The role of pain catastrophizing and pain acceptance in performance-based and self-reported physical functioning in individuals with fibromyalgia and obesity.
Open accessAbstract
Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e., subjective) physical functioning. However, physical function is a multidimensional concept encompassing both subjective and objective functioning. The contribution of psychological factors to performance-based (i.e., objective) functioning is unclear. This study aims to investigate the contribution of pain catastrophizing and pain acceptance to both self-reported and performance-based physical functioning. In this cross-sectional study, 160 participants completed self-report measures of pain catastrophizing, pain acceptance, and pain severity. A self-report measure and a performance-based test were used to assess physical functioning. Higher pain catastrophizing and lower pain acceptance were associated with poorer physical functioning at both self-reported and performance-based levels. Our results are consistent with previous evidence on the association between pain catastrophizing and pain acceptance with self-reported physical functioning. This study contributes to the current literature by providing novel insights into the role of psychological factors in performance-based physical functioning. Multidisciplinary interventions that address pain catastrophizing and pain acceptance are recommended and might be effective to improve both perceived and performance-based functioning in women with FM and obesity.
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Self-regulation skills play a protective role against overreacting to internal and external cues that motivate people to eat palatable food.
“The self-regulation skills have been found to play a protective role against overreacting to internal (e.g., emotions) and external (e.g., the availability of palatable food in the environment) cues that motivate people to eat palatable food, as in the case of emotional eating.”
From The Mediating Role of Psychological Inflexibility in the Relationship Between Anxiety, Depression, and Emotional Eating in Adult Individuals With Obesity (2022) · cites this paper as Varallo et al., 2021
The Introduction and Discussion address pain acceptance, pain catastrophizing, and physical functioning in people with fibromyalgia and obesity. Searches for emotional eating, palatable food, and internal or external eating cues found no passage addressing whether self-regulation protects against overreacting to those cues. (LLM, conf=0.76)
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Fibromyalgia: Associations Between Fat Infiltration, Physical Capacity, and Clinical Variables
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“In a recent study comparing both pain catastrophizing and acceptance in fibromyalgia and obese patients, an association was found between lower levels of activity (both self-reported and through the 6-min walking test (6MWT)) with higher pain catastrophizing and lower acceptance scores [16].”
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Cognitive, Emotional, and Social Factors in the Modulation of Pain Perception
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- Authors
- Varallo, G., Scarpina, F., Giusti, E. M., Suso-Ribera, C., Cattivelli, R., Guerrini Usubini, A., Capodaglio, P., & Castelnuovo, G.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- IRCCS Istituto Auxologico Italiano (IT)
- Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, 12071 Castellon de la Plana, Spain
- Psychology Research Laboratory, Istituto Auxologico Italiano IRCCS, San Giuseppe Hospital, 28824 Verbania, Italy
- Corresponding author
- Giusti, Emanuele Maria
- ORCID
- Venue
- Journal of Personalized Medicine
- Publisher
- MDPI AG
- Published
- 2021-08-19
- Volume
- 11
- Issue
- 8
- Pages
- 810
- ISSN
- 2075-4426 (ISSN-L)
- PMC
- PMC8401554
- OpenAlex
- W3195274251
- Cited by
- 48
- References
- 136
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 19 · 2021: 4
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Personalized Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IrInSubria (University of Insubria) (submittedVersion, cc-by)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-sa)
- Funders
- Istituto Auxologico Italiano
- 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, obesity, pain catastrophizing, pain acceptance, physical function, self-reported physical function, pain intensity, psychological factors, comorbidities, women
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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