing Group-Based Problem-Solving Therapy: A Qualitative Research Study. Healthcare (Basel) 2023; 11:healthcare11111531. [PMID: 37297671 DOI: 10.3390/healthcare11111531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 04/28/2023] [Accepted: 05/18/2023] [Indexed: 06/12/2023] Open
Abstract
Fibromyalgia patients experience difficulties in their daily lives that are difficult to identify and recognize due to the stigma associated with the disease. Nurses can help identify them to establish biopsychosocial coping and treatment. The main aim of this study was to explore Spanish nurses' perceptions of the illness experiences of their fibromyalgia patients. Qualitative content analysis from the etic perspective was used. Eight nurses met in focus groups to report their perceptions of the illness experiences of FM patients after led group-based problem-solving therapy in fibromyalgia patients. Four themes emerged: (1) the presence of a "specific trigger" (stressful event) for FM symptoms; (2) fulfilling expected gender roles; (3) a lack of support from the family; (4) abuse. Nurses recognize the mind-body connection after the impact of stress on patients' bodies. The expected gender roles interfere with patients' recovery because they feel frustration and guilt about not being able to fulfil them. Managing emotions and improving communication in fibromyalgia is recommended. Clinicians might also consider issues such as abuse and the absence of social-family support for the comprehensive evaluation and effective management of fibromyalgia.
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Affiliation(s)
- Pilar Montesó-Curto
- Primary Care in Institut Català de la Salut (ICS), 43500 Tortosa, Spain
- Faculty of Medicine, Rovira i Virgili University, 43201 Reus, Spain
| | | | | | - Loren Toussaint
- Department of Psychology, Luther College, Decorah, IA 52101, USA
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Ruschak I, Montesó-Curto P, Rosselló L, Aguilar Martín C, Sánchez-Montesó L, Toussaint L. Fibromyalgia Syndrome Pain in Men and Women: A Scoping Review. Healthcare (Basel) 2023; 11:healthcare11020223. [PMID: 36673591 PMCID: PMC9859454 DOI: 10.3390/healthcare11020223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/01/2023] [Accepted: 01/10/2023] [Indexed: 01/15/2023] Open
Abstract
Fibromyalgia syndrome (FMS) is a chronic musculoskeletal disorder of unknown etiology that affects up to 5.0% of the world population. It has a high female predominance, between 80 and 96%. Due to the low number of diagnosed men, research work has focused mainly on women. The extensive body of literature on sex differences in pain in the general population suggests that men and women differ in their responses to pain, with greater sensitivity to pain and a higher risk of clinical pain commonly observed among women. This review aims to: (1) determine how pain is assessed or what types of questionnaires are used, (2) examine whether there are differences in pain characteristics between men and women with FMS and (3) describe how pain is conceptualized or manifested in patients at a qualitative level. In this study, the scoping review method of articles published in the last 5 years (2016-2022) was used. Ten articles were included. The most used questionnaires and scales to assess pain were the PVAS (Pain Visual Analogue Scale) and the FIQ (Fibromyalgia Impact Questionnaire). On the other hand, five categories were obtained: (1) qualities of pain, (2) uncertainty and chaos, (3) pain as an aggravating factor, (4) adaptation to the new reality and (5) the communication of pain. It has been observed that both subjective perception and widespread pain are higher in women. Men, on the other hand, have a worse impact of the pathology, more painful experiences and more catastrophic thoughts about pain. An updated knowledge of pain in FMS and whether it differs according to sex would be beneficial for clinicians to make an earlier diagnosis and treatment and, in turn, benefit patients suffering from this chronic disease.
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Affiliation(s)
- Ilga Ruschak
- Internal Medicine Unit, Sant Pau i Santa Tecla Hospital, 43003 Tarragona, Spain
- Faculty and Department of Nursing, Rovira i Virgili University, 43003 Tarragona, Spain
| | - Pilar Montesó-Curto
- Primary Care in Institut Català de la Salut (ICS), 43500 Tortosa, Spain
- Department of Medicine and Surgery, Rovira i Virgili University, 43201 Reus, Spain
- Correspondence:
| | - Lluís Rosselló
- Rheumatology Unit, Fibromyalgia and Chronic Fatigue Syndrome Unit Coordinator, Santa Maria Hospital, 25198 Lleida, Spain
| | - Carina Aguilar Martín
- Research Support Unit, University Institute for Primary Care Research (IDIAP Jordi Gol), 43500 Tortosa, Spain
- Evaluation Unit, Primary Health Care Terres de l’Ebre Department, Institut Català de la Salut, 43500 Tortosa, Spain
| | - Laura Sánchez-Montesó
- Physical Medicine and Rehabilitation, Università di Roma Tor Vergata, Policlinco Tor Vergata, 00133 Rome, Italy
| | - Loren Toussaint
- Department of Psychology, Luther College, Decorah, IA 52101, USA
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Rivera Redondo J, Díaz Del Campo Fontecha P, Alegre de Miquel C, Almirall Bernabé M, Casanueva Fernández B, Castillo Ojeda C, Collado Cruz A, Montesó-Curto P, Palao Tarrero Á, Trillo Calvo E, Vallejo Pareja MÁ, Brito García N, Merino Argumánez C, Plana Farras MN. Recommendations by the Spanish Society of Rheumatology on the management of patients with fibromyalgia. Part II. Reumatol Clin (Engl Ed) 2022; 18:260-265. [PMID: 34538611 DOI: 10.1016/j.reumae.2021.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 01/19/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To prevent the deterioration of patients with fibromyalgia due to potentially avoidable harmful actions in clinical practice. METHODS A multidisciplinary panel of experts identified key areas, analysed the scientific evidence and formulated recommendations based on this evidence and qualitative techniques of "formal assessment" or "reasoned judgement". RESULTS Thirty-nine recommendations were made on diagnosis, ineffective and unsafe treatments, patient education and practitioner training. This part II shows the 12 recommendations, referring to the latter two areas. CONCLUSIONS Good knowledge of fibromyalgia on the part of patients improves their coping and acceptance of the disease and reduces the severity of some clinical manifestations. Healthcare professionals treating patients with fibromyalgia should be well trained in this disease to improve treatment outcomes and patient relationships.
