{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:50:56Z","timestamp":1787957456384,"version":"build-2784847793"},"reference-count":57,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p>Although fibromyalgia syndrome (FM) is considered a heterogeneous condition, there is no generally accepted subgroup typology. We used hierarchical cluster analysis and latent profile analysis to replicate Giesecke\u2019s classification in Spanish FM patients. The second aim was to examine whether the subgroups differed in sociodemographic characteristics, functional status, quality of life, and in direct and indirect costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p>A total of 160 FM patients completed the following measures for cluster derivation: the Center for Epidemiological Studies-Depression Scale, the Trait Anxiety Inventory, the Pain Catastrophizing Scale, and the Control over Pain subscale. Pain threshold was measured with a sphygmomanometer. In addition, the Fibromyalgia Impact Questionnaire-Revised, the EuroQoL-5D-3L, and the Client Service Receipt Inventory were administered for cluster validation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Two distinct clusters were identified using hierarchical cluster analysis (\u201chypersensitive\u201d group, 69.8% and \u201cfunctional\u201d group, 30.2%). In contrast, the latent profile analysis goodness-of-fit indices supported the existence of 3 FM patient profiles: (1) a \u201cfunctional\u201d profile (28.1%) defined as moderate tenderness, distress, and pain catastrophizing; (2) a \u201cdysfunctional\u201d profile (45.6%) defined by elevated tenderness, distress, and pain catastrophizing; and (3) a \u201chighly dysfunctional and distressed\u201d profile (26.3%) characterized by elevated tenderness and extremely high distress and catastrophizing. We did not find significant differences in sociodemographic characteristics between the 2 clusters or among the 3 profiles. The functional profile was associated with less impairment, greater quality of life, and lower health care costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p>We identified 3 distinct profiles which accounted for the heterogeneity of FM patients. Our findings might help to design tailored interventions for FM patients.<\/jats:p><\/jats:sec>","DOI":"10.1097\/ajp.0000000000000336","type":"journal-article","created":{"date-parts":[[2015,12,3]],"date-time":"2015-12-03T13:43:56Z","timestamp":1449150236000},"page":"829-840","source":"Crossref","is-referenced-by-count":40,"title":["Functional Status, Quality of Life, and Costs Associated With Fibromyalgia Subgroups"],"prefix":"10.1097","volume":"32","author":[{"given":"Juan V.","family":"Luciano","sequence":"first","affiliation":[{"name":"Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de D\u00e9u"},{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos G.","family":"Forero","sequence":"additional","affiliation":[{"name":"Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute)"},{"name":"Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP, ISCIII, Madrid, Spain)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Cerd\u00e0-Lafont","sequence":"additional","affiliation":[{"name":"Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de D\u00e9u"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Teresa","family":"Pe\u00f1arrubia-Mar\u00eda","sequence":"additional","affiliation":[{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"},{"name":"Primary Health Centre Bartomeu Fabr\u00e9s Anglada, SAP Delta Litoral, DAP Costa de Ponent, Institut Catal\u00e0 de la Salut, Gav\u00e0"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Fern\u00e1ndez-Vergel","sequence":"additional","affiliation":[{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"},{"name":"Primary Health Centre Bartomeu Fabr\u00e9s Anglada, SAP Delta Litoral, DAP Costa de Ponent, Institut Catal\u00e0 de la Salut, Gav\u00e0"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio I.","family":"Cuesta-Vargas","sequence":"additional","affiliation":[{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"},{"name":"Department of Psychiatry and Physiotherapy, Faculty of Medicine, Malaga University, Malaga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M.","family":"Ru\u00edz","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital de Viladecans, Institut Catal\u00e0 de la Salut, Viladecans, Barcelona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoni","family":"Rozadilla-Sacanell","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Parc Sanitari Sant Joan de D\u00e9u, Sant Boi de