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Positive Affect Moderates Walking's Impact on Depression in Fibromyalgia Patients.

Carmen Ecija¹, Patricia Catala¹, Lorena Gutierrez¹

¹University Professor, Department of Psychology, Rey Juan Carlos University, Alcorcón, Madrid, Spain.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses

|March 11, 2025

Summary

Positive affect helps women with Fibromyalgia (FM) maintain activity acceptance despite depression when walking. Higher positive affect strengthens this protective effect, highlighting its importance in managing chronic pain and exercise.

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Area of Science:

Psychology
Rehabilitation Medicine
Chronic Pain Management

Background:

Depression and chronic pain share a complex relationship, creating barriers to physical activity.
Positive affect and pain acceptance can build resources for sustained exercise behavior.

Purpose of the Study:

To investigate how psychosocial factors, specifically commitment to walking and positive affect, influence depression and activity acceptance in Fibromyalgia patients.
To analyze the mediating and moderated mediation effects of these variables.

Main Methods:

A cross-sectional correlational study was conducted with 132 women diagnosed with Fibromyalgia.
Data on walking commitment, positive affect, depression, and activity acceptance were collected.
Two mediation models were employed to examine the relationships between variables.

Main Results:

Depression significantly mediated the relationship between walking and activity acceptance.
The mediating effect of depression was moderated by positive affect, being stronger at medium and high levels of positive affect.
Walking's indirect effect on activity acceptance via depression was more pronounced in individuals with higher positive affect.

Conclusions:

Positive affect plays a crucial contextual role in mitigating depression's impact on activity acceptance for women with Fibromyalgia who engage in walking.
Interventions incorporating positive psychology, CBT, and ACT principles are recommended to enhance activity acceptance in this population.