The role of pain, perseverative cognition and goal adjustment in vasculitis-associated fatigue

Fatigue is a common symptom associated with vasculitis and contributes significantly to impaired quality of life. Motivational control theory suggests a role for perseverative cognition and goal adjustment in fatigue. Therefore, this study investigated these potential predictors of fatigue in individuals with vasculitis. A total of 249 participants completed online questionnaires assessing fatigue, perseverative cognition, goal disengagement and goal reengagement, in addition to demographic and disease-related variables. Hierarchical regression analysis found only pain, sleep disturbance, disease activity and perseverative cognition to significantly predict fatigue. This highlights the importance of psychological factors in determining fatigue in those with vasculitis.

• Publication year

  2018

• Venue

  Journal of Health Psychology

• Publication date

  2018-04-08

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1177/1359105316652466PMID 27302605
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Revised International Chapel Hill Consensus Conference nomenclature of vasculitides

  2016cited by this paper
• The role of goal adjustment in symptoms of depression, anxiety and fatigue in cancer patients receiving psychosocial care: A longitudinal study

  2015cited by this paper
• Neural correlates of fatigue in granulomatosis with polyangiitis: a functional magnetic resonance imaging study.

  2014cited by this paper
• 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides.

  2013cited by this paper
• Assessing treatments used to reduce rumination and/or worry: a systematic review.

  2013cited by this paper
• The role of goal management for successful adaptation to arthritis.

  2013influential reference
• Do mindfulness-based interventions reduce pain intensity? A critical review of the literature.

  2013cited by this paper
• Fatigue-related brain white matter changes in granulomatosis with polyangiitis.

  2013cited by this paper
• Explaining fatigue in ANCA-associated vasculitis.

  2013cited by this paper
• Distinct Depression Symptom Trajectories over the First Year of Dialysis: Associations with Illness Perceptions

  2013cited by this paper
• The Psychology of Fatigue: Work, Effort and Control

  2013influential reference
• Illness Perceptions and Fatigue in Systemic Vasculitis

  2013influential reference
• Stress-related thinking predicts the cortisol awakening response and somatic symptoms in healthy adults.

  2013cited by this paper
• The relationship between worry, rumination, and comorbidity: evidence for repetitive negative thinking as a transdiagnostic construct.

  2013cited by this paper
• Academics' experiences of a respite from work: effects of self-critical perfectionism and perseverative cognition on postrespite well-being.

  2012cited by this paper
• Psychological therapies for the management of chronic pain (excluding headache) in adults.

  2012cited by this paper
• Exploring the relationship between work-related rumination, sleep quality, and work-related fatigue.

  2012cited by this paper
• The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking

  2011cited by this paper
• A mindfulness-based group intervention to reduce psychological distress and fatigue in patients with inflammatory rheumatic joint diseases: a randomised controlled trial

  2011cited by this paper
• The OMERACT Core Set of Outcome Measures for Use in Clinical Trials of ANCA-associated Vasculitis

  2011cited by this paper
• Pilot study to assess the frequency of fibromyalgia, depression, and sleep disorders in patients with granulomatosis with polyangiitis (Wegener's)

  2011cited by this paper
• Biological mechanisms of chronic fatigue.

  2011cited by this paper
• Trait and state perseverative cognition and the cortisol awakening response.

  2011cited by this paper
• Comparison of the epidemiology of anti-neutrophil cytoplasmic antibody-associated vasculitis between Japan and the U.K.

  2011cited by this paper
• Improved outcome in 445 patients with Wegener's granulomatosis in a German vasculitis center over four decades.

  2011cited by this paper
• Cognitive fatigue. Multidisciplinary perspectives on current research and future applications

  2011cited by this paper
• A motivational control theory of cognitive fatigue.

  2011influential reference
• Patient‐reported outcome assessment in vasculitis may provide important data and a unique perspective

  2010cited by this paper
• MS quality of life, depression, and fatigue improve after mindfulness training

  2010cited by this paper
• Impact of Behçet's syndrome on health-related quality of life: influence of the type and number of symptoms.

  2010cited by this paper
• Markers of chronic stress: prolonged physiological activation and (un)conscious perseverative cognition.

  2010cited by this paper
• Fatigue: a principal contributor to impaired quality of life in ANCA-associated vasculitis.

  2010cited by this paper
• Further validation of the Multidimensional Fatigue Inventory in a US adult population sample

  2009cited by this paper
• Use of the Temperament and Character Inventory (TCI) for assessment of personality in chronic fatigue syndrome.

  2009influential reference
• The association of state per capita income and military service deaths in the Vietnam and Iraq wars

  2009cited by this paper
• Negative illness perceptions are associated with new-onset depression following myocardial infarction.

  2008cited by this paper
• Quality of life of patients with Takayasu's arteritis.

  2008cited by this paper
• Rumination-focused cognitive behaviour therapy for residual depression: a case series.

  2007cited by this paper
• The perseverative cognition hypothesis: a review of worry, prolonged stress-related physiological activation, and health.

  2006cited by this paper
• Gender accommodation in online cancer support groups

  2006cited by this paper
• Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients

  2005cited by this paper
• Depression following myocardial infarction.

  2005influential reference
• A new view on hypocortisolism.

  2005cited by this paper
• Primary systemic vasculitis: clinical features and mortality.

  2005cited by this paper
• The Independent Effects of Goal Contents and Motives on Well-Being: It’s Both What You Pursue and Why You Pursue It

  2004cited by this paper
• Fatigue in neurological disorders.

  2004cited by this paper
• Adaptive Self-Regulation of Unattainable Goals: Goal Disengagement, Goal Reengagement, and Subjective Well-Being

  2003influential reference
• Investigation of quality of life, mood, pain, disability, and disease status in primary systemic vasculitis.

  2003cited by this paper
• Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences

  2003cited by this paper
• Dysphoric Rumination Impairs Concentration on Academic Tasks

  2003cited by this paper
• Rumination and executive function in depression: an experimental study

  2002cited by this paper
• Occupational health psychology

  2000cited by this paper
• The "What" and "Why" of Goal Pursuits: Human Needs and the Self-Determination of Behavior

  2000cited by this paper
• Gender and cancer support group participation.

  1999cited by this paper
• A metacognitive model and therapy for generalized anxiety disorder

  1999cited by this paper
• Not all Personal Goals are Personal: Comparing Autonomous and Controlled Reasons for Goals as Predictors of Effort and Attainment

  1998cited by this paper
• Does high 'action-proneness' make people more vulnerable to chronic fatigue syndrome? A controlled psychometric study.

  1995cited by this paper
• The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue.

  1995influential reference
• A scale for the estimation of sleep problems in clinical research.

  1988influential reference
• An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results.

  1982cited by this paper
• Psychology Research and Behavior Management Dovepress Psychological Therapies for the Management of Chronic Pain

  year unknowncited by this paper

• Perioperative and anesthetic considerations for post-acute sequelae of COVID (PASC)/long COVID

  2025cites this paper
• Neurocognitive and Neuropsychiatric Implications of Fibrosing Interstitial Lung Diseases

  2024cites this paper
• Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and fibromyalgia: PR3-versus MPO-ANCA-associated vasculitis, an exploratory cross-sectional study

  2023cites this paper
• Fatigue in ANCA-associated vasculitis (AAV) and systemic sclerosis (SSc): similarities with Myalgic encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). A critical review of the literature

  2022cites this paper
• Goal adjustment by people living with long-term conditions: A scoping review of literature published from January 2007 to June 2018.

  2020cites this paper