Llobregat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Sirvent-Alierta","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Parc Sanitari Sant Joan de D\u00e9u, Sant Boi de Llobregat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"Santo-Panero","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Parc Sanitari Sant Joan de D\u00e9u, Sant Boi de Llobregat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Garc\u00eda-Campayo","sequence":"additional","affiliation":[{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"},{"name":"Department of Psychiatry, Miguel Servet Hospital, Aragon Institute of Health Sciences (I+CS), Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoni","family":"Serrano-Blanco","sequence":"additional","affiliation":[{"name":"Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de D\u00e9u"},{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adri\u00e1n","family":"P\u00e9rez-Aranda","sequence":"additional","affiliation":[{"name":"Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de D\u00e9u"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Rubio-Valera","sequence":"additional","affiliation":[{"name":"Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de D\u00e9u"},{"name":"Primary Care Prevention and Health Promotion Research Network (RedIAPP, ISCIII)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230827","doi-asserted-by":"crossref","first-page":"15022","DOI":"10.1038\/nrdp.2015.22","article-title":"Fibromyalgia","volume":"1","author":"H\u00e4user","year":"2015","journal-title":"Nat Rev Dis Primers"},{"key":"R2-20230827","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/art.1780330203","article-title":"The American College of Rheumatology 1990 Criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee","volume":"33","author":"Wolfe","year":"1990","journal-title":"Arthritis Rheum"},{"key":"R3-20230827","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe","year":"2010","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"R4-20230827","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1007\/s11916-013-0356-5","article-title":"Worldwide epidemiology of fibromyalgia","volume":"17","author":"Queiroz","year":"2013","journal-title":"Curr Pain Headache Rep"},{"key":"R5-20230827","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.semarthrit.2008.12.003","article-title":"Prevalence of fibromyalgia: a survey in five European countries","volume":"39","author":"Branco","year":"2010","journal-title":"Semin Arthritis Rheum"},{"key":"R6-20230827","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.mayocp.2012.02.010","article-title":"A framework for fibromyalgia management for primary care providers","volume":"87","author":"Arnold","year":"2012","journal-title":"Mayo Clin Proc"},{"key":"R7-20230827","doi-asserted-by":"crossref","first-page":"537","DOI":"10.2147\/nedt.2006.2.4.537","article-title":"Antidepressants in the treatment of fibromyalgia","volume":"2","author":"Moret","year":"2006","journal-title":"Neuropsychiatr Dis Treat"},{"key":"R8-20230827","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1111\/j.1742-1241.2007.01480.x","article-title":"Characteristics and healthcare costs of patients with fibromyalgia syndrome","volume":"61","author":"Berger","year":"2007","journal-title":"Int J Clin Pract"},{"key":"R10-20230827","doi-asserted-by":"crossref","first-page":"250","DOI":"10.4081\/reumatismo.2012.250","article-title":"Identification of subgroups among fibromyalgia patients","volume":"64","author":"Auvinet","year":"2012","journal-title":"Reumatismo"},{"key":"R11-20230827","first-page":"1255","article-title":"Pain, disability, and physical functioning in subgroups of patients with fibromyalgia","volume":"23","author":"Turk","year":"1996","journal-title":"J Rheumatol"},{"key":"R12-20230827","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1097\/01.psy.0000146329.63158.40","article-title":"Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables","volume":"66","author":"Thieme","year":"2004","journal-title":"Psychosom Med"},{"key":"R13-20230827","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1155\/2009\/137901","article-title":"Does classification of persons with fibromyalgia into Multidimensional Pain Inventory subgroups detect differences in outcome after a standard chronic pain management program?","volume":"14","author":"Verra","year":"2009","journal-title":"Pain Res Manag"},{"key":"R14-20230827","doi-asserted-by":"crossref","first-page":"2916","DOI":"10.1002\/art.11272","article-title":"Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors","volume":"48","author":"Giesecke","year":"2003","journal-title":"Arthritis