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Affiliation(s)
- Javier Rivera Redondo
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | - Pilar Montesó-Curto
- Departamento y Facultad de Enfermería, Universitat Rovira i Virgili, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain
| | | | - Eva Trillo Calvo
- Medicina de Familia, Centro de Salud Campo de Belchite, Belchite, Zaragoza, Spain
| | - Miguel Ángel Vallejo Pareja
- Departamento de Psicología Clínica, Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain
| | - Noé Brito García
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, Spain
| | | | - M Nieves Plana Farras
- Hospital Príncipe de Asturias, CIBER de Epidemiología y Salud Pública, Meco, Madrid, Spain
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Mora-Lopez G, Berenguer-Poblet M, Berbis-Morelló C, Albacar-Rioboo N, Montesó-Curto P, Aguaron-García MJ, Ferré-Grau C. New Life Transition of Former Caregivers: Positive Mental Health Approach. Front Psychol 2022; 13:854108. [PMID: 35444601 PMCID: PMC9013805 DOI: 10.3389/fpsyg.2022.854108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/23/2022] [Indexed: 11/13/2022] Open
Abstract
After the end of their time as a caregiver, former caregivers have needs and feelings that have been subject to little study to date. The aim of the study is to determine and analyse the feelings, perceptions and practices of former caregivers in the reconstruction of their daily lives. This is a qualitative study based on the Grounded Theory developed by Charmaz. The study involved 14 former caregivers who had cared for their relative for more than 2 years and who had stopped caring for them more than 2 years previously. Fourteen in-depth interviews were conducted and data were collected over 13 months between 2015 and 2017. Data were analysed using the Grounded Theory Method. In addition, this study was approved by the ethics committee of the Institut Universitari d’Investigació en Atenció Primària Jordi Gol. The former caregiver experiences a transition, which begins in the days before the death of their relative and may continue for more than 3 years. Three critical moments in the post-caring transition were found: (1) the post-caring emptiness; (2) the end of the period as a caregiver; and (3) the movement towards a new life. Family and professional support is needed during this transition. Former caregivers experience a transition in the rebuilding of their daily lives; furthermore, former caregivers may be a source of support for other caregivers, which is linked to positive mental health factors. Healthcare organisations need to acknowledge the emotional, psychosocial and psychological health of former caregivers.
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Affiliation(s)
- Gerard Mora-Lopez
- Department of Nursing, Faculty of Nursing, University of Rovira i Virgili, Tarragona, Spain
| | - Marta Berenguer-Poblet
- Department of Nursing, Faculty of Nursing, University of Rovira i Virgili, Tarragona, Spain
- *Correspondence: Marta Berenguer-Poblet,
| | | | - Nuria Albacar-Rioboo
- Department of Nursing, Faculty of Nursing, University of Rovira i Virgili, Tarragona, Spain
| | - Pilar Montesó-Curto
- Institut Català de la Salut, Atenció Primària Terres de l’Ebre, Tortosa, Spain
| | | | - Carme Ferré-Grau
- Department of Nursing, Faculty of Nursing, University of Rovira i Virgili, Tarragona, Spain
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Ruschak I, Toussaint L, Rosselló L, Aguilar Martín C, Fernández-Sáez J, Montesó-Curto P. Symptomatology of Fibromyalgia Syndrome in Men: A Mixed-Method Pilot Study. Int J Environ Res Public Health 2022; 19:ijerph19031724. [PMID: 35162747 PMCID: PMC8834813 DOI: 10.3390/ijerph19031724] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 01/28/2022] [Accepted: 01/30/2022] [Indexed: 11/16/2022]
Abstract
Fibromyalgia syndrome (FMS) is characterized by generalized chronic musculoskeletal pain, fatigue, and sleep disturbance, as well as cognitive, somatic, and other symptoms. Most people affected by FMS are women, and studies analyzing this condition in men are scarce. In this study, we discuss the physical and psychological symptoms of FMS in men, analyze the possible side effects of pharmacological therapies, and explore the impact of the illness comparing these results between the different classification groups according to sociodemographic variables (marital status, level of education, employment situation and number of people living at home). We used a sequential exploratory mixed method (MM). Qualitative information was obtained from two focus groups (n = 10). Structured questionnaires were administered to 23 men affected by FMS. The mean age of the participants was 51.7 years (SD = 9.64). The most common drugs used were antidepressants and anxiolytics (86.9%), followed by non-steroidal anti-inflammatory drugs (82.6%) and opioids (60.9%). Current level of pain was high (8.2; SD = 1.1), while perceived health and satisfaction with pharmacological treatments were low (4.6; SD = 2.6 and 3.5; SD = 3.2, respectively). The impact of FMS measured using the Fibromyalgia Impact Questionnaire (FIQ) was very high at 88.7 (SD = 8.2). Six categories related with symptoms and side effects of the medication were observed in the qualitative data: (1) main physical symptoms, (2) mood disorders, (3) insomnia and non-restorative sleep, (4) cognitive disturbance, (5) hypersensitivity, and (6) symptoms secondary to opioids. Pain and fatigue were the symptoms most often mentioned by the participants (70% and 80%, respectively). Other important symptoms were anxiety, depression, and memory and sleep disorders. The consumption of opioids causes further unwanted symptoms such as drowsiness and dependence, which makes it difficult for patients to perform basic everyday activities. We believe it is vitally important to continue investigating this symptomatology in order to improve diagnosis and treatment for these patients.
