Is appreciation of written education about pain neurophysiology related to changes in illness perceptions and health status in patients with fibromyalgia?

Miriam van Ittersum, C P van Wilgen, J W Groothoff, C.P. van der Schans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To investigate the appreciation of written education about pain neurophysiology in patients with fibromyalgia (FM) and its effects on illness perceptions and perceived health status.

METHODS: A booklet explaining pain neurophysiology was sent to participants with FM. Appreciation was assessed with 10 questions addressing relevance (0-30) and reassurance (0-30). Illness perceptions, catastrophizing and health status were measured with the Revised Illness Perception Questionnaire (IPQ-R), the Pain Catastrophizing Scale (PCS) and the Fibromyalgia Impact Questionnaire (FIQ) at baseline (T0), after a 2-week control period (T1) and 6 weeks after the intervention (T2).

RESULTS: Forty-one patients participated. Mean (SD) scores for relevance and reassurance were 21.6 (5.6) and 18.7 (5.7), respectively. Only illness coherence, emotional representations, pain and fatigue changed significantly between T0 and T2. Correlations between appreciation and changes in outcomes ranged between r=0.00 and r=0.34.

CONCLUSIONS: Although a majority of subjects appreciated the written information, it did not have clinically relevant effects on illness perceptions, catastrophizing or impact of FM on daily life.

PRACTICE IMPLICATIONS: Written education about pain neurophysiology is inadequate toward changing illness perceptions, catastrophizing or perceived health status of participants with FM; education should be incorporated into a broader multidisciplinary self-management program.

Original languageEnglish
Pages (from-to)269-74
JournalPatient education and counseling
Volume85
Issue number2
DOIs
Publication statusPublished - Nov 2011

Keywords

  • Adaptation, Psychological
  • Adult
  • Aged
  • Catastrophization
  • Female
  • Fibromyalgia
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Pain Measurement
  • Pamphlets
  • Patient Education as Topic
  • Perception
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Journal Article

Cite this

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title = "Is appreciation of written education about pain neurophysiology related to changes in illness perceptions and health status in patients with fibromyalgia?",
abstract = "OBJECTIVE: To investigate the appreciation of written education about pain neurophysiology in patients with fibromyalgia (FM) and its effects on illness perceptions and perceived health status.METHODS: A booklet explaining pain neurophysiology was sent to participants with FM. Appreciation was assessed with 10 questions addressing relevance (0-30) and reassurance (0-30). Illness perceptions, catastrophizing and health status were measured with the Revised Illness Perception Questionnaire (IPQ-R), the Pain Catastrophizing Scale (PCS) and the Fibromyalgia Impact Questionnaire (FIQ) at baseline (T0), after a 2-week control period (T1) and 6 weeks after the intervention (T2).RESULTS: Forty-one patients participated. Mean (SD) scores for relevance and reassurance were 21.6 (5.6) and 18.7 (5.7), respectively. Only illness coherence, emotional representations, pain and fatigue changed significantly between T0 and T2. Correlations between appreciation and changes in outcomes ranged between r=0.00 and r=0.34.CONCLUSIONS: Although a majority of subjects appreciated the written information, it did not have clinically relevant effects on illness perceptions, catastrophizing or impact of FM on daily life.PRACTICE IMPLICATIONS: Written education about pain neurophysiology is inadequate toward changing illness perceptions, catastrophizing or perceived health status of participants with FM; education should be incorporated into a broader multidisciplinary self-management program.",
keywords = "Adaptation, Psychological, Adult, Aged, Catastrophization, Female, Fibromyalgia, Health Status, Humans, Male, Middle Aged, Netherlands, Pain Measurement, Pamphlets, Patient Education as Topic, Perception, Severity of Illness Index, Surveys and Questionnaires, Journal Article",
author = "{van Ittersum}, Miriam and {van Wilgen}, {C P} and Groothoff, {J W} and {van der Schans}, C.P.",
note = "Copyright {\circledC} 2010 Elsevier Ireland Ltd. All rights reserved.",
year = "2011",
month = "11",
doi = "10.1016/j.pec.2010.09.006",
language = "English",
volume = "85",
pages = "269--74",
journal = "Patient education and counseling",
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Is appreciation of written education about pain neurophysiology related to changes in illness perceptions and health status in patients with fibromyalgia? / van Ittersum, Miriam; van Wilgen, C P; Groothoff, J W; van der Schans, C.P.

