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When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality
Abstract
Objectives Fibromyalgia (FM) is a chronic pain syndrome associated with adverse symptoms of cognitive, behavioural, and emotional dysfunction. Accumulating evidence supports the notion that sleep dysfunction, which affects almost all FM patients, has a reciprocal influence on pain. Yet, little is known about the relationship between sleep and other FM symptoms. The present study analysed the role of sleep dysfunction as a mediator of the impact of pain intensity on anxiety, depression, and daily functioning, comparing them with the mediating role of self-efficacy. Design A cross-sectional design was used. Methods A sample of 104 women with FM and 86 healthy control women completed a semi-structured interview and self-reported measures of pain, sleep quality, anxiety, depression, and daily functioning. Multiple mediation models were proposed and a bootstrapping approach was used to test these models. Results Women diagnosed with FM had more dysfunctional scores on the variables examined than control participants, and there were significant relationships between all the variables examined in the mediation models for the FM group. The mediation analyses suggested that sleep quality and self-efficacy significantly mediated the relationship between pain and emotional distress. Additionally, self-efficacy was a significant mediator and sleep quality a likely mediator that was marginally significant in the relationship between pain and functioning. Conclusions Sleep dysfunction is i…
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“individual differences in the application of paincoping strategies have an important influence on pain-related outcomes.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [265]
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“Differences in pain coping are associated with differences in pain intensity, adjustment to chronic pain, and psychological and physical functioning 85, 263–266.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [265]
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Metadata
- Authors
- Miró, E., Martínez, M. P., Sánchez, A. I., Prados, G., & Medina, A.
- Affiliations
- Universidad de Granada (ES)
- Hospital Universitario Virgen de las Nieves (ES)
- Corresponding author
- Miró, Elena
- Venue
- British Journal of Health Psychology
- Publisher
- Wiley
- Published
- 2011-02-17
- Volume
- 16
- Issue
- 4
- Pages
- 799-814
- ISSN
- 1359-107X (ISSN-L)
- 2044-8287
- OpenAlex
- W2148375477
- Cited by
- 126
- References
- 46
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 8 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 17 · 2017: 10 · 2016: 7 · 2015: 5 · 2014: 18 · 2013: 11 · 2012: 7
- FWCI
- 7.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- fibromyalgia, pain intensity, sleep quality, sleep disorders, self-efficacy, anxiety, depression, emotional distress, daily functioning, mediation, women
- MeSH terms
- Activities of Daily Living, Adult, Cross-Sectional Studies, Female, Fibromyalgia, Humans, Interviews as Topic, Male, Middle Aged, Pain, Sleep, Stress, Psychological, Models, Statistical, Self Efficacy
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