Rheum"},{"key":"R15-20230827","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1007\/s00296-007-0403-9","article-title":"The classification of fibromyalgia syndrome","volume":"27","author":"M\u00fcller","year":"2007","journal-title":"Rheumatol Int"},{"key":"R16-20230827","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s10067-008-0874-4","article-title":"Use of the Short-Form-36 Health Survey to detect a subgroup of fibromyalgia patients with psychological dysfunction","volume":"27","author":"Oswald","year":"2008","journal-title":"Clin Rheumatol"},{"key":"R17-20230827","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s00296-008-0722-5","article-title":"Fibromyalgia subgroups: profiling distinct subgroups using the Fibromyalgia Impact Questionnaire. A preliminary study","volume":"29","author":"De Souza","year":"2009","journal-title":"Rheumatol Int"},{"key":"R18-20230827","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1007\/s00296-010-1521-3","article-title":"Subgrouping patients with fibromyalgia according to the results of the Fibromyalgia Impact Questionnaire: a replication study","volume":"31","author":"Calandre","year":"2011","journal-title":"Rheumatol Int"},{"key":"R19-20230827","first-page":"273","article-title":"Subtypes of patients with fibromyalgia, psychopathological characteristics and quality of life","volume":"39","author":"Keller","year":"2011","journal-title":"Actas Esp Psiquiatr"},{"key":"R20-20230827","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1007\/s00296-014-3007-1","article-title":"Profiles in fibromyalgia: algometry, auditory evoked potentials and clinical characterization of different subtypes","volume":"34","author":"Tri\u00f1anes","year":"2014","journal-title":"Rheumatol Int"},{"key":"R21-20230827","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1002\/art.24163","article-title":"Toward the identification of symptom patterns in people with fibromyalgia","volume":"61","author":"Wilson","year":"2009","journal-title":"Arthritis Rheum"},{"key":"R22-20230827","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1093\/rheumatology\/keq066","article-title":"A cross-sectional survey of 3035 patients with fibromyalgia: subgroups of patients with typical comorbidities and sensory symptom profiles","volume":"49","author":"Rehm","year":"2010","journal-title":"Rheumatology (Oxford)"},{"key":"R23-20230827","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s10067-011-1912-1","article-title":"Delineating psychological and biomedical profiles in a heterogeneous fibromyalgia population using cluster analysis","volume":"31","author":"Loevinger","year":"2012","journal-title":"Clin Rheumatol"},{"key":"R24-20230827","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/j.genhosppsych.2013.07.014","article-title":"Personality does not distinguish people with fibromyalgia but identifies subgroups of patients","volume":"35","author":"Torres","year":"2013","journal-title":"Gen Hosp Psychiatry"},{"key":"R25-20230827","doi-asserted-by":"crossref","first-page":"e74873","DOI":"10.1371\/journal.pone.0074873","article-title":"Cluster analysis of clinical data identifies fibromyalgia subgroups","volume":"8","author":"Docampo","year":"2013","journal-title":"PLoS One"},{"key":"R26-20230827","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1186\/s13075-014-0463-7","article-title":"OMERACT-based fibromyalgia symptom subgroups: an exploratory cluster analysis","volume":"16","author":"Vincent","year":"2014","journal-title":"Arthritis Res Ther"},{"key":"R27-20230827","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jpain.2014.11.009","article-title":"The relationship among psychological and psychophysiological characteristics of fibromyalgia patients","volume":"16","author":"Thieme","year":"2015","journal-title":"J Pain"},{"issue":"suppl 1","key":"R28-20230827","first-page":"15","article-title":"Are there subgroups in fibromyalgia?","volume":"3","author":"Stratz","year":"1995","journal-title":"J Musculoskel Pain"},{"key":"R29-20230827","first-page":"108","article-title":"Interdisciplinary consensus document for the treatment of fibromyalgia","volume":"38","author":"De Miguel","year":"2010","journal-title":"Actas Esp Psiquiatr"},{"key":"R30-20230827","doi-asserted-by":"crossref","first-page":"81","DOI":"10.2333\/bhmk.29.81","article-title":"Beyond SEM: general latent variable modeling","volume":"29","author":"Muth\u00e9n","year":"2002","journal-title":"Behaviormetrika"},{"key":"R31-20230827","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1097\/01.rhu.0000249770.86652.3b","article-title":"Sphygmomanometry-evoked