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Affiliation(s)
- Ilga Ruschak
- Internal Medicine Unit, Sant Pau i Santa Tecla Hospital, 43003 Tarragona, Spain;
- Faculty and Department of Nursing, Rovira i Virgili University, 43003 Tarragona, Spain
| | - Loren Toussaint
- Department of Psychology, Luther College, Decorah, IA 52101, USA;
| | - Lluís Rosselló
- Rheumatologist at the Santa Maria Hospital, 25198 Lleida, Spain;
| | - Carina Aguilar Martín
- Unit of Research Support, Foundation University Institute for Primary Care Research (IDIAP) Jordi Gol, 43500 Tortosa, Spain; (C.A.M.); (J.F.-S.)
- Evaluation Unit, Primary Care Direction in Terres de l’Ebre, Institut Català de la Salut (ICS), 43500 Tortosa, Spain
| | - José Fernández-Sáez
- Unit of Research Support, Foundation University Institute for Primary Care Research (IDIAP) Jordi Gol, 43500 Tortosa, Spain; (C.A.M.); (J.F.-S.)
- Faculty and Department of Nursing, Rovira i Virgili University, 43500 Tortosa, Spain
| | - Pilar Montesó-Curto
- Master in Aging and Health, Department of Medicine, Rovira i Virgili University, 43201 Reus, Spain
- Primary Care in Institut Català de la Salut (ICS), 43500 Tortosa, Spain
- Correspondence:
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Llàdser AN, Montesó-Curto P, López C, Rosselló L, Lear S, Toussaint L, Casadó-Martín LC. Multidisciplinary rehabilitation treatments for patients with fibromyalgia: a systematic review. Eur J Phys Rehabil Med 2022; 58:76-84. [PMID: 33759438 PMCID: PMC9980587 DOI: 10.23736/s1973-9087.21.06432-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Fibromyalgia (FM) is a pathology that causes physical, psychological, and social problems. For this reason, it requires treatment that involves all of these elements. The main of study is to examine multidisciplinary rehabilitation treatment (MRT) in fibromyalgia and to identify healthcare approaches developing effective MRT tools for the treatment of FM. EVIDENCE ACQUISITION In this systematic review, we searched the following databases: CINAHL, PubMed, Scopus, Cuidatge, Cuiden, ENFISPO, IBEC and IME. EVIDENCE SYNTHESIS Of 356 articles found we selected 13 to analyze and summarize. We created 4 different categories: 1) multidisciplinary rehabilitation treatment focusing on health education and cognitive behavioral therapy (CBT); 2) multidisciplinary rehabilitation treatment that includes dietetics; 3) multidisciplinary rehabilitation treatment adapted to the patients' characteristics; 4) multidisciplinary rehabilitation treatment based on physical exercise. CONCLUSIONS This review identifies the most effective treatments that may be usefully applied in many different rehabilitation contexts. These include all treatments that incorporated an education (ED) program to patients and an exercise program complete with aerobic exercise (AE), stretching (SE), relaxation (RE), strengthening (TE), endurance (EN), and which includes the entire body and biofeedback. Furthermore, many approaches also include cognitive behavioral therapy (CBT) for self-management such as occupational therapy, moderation, acceptance, commitment, motivation to change and forgiveness.
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Affiliation(s)
- Anna-Núria Llàdser
- Unit of Internal Medicine, Verge de la Cinta Hospital, Catalan Health Institute (ICS), Tortosa, Spain.,Department of Nursing, Rovira i Virgili University, Tortosa, Spain
| | | | - Carlos López
- Department of Nursing, Rovira i Virgili University, Tortosa, Spain.,Department of Pathology, Verge de la Cinta Hospital, Catalan Health Institute (ICS), The Pere Virgili Institute for Health Research (IISPV), Tortosa, Spain
| | - Lluís Rosselló
- Department of Rheumatology, University Hospital of Santa Maria, Lleida, Spain
| | - Sydney Lear
- Department of Psychology, Luther College, Decorah, IA, USA
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Rivera Redondo J, Díaz Del Campo Fontecha P, Alegre de Miquel C, Almirall Bernabé M, Casanueva Fernández B, Castillo Ojeda C, Collado Cruz A, Montesó-Curto P, Palao Tarrero Á, Trillo Calvo E, Vallejo Pareja MÁ, Brito García N, Merino Argumánez C, Plana Farras MN. Recommendations by the Spanish Society of Rheumatology on Fibromyalgia. Part 1: Diagnosis and treatment. Reumatol Clin (Engl Ed) 2021; 18:131-140. [PMID: 34649820 DOI: 10.1016/j.reumae.2021.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 02/04/2021] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To prevent the impairment of fibromyalgia patients due to harmful actions in daily clinical practice that are potentially avoidable. METHODS A multidisciplinary team identified the main areas of interest and carried out an analysis of scientific evidence and established recommendations based on the evidence and "formal evaluation" or "reasoned judgment" qualitative analysis techniques. RESULTS A total of 39 recommendations address diagnosis, unsafe or ineffective treatment interventions and patient and healthcare workers' education. This part I shows the first 27 recommendations on the first 2 areas. CONCLUSIONS Establishing a diagnosis improves the patient's coping with the disease and reduces healthcare costs. NSAIDs, strong opioids and benzodiazepines should be avoided due to side effects. There is no good evidence to justify the association of several drugs. There is also no good evidence to recommend any complementary medicine. Surgeries show a greater number of complications and a lower degree of patient satisfaction and therefore should be avoided if the surgical indication is not clearly established.
