Walking as Physical Exercise in Fibromyalgia: Identifying Profiles in Patients´ Associations According to Psychological Treatment

Abstract

Background: Physical exercise and psychological intervention are evidence-based practices in Fibromyalgia. Our aims are to identify the prevalence of walking and psychological treatment in fibromyalgia, and their characteristics related to walking. Methods: 920 women belonging to Fibromyalgia patients´ associations returned a mailed questionnaire (41.31%). Results: Of the sample, 59.2% reported walking but 48.07% under the minimum recommended by experts. 50.2% attended psychological treatment mainly due to depression (35.8%). These women scored higher (p?.001) in pain, fatigue, sleep and cognitive problems. Prevalence of medical advice to walk was 79% and was not associated with psychological treatment. However, women in psychological treatment perceived more interference of chronic problem in walking (?2=29.1, p?.0001) and 63% perceived interference of their psychological problems in this behavior. Discussion: Psychological problems are relevant both to symptom perceptions and recommended health behaviors. The adherence to walking is a main objective for psychological intervention from a Health Psychology perspective. Supported by Spanish Ministry of Economy and Competitiveness