{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:40:29Z","timestamp":1791999629093,"version":"4.4.0"},"reference-count":64,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T00:00:00Z","timestamp":1571356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Obra Social de Caixabank"},{"name":"Spanish Ministry of Economy and Competitiveness","award":["PSI2015-70966-P"],"award-info":[{"award-number":["PSI2015-70966-P"]}]},{"name":"Spanish Ministry of Economy and Competitiveness","award":["PSI2016-82004-REDT"],"award-info":[{"award-number":["PSI2016-82004-REDT"]}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003741","name":"Instituci\u00f3 Catalana de Recerca i Estudis Avan\u00e7ats","doi-asserted-by":"publisher","award":["ICREA-Acad\u00e8mia"],"award-info":[{"award-number":["ICREA-Acad\u00e8mia"]}],"id":[{"id":"10.13039\/501100003741","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Beatriu de Pin\u00f3s Postdoctoral Fellowship","award":["2014 BP-A 00009"],"award-info":[{"award-number":["2014 BP-A 00009"]}]},{"name":"Administration of University and Research Grants"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study sought to determine if pre- to post-treatment changes in pain-related activity patterns (i.e., overdoing, avoidance, and pacing) were associated with pre- to post-treatment changes in function (i.e., pain interference, psychological function, and physical function) in patients with fibromyalgia syndrome who participated in either an operant learning\u2013 or an energy conservation\u2013based training in activity management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Sixty-nine patients with fibromyalgia syndrome participated in an activity management treatment (32 in an operant learning group and 37 in an energy conservation group). Outcomes were assessed at pre- and post-treatment, and patients provided demographic information and completed measures assessing pain intensity, pain interference, psychological function, physical function, and pain management activity patterns. Three linear hierarchical regression analyses predicting changes in pain outcomes from changes in pacing, overdoing, and avoidant activity patterns were performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Changes in pain-related activity patterns made significant contributions to the prediction of changes in patients\u2019 function. Specifically: (a) increases in overdoing predicted reductions in pain interference; (b) decreases in avoidance predicted improvements in psychological function; and (c) increases in pacing predicted improvements in physical function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study provides support for a role of activity management treatments in improved adjustment to chronic pain. Research is needed to replicate and extend these findings in order to build an empirical basis for developing more effective chronic pain treatments for facilitating improved physical and psychological function in individuals with chronic pain.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnz259","type":"journal-article","created":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T07:29:04Z","timestamp":1569482944000},"page":"e191-e200","source":"Crossref","is-referenced-by-count":8,"title":["Pain-Related Activity Management Patterns as Predictors of Treatment Outcomes in Patients with Fibromyalgia Syndrome"],"prefix":"10.1093","volume":"21","author":[{"given":"M\u00e9lanie","family":"Racine","sequence":"first","affiliation":[{"name":"Department of Clinical Neurological Sciences, Schulich School of Medicine & Dentistry, Western University , London, Ontario,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"S\u00e1nchez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Unit for the Study and Treatment of Pain\u2013ALGOS , Universitat Rovira i Virgili, Catalonia,","place":["Spain"]},{"name":"Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]},{"name":"Institut d\u2019Investigaci\u00f3n Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2517-6948","authenticated-orcid":false,"given":"Roc\u00edo","family":"de la Vega","sequence":"additional","affiliation":[{"name":"Unit for the Study and Treatment of Pain\u2013ALGOS , Universitat Rovira i Virgili, Catalonia,","place":["Spain"]},{"name":"Department of Rehabilitation Medicine, University of Washington , Seattle, Washington,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Gal\u00e1n","sequence":"additional","affiliation":[{"name":"Unit for the Study and Treatment of Pain\u2013ALGOS , Universitat Rovira i Virgili, Catalonia,","place":["Spain"]},{"name":"Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]},{"name":"Institut d\u2019Investigaci\u00f3n Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester","family":"Sol\u00e9","sequence":"additional","affiliation":[{"name":"Unit for the Study and Treatment of Pain\u2013ALGOS , Universitat Rovira i Virgili, Catalonia,","place":["Spain"]},{"name":"Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]},{"name":"Institut d\u2019Investigaci\u00f3n Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, University of Washington , Seattle, Washington,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Mir\u00f3","sequence":"additional","affiliation":[{"name":"Unit for the Study and Treatment of Pain\u2013ALGOS , Universitat Rovira i Virgili, Catalonia,","place":["Spain"]},{"name":"Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]},{"name":"Institut d\u2019Investigaci\u00f3n Sanit\u00e0ria Pere Virgili, Universitat Rovira i Virgili , Catalonia,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwight 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