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Affiliation(s)
- Javier Rivera Redondo
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | | | | | - Eva Trillo Calvo
- Medicina de Familia, Centro de Salud Campo de Belchite, Belchite, Zaragoza, Spain
| | - Miguel Ángel Vallejo Pareja
- Departamento de Psicología Clínica, Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain
| | - Noé Brito García
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, Spain
| | | | - M Nieves Plana Farras
- Hospital Príncipe de Asturias, CIBER de Epidemiología y Salud Pública, Meco, Madrid, Spain
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10
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Montesó-Curto P, Cubí-Guillen MT, Llàdser Navarro AN, Puig Llobet M, Toussaint L. Family perceptions and experiences of living with patients with fibromyalgia syndrome. Disabil Rehabil 2021; 44:5855-5862. [PMID: 34232795 DOI: 10.1080/09638288.2021.1948620] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
PURPOSE To explore the perception of the illness and the experience of the illness for relatives of fibromyalgia syndrome (FMS) patients. MATERIALS AND METHODS This qualitative interpretative study adopted a grounded theory research methodology with a purposive sample. We conducted a focus group with 11 family members of FMS patients. There were six men and five women, five were spouses and six were children (four husbands and one wife, and five daughters and one son). RESULTS Three categories of family perceptions of FMS emerged: (1) manifestations of FMS; (2) FMS is regarded as a psychological problem; (3) FMS interferes with traditional gender roles. Three categories of family members' experience of living with FMS patients were identified: (1) emotional concerns and exhaustion; (2) overprotective family members; and (3) escape coping. CONCLUSIONS Family members feel emotionally burdened, can be overprotective and over-involved and find it difficult to set limits ultimately succumbing to a vicious cycle of caregiving and emotional exhaustion from which they find it difficult to escape. As the perceptions and experiences of family members of FMS patients are not commonly studied, the present findings offer new insights for families and elucidate important points of intervention.Implications for rehabilitationBecause family members tend to dismiss fibromyalgia as a psychological problem for which ignoring or distracting the patient is the best approach to coping, rehabilitation programs should give family members education and training to develop the ability to better understand fibromyalgia and reduce stereotypes about the condition.Rehabilitation programs should work to identify and manage marital and family systems dysfunction that may be interfering with fibromyalgia patients' adjustment and quality of life.Family members often engage in maladaptive escape coping to manage the demands of living with patients with fibromyalgia, and rehabilitation professionals should be ready to engage and refer to allied specialists to assist family members in finding alternatives for more effective coping approaches that improve patient and family mental health and social relations.Rehabilitation programs for fibromyalgia patients should use a gender perspective and emphasize patient and spouse equality in activities of daily living as many patients and family members feel uncomfortable about not fulfilling traditional gender roles.
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11
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Rivera Redondo J, Díaz Del Campo Fontecha P, Alegre de Miquel C, Almirall Bernabé M, Casanueva Fernández B, Castillo Ojeda C, Collado Cruz A, Montesó-Curto P, Palao Tarrero Á, Trillo Calvo E, Vallejo Pareja MÁ, Brito García N, Merino Argumánez C, Plana Farras MN. Recommendations by the Spanish Society of Rheumatology on the Management of Patients with Fibromyalgia. Part II. Reumatol Clin (Engl Ed) 2021; 18:S1699-258X(21)00063-2. [PMID: 33933369 DOI: 10.1016/j.reuma.2021.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 01/19/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To prevent the deterioration of patients with fibromyalgia due to potentially avoidable harmful actions in clinical practice. METHODS A multidisciplinary panel of experts identified key areas, analysed the scientific evidence and formulated recommendations based on this evidence and qualitative techniques of «formal assessment» or «reasoned judgement». RESULTS Thirty-nine recommendations were made on diagnosis, ineffective and unsafe treatments, patient education and practitioner training. This partII shows the 12 recommendations, referring to the latter two areas. CONCLUSIONS Good knowledge of fibromyalgia on the part of patients improves their coping and acceptance of the disease and reduces the severity of some clinical manifestations. Healthcare professionals treating patients with fibromyalgia should be well trained in this disease to improve treatment outcomes and patient relationships.