In: Patient education and counseling, Vol. 85, No. 2, 11.2011, p. 269-74.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Is appreciation of written education about pain neurophysiology related to changes in illness perceptions and health status in patients with fibromyalgia?

AU - van Ittersum, Miriam

AU - van Wilgen, C P

AU - Groothoff, J W

AU - van der Schans, C.P.

N1 - Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PY - 2011/11

Y1 - 2011/11

N2 - OBJECTIVE: To investigate the appreciation of written education about pain neurophysiology in patients with fibromyalgia (FM) and its effects on illness perceptions and perceived health status.METHODS: A booklet explaining pain neurophysiology was sent to participants with FM. Appreciation was assessed with 10 questions addressing relevance (0-30) and reassurance (0-30). Illness perceptions, catastrophizing and health status were measured with the Revised Illness Perception Questionnaire (IPQ-R), the Pain Catastrophizing Scale (PCS) and the Fibromyalgia Impact Questionnaire (FIQ) at baseline (T0), after a 2-week control period (T1) and 6 weeks after the intervention (T2).RESULTS: Forty-one patients participated. Mean (SD) scores for relevance and reassurance were 21.6 (5.6) and 18.7 (5.7), respectively. Only illness coherence, emotional representations, pain and fatigue changed significantly between T0 and T2. Correlations between appreciation and changes in outcomes ranged between r=0.00 and r=0.34.CONCLUSIONS: Although a majority of subjects appreciated the written information, it did not have clinically relevant effects on illness perceptions, catastrophizing or impact of FM on daily life.PRACTICE IMPLICATIONS: Written education about pain neurophysiology is inadequate toward changing illness perceptions, catastrophizing or perceived health status of participants with FM; education should be incorporated into a broader multidisciplinary self-management program.

AB - OBJECTIVE: To investigate the appreciation of written education about pain neurophysiology in patients with fibromyalgia (FM) and its effects on illness perceptions and perceived health status.METHODS: A booklet explaining pain neurophysiology was sent to participants with FM. Appreciation was assessed with 10 questions addressing relevance (0-30) and reassurance (0-30). Illness perceptions, catastrophizing and health status were measured with the Revised Illness Perception Questionnaire (IPQ-R), the Pain Catastrophizing Scale (PCS) and the Fibromyalgia Impact Questionnaire (FIQ) at baseline (T0), after a 2-week control period (T1) and 6 weeks after the intervention (T2).RESULTS: Forty-one patients participated. Mean (SD) scores for relevance and reassurance were 21.6 (5.6) and 18.7 (5.7), respectively. Only illness coherence, emotional representations, pain and fatigue changed significantly between T0 and T2. Correlations between appreciation and changes in outcomes ranged between r=0.00 and r=0.34.CONCLUSIONS: Although a majority of subjects appreciated the written information, it did not have clinically relevant effects on illness perceptions, catastrophizing or impact of FM on daily life.PRACTICE IMPLICATIONS: Written education about pain neurophysiology is inadequate toward changing illness perceptions, catastrophizing or perceived health status of participants with FM; education should be incorporated into a broader multidisciplinary self-management program.

KW - Adaptation, Psychological

KW - Adult

KW - Aged

KW - Catastrophization

KW - Female

KW - Fibromyalgia

KW - Health Status

KW - Humans

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Pain Measurement

KW - Pamphlets

KW - Patient Education as Topic

KW - Perception

KW - Severity of Illness Index

KW - Surveys and Questionnaires

KW - Journal Article

U2 - 10.1016/j.pec.2010.09.006

DO - 10.1016/j.pec.2010.09.006

M3 - Article

VL - 85

SP - 269

EP - 274

JO - Patient education and counseling

JF - Patient education and counseling

SN - 0738-3991

IS - 2

ER -