Catastrophizing, Acceptance, and Coping as Mediators Between Pain and Emotional Distress and Disability in Fibromyalgia

  • María J. Lami
  • M. Pilar Martínez
  • Elena Miró
  • Ana I. Sánchez
  • Manuel A. Guzmán


Catastrophizing, acceptance, and coping have an important predictive value in chronic pain; however, it is not known which of these variables has the greatest contribution in fibromyalgia (FM). This study explored the mediating role of catastrophizing, acceptance, and coping in the relationship between pain and emotional distress/disability in a FM sample. Ninety-two FM patients and 51 healthy participants controls were evaluated on pain- and psychological-related variables. Catastrophizing, acceptance, behavioral coping, and emotional coping were significantly correlated with emotional distress and/or disability. Catastrophizing had a significant effect as a mediator on the relationship between pain and depression/anxiety. The current management of FM could improve by including cognitive techniques aimed at modifying the negative appraisal of pain.


Fibromyalgia Pain Catastrophizing Acceptance Coping 



This study is part of a broader research project financially supported by the Spanish Ministry of Science and Innovation (research project PSI2009-13765PSIC).

Compliance with Ethical Standards

Conflict of interest

María J. Lami, M. Pilar Martínez, Elena Miró, Ana I. Sánchez, and Manuel A. Guzmán declare that they do not have conflict of interest.

Human and Animal Rights

All procedures performed in this study involving human participants were done in accordance with the ethical standards of the University of Florida and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • María J. Lami
    • 1
  • M. Pilar Martínez
    • 2
  • Elena Miró
    • 2
  • Ana I. Sánchez
    • 2
  • Manuel A. Guzmán
    • 3
  1. 1.Department of Personality, Assessment, and Psychological Treatment, Faculty of PsychologyUniversity of GranadaGranadaSpain
  2. 2.Mind, Brain and Behavior Research Center (CIMCYC)University of GranadaGranadaSpain
  3. 3.Virgen de las Nieves University HospitalGranadaSpain

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