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Affiliation(s)
- Javier Rivera Redondo
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España.
| | | | | | | | | | | | | | - Pilar Montesó-Curto
- Departamento y Facultad de Enfermería, Universitat Rovira i Virgili, Campus Terres de l'Ebre, Tortosa, Tarragona, España
| | | | - Eva Trillo Calvo
- Medicina de Familia, Centro de Salud Campo de Belchite, Belchite, Zaragoza, España
| | - Miguel Ángel Vallejo Pareja
- Departamento de Psicología Clínica, Facultad de Psicología. Universidad Nacional de Educación a Distancia (UNED), Madrid, España
| | - Noé Brito García
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, España
| | | | - M Nieves Plana Farras
- Hospital Príncipe de Asturias, CIBER de Epidemiología y Salud Pública, Meco, Madrida, España
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12
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Rivera Redondo J, Díaz Del Campo Fontecha P, Alegre de Miquel C, Almirall Bernabé M, Casanueva Fernández B, Castillo Ojeda C, Collado Cruz A, Montesó-Curto P, Palao Tarrero Á, Trillo Calvo E, Vallejo Pareja MÁ, Brito García N, Merino Argumánez C, Plana Farras MN. Recommendations by the Spanish Society of Rheumatology on Fibromyalgia. Part 1: Diagnosis and Treatment. Reumatol Clin (Engl Ed) 2021; 18:S1699-258X(21)00058-9. [PMID: 33931332 DOI: 10.1016/j.reuma.2021.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 02/02/2021] [Accepted: 02/04/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To prevent the impairment of fibromyalgia patients due to harmful actions in daily clinical practice that are potentially avoidable. METHODS A multidisciplinary team identified the main areas of interest and carried out an analysis of scientific evidence and established recommendations based on the evidence and "formal evaluation" or "reasoned judgment" qualitative analysis techniques. RESULTS A total of 39 recommendations address diagnosis, unsafe or ineffective treatment interventions and patient and healthcare workers' education. This part I shows the first 27 recommendations on the first 2 areas. CONCLUSIONS Establishing a diagnosis improves the patient's coping with the disease and reduces healthcare costs. NSAIDs, strong opioids and benzodiazepines should be avoided due to side effects. There is no good evidence to justify the association of several drugs. There is also no good evidence to recommend any complementary medicine. Surgeries show a greater number of complications and a lower degree of patient satisfaction and therefore should be avoided if the surgical indication is not clearly established.
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Affiliation(s)
- Javier Rivera Redondo
- Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España.
| | | | | | | | | | | | | | | | | | - Eva Trillo Calvo
- Medicina de Familia, Centro de Salud Campo de Belchite, Belchite, Zaragoza, España
| | - Miguel Ángel Vallejo Pareja
- Departamento de Psicología Clínica, Facultad de Psicología. Universidad Nacional de Educación a Distancia (UNED), Madrid, España
| | - Noé Brito García
- Unidad de Investigación, Sociedad Española de Reumatología, Madrid, España
| | | | - M Nieves Plana Farras
- Hospital Príncipe de Asturias, CIBER de Epidemiología y Salud Pública, Meco, Madrida, España
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13
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Cuesta I, Montesó-Curto P, Metzler Sawin E, Jiménez-Herrera M, Puig-Llobet M, Seabra P, Toussaint L. Risk factors for teen suicide and bullying: An international integrative review. Int J Nurs Pract 2021; 27:e12930. [PMID: 33830586 DOI: 10.1111/ijn.12930] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Revised: 12/29/2020] [Accepted: 01/22/2021] [Indexed: 11/30/2022]
Abstract
AIM This study aimed to analyse risk and protective factors for teen suicide and bullying. BACKGROUND Research shows that high percentages of bully-victims report suicidal thinking or suicide attempts. DESIGN This was an international integrative review. DATA SOURCES Five databases including CINAHL, Scopus, PubMed, Google Scholar and Cuiden were searched between January 2010 and December 2020. REVIEW METHODS Review methods included problem identification; search, evaluation and analysis of literature; and presentation of results. RESULTS Eighteen studies were included. We grouped the selected articles into seven thematic categories. The most significant risk factors were being male, having a previous personal and/or family suicide attempt, mental health problems, substance abuse, previous physical and/or sexual abuse, low socio-economic level, belonging to a single-parent family, underachievement, family dysfunction and violent environment. The most common protective factors for both suicide and bullying were being female, having good mental health, belonging to a two-parent family, safe school environment, good family relationships and having an involved teacher. CONCLUSION Suicide resulting from bullying is a social and public health problem, so nurse practitioners and paediatric primary care nurses have a responsibility to educate teachers and parents in order to promote early detection and the development of more effective prevention and action plans.
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Affiliation(s)
- Inka Cuesta
- Complex/semi-critical care unit, Verge de la Cinta Hospital, Tortosa, Spain
| | - Pilar Montesó-Curto
- Department and Faculty of Nursing, University of Rovira i Virgili, Tortosa, Spain
| | | | | | | | - Paulo Seabra
- Escola Superior de Enfermagem de Lisboa, Lisbon, Portugal
| | - Loren Toussaint
- Department of Psychology, Luther College, Decorah, Iowa, USA
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14
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Kueny A, Montesó-Curto P, Lunn S, Mohabbat AB, Clark S, Luedtke C, Vincent A, Ruschak I, Mateu-Gil ML, Panisello-Chavarria ML, Rosselló L, Guerrero CC, Gonçalves AQ, Martín CA, Toussaint L. Fibromyalgia Pain and Fatigue Symptoms in Spanish and U.S. Men. Pain Manag Nurs 2021; 22:423-428. [PMID: 33771468 DOI: 10.1016/j.pmn.2020.12.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 10/01/2020] [Accepted: 12/03/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND AIMS Fibromyalgia Syndrome (FMS) is a chronic centralized pain disorder characterized by widespread pain and fatigue. Of those affected by FMS, the majority are women, and minimal research exists involving men. The purpose of this paper is to describe the pain and fatigue experiences of men with FMS from two Western countries, Spain and the United States, in order to support more accurate and earlier recognition and diagnosis in men. DESIGN AND METHODS We used individual and focus group interviews with qualitative and quantitative assessments. SETTINGS AND PARTICIPANTS/SUBJECTS Ten men in Spain and seven men in the United States provided information about their symptoms, psychosocial and health-seeking behaviors, and gender experiences with FMS. RESULTS Men articulated types, trends, and triggers of pain and fatigue that enrich an understanding of their symptoms. For example, men report more localized pain than generalized pain. Employment status and activities, among other contextual factors, impacted men's pain and fatigue experiences. CONCLUSIONS Men experience distinct facets of pain and fatigue compared with women, with notable similarities and differences across the Spanish and U.S. SAMPLES Cross-cultural comparisons highlight contextual factors that may inspire future inquiries about determinants of men's experiences with FMS. CLINICAL IMPLICATIONS The present study could be useful for anyone treating men suffering from FMS, especially care providers in nursing, medical, and psychology fields. These initial findings may prompt a closer examination of recommendations for assessment and diagnostic criteria used internationally for patients with FMS with better recognition of men's experience.
