Repetitive Thinking in Fibromyalgia

Impact of Rumination on Affectivity After Physical Activity in Fibromyalgia

Sponsors

Lead Sponsor: Centre Hospitalier Universitaire, Amiens

Collaborator: Université de Lille

Source Centre Hospitalier Universitaire, Amiens
Brief Summary

Some fibromyalgia patients may use inappropriate emotional regulation strategies to respond to pain. Rumination could be one of this inefficient regulation strategies. The investigators believe that the use of rumination strategies to respond to the discomfort of daily physical activity would maintain and aggravate a negative emotional state after the effort. Distraction would be a more effective strategy to cope with pain. From this data, the investigators want to explore the causal link between rumination and negative affectivity after physical activity in fibromyalgia using an experimental design.

Detailed Description

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. As with any condition of chronic pain, psychological mechanisms can help maintain discomfort and pain. These mechanisms may hinder the recovery of physical activity. Some patients may use cognitive strategies of emotional regulation that are ineffective to cope with pain and discomfort of everyday activities, such as rumination. The literature suggests that this process is linked to the physical and psychological difficulties of fibromyalgia. However, no study has revealed a causal link between rumination and negative affectivity in a context of physical activity in this population. The investigators want to test this hypothesis by directly manipulating the style of information processing following a relevant activity for these patients: climbing steps. In one group the investigators will induce rumination right after climbing the steps. In the other group the investigators will induce distraction. Patient with Fibromyalgia will be recruited at the Pain Center of CHU-Amiens. Patients will complete different scales before to climb steps and after experimental induction. The investigators hypothesize that Patients using a rumination strategy after an uncomfortable physical activity will experience a greater subjective discomfort than patients using a distraction strategy.

Overall Status Completed
Start Date February 26, 2019
Completion Date February 25, 2020
Primary Completion Date February 25, 2020
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change in PANAS score before and after induction phase One hour and twenty minutes after inclusion of the patients
Secondary Outcome
Measure Time Frame
Change in VAS score before and after induction phase One hour and twenty minutes after inclusion of the patients
Enrollment 47
Condition
Intervention

Intervention Type: Other

Intervention Name: rumination induction

Description: The induction method is based on specific instructions given to participants on how to focus on different elements of their experience. For example, they will be led, in the rumination condition, to reflect on the causes, meanings and consequences of the amount of tension they feel in their muscles.

Arm Group Label: Rumination group

Intervention Type: Other

Intervention Name: distraction induction

Description: The induction method is based on specific instructions given to participants on how to focus on different elements of their experience. In the distraction condition they will, for example, imagine a ship crossing the Atlantic.

Arm Group Label: distraction group

Eligibility

Criteria:

Inclusion Criteria:

- Adults Patients

- Free and informed consent signed.

- French native speaker, writer and reader.

- according 1990 American College of Rheumatology criteria : Patients with diffuse pain for more than three months and with digital palpation pain on more than 11 insertion points.

Exclusion Criteria:

- minor patients

- Adult major under administrative protection

- Patient with severe psychosis or depression or severe anxiety or impulsivity as assessed by the clinician

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Location
Facility: CHU Amiens
Location Countries

France

Verification Date

July 2020

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Rumination group

Type: Active Comparator

Description: The patients will receive rumination induction. Rumination induction will follow a relevant activity for our patients: climbing steps. Rumination induction will be done right after climbing the steps.

Label: distraction group

Type: Experimental

Description: Distraction will follow a relevant activity for our patients: climbing steps. Distraction induction will be done right after climbing the steps.

Acronym PRFM-3
Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Supportive Care

Masking: None (Open Label)

Source: ClinicalTrials.gov