Catastrophizing, Acceptance, and Coping as Mediators Between Pain and Emotional Distress and Disability in Fibromyalgia
Abstract
Catastrophizing, acceptance, and coping have an important predictive value in chronic pain; however, it is not known which of these variables has the greatest contribution in fibromyalgia (FM). This study explored the mediating role of catastrophizing, acceptance, and coping in the relationship between pain and emotional distress/disability in a FM sample. Ninety-two FM patients and 51 healthy participants controls were evaluated on pain- and psychological-related variables. Catastrophizing, acceptance, behavioral coping, and emotional coping were significantly correlated with emotional distress and/or disability. Catastrophizing had a significant effect as a mediator on the relationship between pain and depression/anxiety. The current management of FM could improve by including cognitive techniques aimed at modifying the negative appraisal of pain.
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ACT aims to increase patients' psychological flexibility toward disease events by promoting self-concept understanding and ability to accept negative and unpleasant experiences in the present moment.
“در واقع، این درمان تلاش میکند همزمان با ترویج درک مفهوم خود و توانایی پذیرش تجربیات منفی و ناخوشایند در زمان حال برای بیماران، میزان انعطافپذیری آنان را نسبت به پیشامدهای بیماری افزایش دهد ] 29 [”
A moderate-to-strong association exists between functional limitation and pain severity in people with fibromyalgia.
“It is widely accepted that a moderate-to-strong association exists between functional limitation and pain severity [1,2,3].”
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- Authors
- Lami, M. J., Martínez, M. P., Miró, E., Sánchez, A. I., & Guzmán, M. A.
- Affiliations
- Universidad de Granada (ES)
- Hospital Universitario Virgen de las Nieves (ES)
- Corresponding author
- Lami, María J.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2018-02-15
- Volume
- 25
- Issue
- 1
- Pages
- 80-92
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W2790682053
- Cited by
- 82
- References
- 73
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 8 · 2023: 12 · 2022: 13 · 2021: 16 · 2020: 10 · 2019: 5 · 2018: 2
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Spanish Ministry of Science and Innovation (PSI2009-13765PSIC)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- fibromyalgia, pain catastrophizing, acceptance, coping, emotional distress, disability, chronic pain, depression, anxiety, mediation, behavioral coping, emotional coping, cognitive strategies
- MeSH terms
- Adaptation, Psychological, Attitude to Health, Female, Fibromyalgia, Disabled Persons, Persons with Disabilities, Humans, Male, Middle Aged, Spain, Stress, Psychological, Catastrophization, Chronic Pain
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