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Patients with fibromyalgia reporting severe pain but low impact of the syndrome: Clinical and pain-related cognitive features

Pain Practice Oct 26, 2019

Angarita-Osorio N, Pérez-Aranda A, Feliu-Soler A, et al. - Researchers sought to recognize clinical and pain-related cognitive variables characterizing patients with fibromyalgia (FM) who inscribe high adaptability despite experiencing severe chronic pain. They classified 283 Spanish patients with FM with high levels of pain into two groups: (1) those reporting low impact of the syndrome, and (2) those with moderate-to-high impact. The low-impact group had lower stress, anxiety, and depressive symptoms along with reduced pain catastrophism, psychological inflexibility and perceived control over pain. As per regression analyses, “cognitive fusion” (psychological inflexibility), “helplessness” (pain catastrophizing) and depressive symptomatology, together with pain intensity and other FM symptoms were significant predictors of group membership (low-impact vs moderate-to-high impact).
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