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Updated: Mar 6, 2026

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Worry and anger rumination in fibromyalgia syndrome
A Ricci1, S Bonini, M Continanza
1Scuola Cognitiva, Firenze. d.bertolucci@usl12.toscana.it.
Fibromyalgia patients exhibit higher anxiety, depression, and rumination than chronic pain patients. These psychological factors may be coping mechanisms, impacting emotional well-being and informing tailored pain management strategies.
Area of Science:
- Psychology
- Clinical Medicine
- Pain Management
Background:
- Fibromyalgia syndrome (FS) is a complex chronic pain condition.
- Understanding the psychological profile of FS patients is crucial for effective treatment.
- Previous research suggests psychological factors play a significant role in chronic pain.
Purpose of the Study:
- To compare the psychological profiles of fibromyalgia patients with other chronic pain patients and healthy subjects.
- To examine the associations between anxiety, depression, worry, and angry rumination in fibromyalgia patients.
Main Methods:
- A comparative study involving 30 fibromyalgia patients (FS), 30 chronic pain patients (CP), and 30 healthy subjects (HS).
- Participants completed standardized measurements for anxiety, depression, worry, and angry rumination.
- Statistical analyses were performed to compare groups and assess associations within the FS group.
Main Results:
- Fibromyalgia patients demonstrated significantly higher levels of state and trait anxiety, worry, and angry rumination compared to both chronic pain patients and healthy subjects.
- Fibromyalgia patients also reported higher levels of depression than healthy subjects.
- A strong association was found between worry and angry rumination in the fibromyalgia patient group.
Conclusions:
- Fibromyalgia patients exhibit a distinct psychological profile characterized by elevated anxiety, depression, worry, and rumination.
- Worry and angry rumination may serve as maladaptive coping strategies in FS, potentially impairing emotional well-being.
- These findings underscore the need for psychological interventions, such as cognitive behavioral therapy (CBT), tailored for fibromyalgia pain management.
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