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Affiliation(s)
| | | | - Shannon Lunn
- United Hospital, Allina Health, Minneapolis, Minnesota
| | | | | | | | | | | | | | | | | | | | - Alessandra Queiroga Gonçalves
- Unitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain; Unitat Docent de Medicina de Família i Comunitària Tortosa-Terres de L`Ebre, Institut Català de la Salut, Tortosa, Tarragona, Spain
| | - Carina Aguilar Martín
- Unitat de Suport a la Recerca Terres de l'Ebre, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Tortosa, Tarragona, Spain; Unitat d'Avaluació, Direcció d'Atenció Primària Terres de l'Ebre, Institut Català de la Salut, Tortosa, Tarragona, Spain
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15
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Montesó-Curto P, Sánchez-Montesó L, Maramao FS, Toussaint L. Coping with the COVID-19 Pandemic in Italy and Spain: Lessons in Response Urgency. J Glob Health 2020; 10:020326. [PMID: 33110526 PMCID: PMC7561210 DOI: 10.7189/jogh.10.020326] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Affiliation(s)
- Pilar Montesó-Curto
- Faculty and Department of Nursing in Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Spain
| | - Laura Sánchez-Montesó
- Clinical and Research Resident, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
| | - Fabio Stefano Maramao
- Clinical and Research Resident, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
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16
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Moreno-Poyato AR, Delgado-Hito P, Suárez-Pérez R, Lluch-Canut T, Roldán-Merino JF, Montesó-Curto P. Improving the therapeutic relationship in inpatient psychiatric care: Assessment of the therapeutic alliance and empathy after implementing evidence-based practices resulting from participatory action research. Perspect Psychiatr Care 2018; 54:300-308. [PMID: 28901552 DOI: 10.1111/ppc.12238] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 07/07/2017] [Accepted: 08/06/2017] [Indexed: 10/18/2022] Open
Abstract
PURPOSE To examine how evidence about the therapeutic alliance gleaned from participatory action project affected the level of this alliance and the degree of empathy of psychiatric nurses. DESIGN AND METHODS Quasi-experimental study in two psychiatric units. In one group, evidence-based practices that affected the therapeutic alliance were implemented; in the comparison group, there was no such intervention. FINDINGS The nurses from the intervention group improved their degree of empathy and factors such as agreement on objectives and tasks with the patient. PRACTICE IMPLICATIONS The results confirm the possibility of measuring and improving the therapeutic relationship in psychiatric care.
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Affiliation(s)
- Antonio R Moreno-Poyato
- Escola Superior d'Infermeria del Mar, Parc de Salut Mar, Barcelona, Spain.,IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Pilar Delgado-Hito
- School of Nursing, University of Barcelona, L'Hospitalet del Llobregat, Barcelona, Spain
| | - Raquel Suárez-Pérez
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona, Spain
| | - Teresa Lluch-Canut
- School of Nursing, University of Barcelona, L'Hospitalet del Llobregat, Barcelona, Spain
| | - Juan F Roldán-Merino
- Campus Docent Fundació Privada Sant Joan de Déu. School of Nursing, University of Barcelona, Esplugues de Llobregat, Barcelona, Spain
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17
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Bica T, Castelló R, Toussaint LL, Montesó-Curto P. Depression as a Risk Factor of Organic Diseases:An International Integrative Review. J Nurs Scholarsh 2017; 49:389-399. [PMID: 28692781 DOI: 10.1111/jnu.12303] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2017] [Indexed: 11/29/2022]
Abstract
PURPOSE AND DESIGN This integrative review offers a systematic synthesis of the international literature regarding the role of depression as a risk factor in physical illnesses and the mechanisms of this connection. Special attention is paid to those modifiable factors. FINDINGS Published studies of depression and physical illness and disease(N = 24) from five countries that were indexed in PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), APA PsycNET, Scopus, Dialnet, and CUIDEN were examined. Results suggest that depression is a significant risk factor for the development of physical illnesses and diseases. More commonly studied were the connections between depression and cardiovascular disease, metabolic syndrome, biochemical alterations, diabetes, dementia, cognitive impairment, Alzheimer's disease, somatization and chronic pain, asthma, arthritis, and hyperlipidemia. Less frequently studied conditions connected to depression were cancer, infections, allergies, autoimmune disease, gastric ulcer, rhinitis, thyroiditis, bronchitis, migraines, fractures, and osteoporosis. CONCLUSIONS Mechanisms connecting depression to physical illness appear to involve alterations in the hypothalamic-pituitary axis, unhealthy lifestyle, chronic or acute stressors including posttraumatic stress, an increase in C-reactive protein (CRP) in men, taking antidepressant medication, and social and emotional loneliness. CLINICAL RELEVANCE A good patient-provider relationship can help to promote decreased acute or chronic stressors, increased family and social support, decreased loneliness, modification of unhealthy lifestyles such as smoking, obesity, physical inactivity, alcohol, control of CRP, and antidepressant medication. Nurses are well placed to help prevent physical diseases through detection and referral of patients who are depressed or undiagnosed and not receiving adequate mental health treatment.
