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A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
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A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

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[Cognitive resources of perceived control, stress-recovery processes and affective discomfort in fibromyalgia]

José L González Gutiérrez1, Cecilia Peñacoba Puente, Lilian Velasco Furlong

  • 1Universidad Rey Juan Carlos, Faculdad de Ciencias de la Salud, Madrid, Spain. joseluis.gonzalez@urjc.es

Psicothema
|July 23, 2009
PubMed

This study evaluates a structural equation model (SEM) of linkages among cognitive control resources (illness-specific efficacy beliefs and internal pain control expectancies), stress/recovery state, and affective discomfort in women with fibromyalgia (n=130). Results were consistent with the proposal that stress/recovery balance mediates the relationship between cognitive resources and affective discomfort. In addition, direct effects of cognitive resources on function limitation were observed, and pain intensity and symptoms were direct predictors of the affective discomfort. Based on the results, the possible interpretation of several cognitive-behavioural techniques commonly employed in the treatment of fibromyalgia are indicated as strategies aimed at finding the correct equilibrium between stress and recovery, and the modification of self-efficacy beliefs and pain control expectancies are fundamental.

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