PAIN CATASTROPHIZING IN WOMEN WITH FIBROMYALGIA: A CROSS-SECTIONAL STUDY
Diffuse Myofascial Pain Syndrome; Catastrophic Thinking; Sleep Quality; Income.
Introduction: Fibromyalgia is a multifactorial chronic condition characterized by diffuse nociplastic pain and associated symptoms that impact functionality and quality of life, predominantly in women. Pain intertwined with fibromyalgia emphasizes the biopsychosocial component of the disease, highlighting the relevance of analyzing the subjectivity of the condition, since its impacts go beyond the set of clinical signs and symptoms. Objective: To analyze pain catastrophizing in women with fibromyalgia based on contextual factors, such as pain interference in daily activities, sleep quality, monthly income, and time since diagnosis. Methods: This is a cross-sectional, observational, quantitative, and descriptive study conducted with 82 women at the Physiotherapy Teaching Clinic of the Federal University of Rio Grande do Norte. As a data collection instrument, a sociodemographic questionnaire developed by the researchers of this study was used, in addition to the Brief Pain Inventory, the Pittsburgh Sleep Quality Index, and the Pain Catastrophizing Scale. Data were analyzed using descriptive statistics and multiple linear regression analysis with the Statistical Package for the Social Sciences (SPSS), version 25. Preliminary Results: A high level of pain catastrophizing was observed, along with significantly poor sleep quality and moderate to severe pain, with important interference in work and sleep. The variables showed statistical significance as predictors of pain catastrophizing—pain interference (β: 0.292); pain catastrophizing (β: 0.396); sleep quality (β: -0.351); monthly income (β: -0.249); and time since fibromyalgia diagnosis (β: -0.176). The multiple linear regression model showed an adjusted R² of 0.456, with satisfactory fit measures, indicating the absence of multicollinearity. Poorer sleep quality and greater pain interference were positively associated with catastrophizing, whereas higher income and longer time since diagnosis showed a negative association.