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Affiliation(s)
- Teodora Bica
- Staff Nurse, Comarcal Mora d'Ebre Hospital, Mora d'Ebre, Spain
| | - Ruth Castelló
- Staff Nurse, Emergency Department., Brighton and Sussex University Hospitals, NHS Trust, Brighton, England
| | - Loren L Toussaint
- Professor, Department of Psychology, Luther College, Decorah, IA, USA
| | - Pilar Montesó-Curto
- Professor, Department of Nursing, Rovira I Virgili University, Tortosa, Spain
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18
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Montesó-Curto P, García-Martinez M, Romaguera S, Mateu ML, Cubí-Guillén MT, Sarrió-Colas L, Llàdser AN, Bradley S, Panisello-Chavarria ML. Problems and solutions for patients with fibromyalgia: Building new helping relationships. J Adv Nurs 2017; 74:339-349. [DOI: 10.1111/jan.13412] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/14/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Pilar Montesó-Curto
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Spain
| | | | - Sara Romaguera
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Spain
| | - María Luisa Mateu
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Spain
| | | | - Lidia Sarrió-Colas
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Spain
| | - Anna Núria Llàdser
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Spain
| | - Stephen Bradley
- School of Nursing and Midwifery; University College Cork; Brookfield Health Sciences Centre; Cork Ireland
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19
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Montesó-Curto P, Aguilar C, Lejeune M, Casadó-Marin L, Casanova Garrigós G, Ferré-Grau C. Violence and depression in a community sample. J Clin Nurs 2017; 26:2392-2398. [DOI: 10.1111/jocn.13493] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Pilar Montesó-Curto
- Faculty of Nursing; Rovira i Virgili University; Campus Terres de l'Ebre; Tortosa Tarragona Spain
| | - Carina Aguilar
- Department of Evaluation; Terres de l'Ebre; Catalan Institute of Health; IDIAP Jordi Gol; Tortosa Tarragona Spain
| | - Marylène Lejeune
- Hospital de Tortosa Verge de la Cinta; IISPV; URV; Tortosa Spain
| | - Lina Casadó-Marin
- Faculty of Nursing; Campus Catalunya; Rovira i Virgili University; Tarragona Spain
| | | | - Carme Ferré-Grau
- Faculty of Nursing; Rovira i Virgili University; Tarragona Spain
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20
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Moreno-Poyato AR, Delgado-Hito P, Suárez-Pérez R, Leyva-Moral JM, Aceña-Domínguez R, Carreras-Salvador R, Roldán-Merino JF, Lluch-Canut T, Montesó-Curto P. Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol. BMC Nurs 2017; 16:1. [PMID: 28096737 PMCID: PMC5234145 DOI: 10.1186/s12912-016-0197-8] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Accepted: 12/12/2016] [Indexed: 12/16/2022] Open
Abstract
Background Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method. Methods/Design The study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics. Discussion This study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.
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Affiliation(s)
- Antonio R Moreno-Poyato
- Escola Superior d'Infermeria del Mar, Parc de Salut Mar (Pompeu Fabra University associated center), Aiguader, 80, 08860 Barcelona, Spain
| | - Pilar Delgado-Hito
- School of Nursing, University of Barcelona, Feixa Llarga s/n. 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Raquel Suárez-Pérez
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. 08860, Barcelona, Spain
| | - Juan M Leyva-Moral
- School of Nursing, Autonomous University of Barcelona, Avda. Can Domenech, Edifici M. 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain
| | - Rosa Aceña-Domínguez
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. 08860, Barcelona, Spain
| | - Regina Carreras-Salvador
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. 08860, Barcelona, Spain
| | - Juan F Roldán-Merino
- Campus Docent Fundació Privada Sant Joan de Déu. School of Nursing, University of Barcelona, Santa Rosa, 39-57, 08950 Esplugues de Llobregat, Spain
| | - Teresa Lluch-Canut
- School of Nursing, University of Barcelona, Feixa Llarga s/n. 08907 L'Hospitalet del Llobregat, Barcelona, Spain
| | - Pilar Montesó-Curto
- School of Nursing, Rovira i Virgili University, Avda Remolins 13-15, Tortosa, 43500 Tarragona Spain
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21
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Moreno-Poyato AR, Montesó-Curto P, Delgado-Hito P, Suárez-Pérez R, Aceña-Domínguez R, Carreras-Salvador R, Leyva-Moral JM, Lluch-Canut T, Roldán-Merino JF. The Therapeutic Relationship in Inpatient Psychiatric Care: A Narrative Review of the Perspective of Nurses and Patients. Arch Psychiatr Nurs 2016; 30:782-787. [PMID: 27888975 DOI: 10.1016/j.apnu.2016.03.001] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2015] [Revised: 01/22/2016] [Accepted: 03/06/2016] [Indexed: 11/15/2022]
Abstract
PURPOSE To study the significance of 'therapeutic relationship' between nurses and patients within the context of a psychiatric hospital. METHOD Narrative literature review. Content analysis. FINDINGS The significance of the therapeutic relationship is quite similar for both nurses and patients in psychiatric hospital units. Nevertheless, several factors may separate the two positions: the time available for the relationship, the negative perceptions on the part of both parties, and the insecurity of the setting. PRACTICE IMPLICATIONS Increased knowledge and understanding of the significance of the therapeutic relationship from the perspective of nurses and patients would allow the strengthening of areas of mutual interest.
