000129943 001__ 129943
000129943 005__ 20240116090136.0
000129943 0247_ $$2doi$$a10.1111/papr.12847
000129943 0248_ $$2sideral$$a117297
000129943 037__ $$aART-2020-117297
000129943 041__ $$aeng
000129943 100__ $$aAngarita-Osorio, N.
000129943 245__ $$aPatients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain-Related Cognitive Features
000129943 260__ $$c2020
000129943 5060_ $$aAccess copy available to the general public$$fUnrestricted
000129943 5203_ $$aBackground: Fibromyalgia (FM) is a prevalent and highly disabling chronic pain syndrome. However, differences among patients regarding how pain impacts on daily life are remarkable. The main aim of this study was to identify clinical and pain-related cognitive variables characterizing patients reporting high adaptability despite experiencing severe chronic pain. Methods: Two hundred and eighty-three Spanish patients with FM with high levels of pain were classified into 2 groups: (1) those reporting low impact of the syndrome, and (2) those with moderate-to-high impact. Perceived stress, anxiety, and depressive symptoms along with pain catastrophizing, psychological inflexibility, and perceived control over pain were evaluated. Differences in sociodemographics, years with FM, past/current major depressive disorder comorbidity, and health-related economic costs (ie, medications, use of medical services, lost productivity due to sick leave) were also assessed. Stepwise logistic regression analyses predicting group membership from clinical variables and pain-related cognitive processes as predictors were performed. Results: Lower stress, anxiety, and depressive symptoms, along with reduced pain catastrophism, psychological inflexibility, and perceived control over pain, were found in the low-impact group. Significant predictors of group membership (low-impact vs. moderate-to-high impact) in regression analyses were “cognitive fusion” (psychological inflexibility), “helplessness” (pain catastrophizing), and depressive symptomatology, together with pain intensity and other FM symptoms. Conclusions: The present study provides further evidence on resilience resources in chronic pain by identifying some variables (ie, reduced depressive symptomatology, pain catastrophizing, and psychological inflexibility) differentially characterizing a profile of patients with FM who are especially able to adapt to high levels of pain.
000129943 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI15-00383$$9iinfo:eu-repo/grantAgreement/ES/ISCIII-RedIAPP/RD16-0007-0012$$9info:eu-repo/grantAgreement/ES/ISCIII/RETICS-RD16-0007-0005
000129943 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000129943 590__ $$a3.183$$b2020
000129943 591__ $$aCLINICAL NEUROLOGY$$b110 / 208 = 0.529$$c2020$$dQ3$$eT2
000129943 591__ $$aANESTHESIOLOGY$$b17 / 33 = 0.515$$c2020$$dQ3$$eT2
000129943 592__ $$a0.899$$b2020
000129943 593__ $$aAnesthesiology and Pain Medicine$$c2020$$dQ1
000129943 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000129943 700__ $$aPérez-Aranda, A.
000129943 700__ $$aFeliu-Soler, A.
000129943 700__ $$aAndrés-Rodríguez, L.
000129943 700__ $$aBorràs, X.
000129943 700__ $$aSuso-Ribera, C.
000129943 700__ $$aSlim, M.
000129943 700__ $$0(orcid)0000-0003-2088-4272$$aHerrera-Mercadal, P.$$uUniversidad de Zaragoza
000129943 700__ $$aFernández-Vergel, R.
000129943 700__ $$aBlanco, M.E.
000129943 700__ $$aLuciano, J.V.
000129943 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000129943 773__ $$g20, 3 (2020), 255-261$$pPAIN PRACTICE$$tPAIN PRACTICE$$x1530-7085
000129943 8564_ $$s6913911$$uhttps://zaguan.unizar.es/record/129943/files/texto_completo.pdf$$yPostprint
000129943 8564_ $$s1952799$$uhttps://zaguan.unizar.es/record/129943/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000129943 909CO $$ooai:zaguan.unizar.es:129943$$particulos$$pdriver
000129943 951__ $$a2024-01-16-08:24:27
000129943 980__ $$aARTICLE