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Their mean age was 56.91\u2009years (standard deviation\u2009=\u20098.94; range\u2009=\u200930 to 78\u2009years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pain severity, cognitive fusion, and all components of catastrophizing (i.e., rumination, magnification, and helplessness) contributed to greater fibromyalgia impact on functioning in the multivariate analyses (all P\u2009&amp;lt;\u20090.001). A moderation effect was also found in the relationship between cognitive fusion and fibromyalgia impact on functioning (B\u2009=\u2009\u20130.12, t\u2009=\u2009\u20132.42, P\u2009=\u20090.016, 95% confidence interval: \u20130.22 to \u20130.02) and between magnification and fibromyalgia impact (B\u2009=\u2009\u20130.37, t\u2009=\u2009\u20132.21, P\u2009=\u20090.028, 95% confidence interval: \u20130.69 to \u20130.04). This moderation was not observed for rumination and helplessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results suggest that in interventions to improve functioning in people with fibromyalgia, some maladaptive forms of thought management (i.e., cognitive fusion and magnification) preferably should be challenged at milder levels of pain severity. According to our findings, cognitive fusion and magnification might have less room to impact functioning at higher levels of pain severity; therefore, rumination and helplessness, which had comparable associations with functioning irrespective of pain levels, would be preferable targets in psychological interventions in patients with fibromyalgia experiencing more severe pain levels.<\/jats:p><\/jats:sec>","DOI":"10.1093\/pm\/pnab073","type":"journal-article","created":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T12:56:18Z","timestamp":1613220978000},"page":"1827-1836","source":"Crossref","is-referenced-by-count":5,"title":["Is Thought Management a Resource for Functioning in Women with Fibromyalgia Irrespective of Pain Levels?"],"prefix":"10.1093","volume":"22","author":[{"given":"Patricia","family":"Catala","sequence":"first","affiliation":[{"name":"Department\u00a0of Psychology, Rey Juan Carlos University, Alcorc\u00f3n (Madrid), Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Suso-Ribera","sequence":"additional","affiliation":[{"name":"Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castell\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorena","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Department\u00a0of Psychology, Rey Juan Carlos University, Alcorc\u00f3n (Madrid), Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soledad","family":"Perez","sequence":"additional","affiliation":[{"name":"Department\u00a0of Psychology, Rey Juan Carlos University, Alcorc\u00f3n (Madrid), Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Lopez-Roig","sequence":"additional","affiliation":[{"name":"Department\u00a0of Behavioral Sciences and Health, Miguel Hernandez University, Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[{"name":"Department\u00a0of Psychology, Rey Juan Carlos University, Alcorc\u00f3n (Madrid), Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"issue":"9","key":"2021080708522365800_pnab073-B1","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/AJP.0000000000000354","article-title":"Fibromyalgia and chronic pain syndromes: A white paper detailing current challenges in the field","volume":"32","author":"Arnold","year":"2016","journal-title":"Clin J Pain"},{"issue":"15","key":"2021080708522365800_pnab073-B2","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1001\/jama.2014.3266","article-title":"Fibromyalgia: A clinical review","volume":"311","author":"Clauw","year":"2014","journal-title":"JAMA"},{"issue":"9","key":"2021080708522365800_pnab073-B3","doi-asserted-by":"crossref","first-page":"e0138024","DOI":"10.1371\/journal.pone.0138024","article-title":"The prevalence and characteristics of fibromyalgia in the 2012 National Health Interview Survey","volume":"10","author":"Walitt","year":"2015","journal-title":"PLoS One"},{"issue":"234","key":"2021080708522365800_pnab073-B4","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4321\/S0465-546X2014000100011","article-title":"Impacto del dolor en la incapacidad laboral: Metodolog\u00eda de valoraci\u00f3n. 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