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Affiliation(s)
- Antonio R Moreno-Poyato
- Escola Superior d'Infermeria del Mar, Parc de Salut Mar (Pompeu Fabra University Associated Center), Aiguader, 80, Barcelona, Spain.
| | - Pilar Montesó-Curto
- School of Nursing, Rovira i Virgili University, Avda Remolins 13-15, Tortosa, Tarragona, Spain.
| | - Pilar Delgado-Hito
- School of Nursing, University of Barcelona, Feixa Llarga s/n. 08907L'Hospitalet del Llobregat, Spain.
| | - Raquel Suárez-Pérez
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. Barcelona, Spain.
| | - Rosa Aceña-Domínguez
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. Barcelona, Spain.
| | - Regina Carreras-Salvador
- Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Pg. Marítim, s/n. Barcelona, Spain.
| | - Juan M Leyva-Moral
- School of Nursing, Autonomous University of Barcelona, Avda. Can Domenech, Edifici M. 08193 Bellaterra (Cerdanyola del Vallès) Barcelona, Spain.
| | - Teresa Lluch-Canut
- School of Nursing, University of Barcelona, Feixa Llarga s/n. 08907L'Hospitalet del Llobregat, Spain.
| | - Juan F Roldán-Merino
- Campus Docent Fundació Privada Sant Joan de Déu. School of Nursing, University of Barcelona, Santa Rosa, 39-57, Esplugues de Llobregat, Spain.
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22
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Montesó-Curto P, García-Martínez M, Gómez-Martínez C, Ferré-Almo S, Panisello-Chavarria ML, Genís SR, Mateu Gil ML, Cubí Guillén MT, Colás LS, Usach TS, Herrero AS, Ferré-Grau C. Effectiveness of Three Types of Interventions in Patients with Fibromyalgia in a Region of Southern Catalonia. Pain Manag Nurs 2015; 16:642-52. [PMID: 26104223 DOI: 10.1016/j.pmn.2015.01.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2014] [Revised: 01/05/2015] [Accepted: 01/09/2015] [Indexed: 11/16/2022]
Abstract
Several pharmacological and nonpharmacological treatments can be used to alleviate the symptoms of fibromyalgia, although none of them are completely effective at present. In this study, we analyzed the effectiveness of different therapies in three groups of people diagnosed with fibromyalgia. The sample for this randomized controlled trial was made up of 66 people diagnosed with fibromyalgia in southern Catalonia. In turn, this sample was divided into three groups of 22 participants each, who were treated with: i) cervical infiltration with botulinum toxin, ii) group problem-solving therapy, or iii) both therapies. The variables recorded were quality of life, suicidal thoughts, perception of pain, quality of sleep, and satisfaction. Female patients composed 96.9% (n = 64) of the study sample. Satisfaction with the infiltration was 5.1 ± 2.7 points, while in group problem-solving therapy it was 6.6 ± 3.2. Self-perceived health in the infiltration group (p = .016) and the therapy group (p = .001) improved after the intervention took place. The risk of suicide decreased in the both treatments/groups (p = .049). Pain was reduced by 31.8% with infiltration, 13.6% with therapy, and 22.7% with both treatments. Anxiety/depression decreased by 45% with therapy, 36.3% with infiltration, and 36.3% with both treatments. The results also showed that the use of both treatments significantly reduces suicidal thoughts (p = .049). In conclusion, this study showed the complexity of reducing chronic pain and increasing the quality of life of people with fibromyalgia.
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Affiliation(s)
- Pilar Montesó-Curto
- Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
| | | | | | - Sandra Ferré-Almo
- Department of Anesthesiology, Hospital Verge de la Cinta, Tortosa, Tarragona, Spain
| | | | - Sara Romaguera Genís
- Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain
| | - Maria Luisa Mateu Gil
- Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain
| | | | - Lidia Sarrió Colás
- Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain
| | - Teresa Salvadó Usach
- Pathology Department, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, Spain
| | | | - Carme Ferré-Grau
- Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain
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23
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Montesó-Curto P, Ferré-Grau C, Lleixà-Fortuño M, Albacar-Riobóo N, Lejeune M. Diagnosed, identified, current and complete depression among patients attending primary care in southern Catalonia: different aspects of the same concept. Arch Psychiatr Nurs 2014; 28:50-4. [PMID: 24506987 DOI: 10.1016/j.apnu.2013.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Revised: 09/14/2013] [Accepted: 10/01/2013] [Indexed: 10/26/2022]
Abstract
The aims of this study were to explore the prevalence and the conceptualizations of depression detected by the healthcare system, identified by the patient or classified/identified in the validated Goldberg's questionnaire in a community. We conducted a cross-sectional evaluation of 317 patients. The different types of depression diagnosed, identified, current or total were stratified by age and gender groups. The difference in the conceptualization of depression from the medical or ordinary people point of view indicate that depression care requires the understanding of the lifestyle, beliefs, attitudes, family and social networks of the people the physicians and nurses care for.
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Affiliation(s)
| | - Carme Ferré-Grau
- Department of Nursing. Rovira i Virgili University, Tarragona, Spain
| | | | | | - Marylene Lejeune
- Molecular Biology and Research Section, Hospital de Tortosa Verge de la Cinta, IISPV, URV, Tortosa, Spain
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