allodynia\u2014a simple bedside test indicative of fibromyalgia: a multicenter developmental study","volume":"12","author":"Vargas","year":"2006","journal-title":"J Clin Rheumatol"},{"key":"R33-20230827","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/014662167700100306","article-title":"The CES-D scale: a self-report depression scale for research in the general population","volume":"1","author":"Radloff","year":"1977","journal-title":"Appl Psychol Meas"},{"key":"R34-20230827","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.psychres.2006.03.004","article-title":"An adaptation of the Center for Epidemiologic Studies Depression Scale for use in non-psychiatric Spanish populations","volume":"149","author":"V\u00e1zquez","year":"2007","journal-title":"Psychiatry Res"},{"issue":"suppl 11","key":"R35-20230827","doi-asserted-by":"crossref","first-page":"S454","DOI":"10.1002\/acr.20556","article-title":"Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9)","volume":"638","author":"Smarr","year":"2011","journal-title":"Arthritis Care Res"},{"key":"R36-20230827","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/1040-3590.7.4.524","article-title":"The Pain Catastrophizing Scale: development and validation","volume":"7","author":"Sullivan","year":"1995","journal-title":"Psychol Assess"},{"key":"R37-20230827","first-page":"487","article-title":"Validation of the Spanish version of the Pain Catastrophizing Scale in fibromyalgia","volume":"131","author":"Garc\u00eda-Campayo","year":"2008","journal-title":"Med Clin"},{"key":"R39-20230827","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/0304-3959(83)90125-2","article-title":"The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment","volume":"17","author":"Rosenstiel","year":"1983","journal-title":"Pain"},{"key":"R40-20230827","first-page":"82","article-title":"Assessment of chronic pain coping strategies","volume":"32","author":"Rodr\u00edguez-Franco","year":"2004","journal-title":"Actas Esp Psiquiatr"},{"key":"R41-20230827","doi-asserted-by":"crossref","first-page":"R120","DOI":"10.1186\/ar2783","article-title":"The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties","volume":"11","author":"Bennett","year":"2009","journal-title":"Arthritis Res Ther"},{"key":"R42-20230827","doi-asserted-by":"crossref","first-page":"1682","DOI":"10.1002\/acr.22034","article-title":"Dimensionality, reliability, and validity of the revised Fibromyalgia Impact Questionnaire in two Spanish samples","volume":"65","author":"Luciano","year":"2013","journal-title":"Arthritis Care Res"},{"key":"R43-20230827","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1023\/A:1008894502042","article-title":"Using the EuroQoI 5-D in the Catalan general population: feasibility and construct validity","volume":"7","author":"Badia","year":"1998","journal-title":"Qual Life Res"},{"issue":"suppl 1","key":"R44-20230827","first-page":"79","article-title":"The Spanish version of EuroQol: a description and its applications. European Quality of Life scale","volume":"112","author":"Badia","year":"1999","journal-title":"Med Clin"},{"key":"R45-20230827","first-page":"171","article-title":"Spanish version of the CSRI: a mental health cost evaluation interview","volume":"60","author":"V\u00e1zquez-Barquero","year":"1997","journal-title":"Arch Neurobiol (Madr)"},{"key":"R46-20230827","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1093\/fampra\/cmi027","article-title":"A comparison of two methods of collecting economic data in primary care","volume":"22","author":"Patel","year":"2005","journal-title":"Family Pract"},{"key":"R47-20230827","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jpainsymman.2005.05.015","article-title":"Symptom cluster research: conceptual, design, measurement, and analysis issues","volume":"31","author":"Barsevick","year":"2006","journal-title":"J Pain Symptom Manage"},{"key":"R48-20230827","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1080\/10705510701575396","article-title":"Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study","volume":"14","author":"Nylund","year":"2007","journal-title":"Struct Equ Modeling"},{"key":"R51-20230827","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1002\/art.21865","article-title":"Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases","volume":"55","author":"Edwards","year":"2006","journal-title":"Arthritis Rheum"},{"key":"R52-20230827","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1586\/ern.09.34","article-title":"Pain catastrophizing: a critical review","volume":"9","author":"Quartana","year":"2009","journal-title":"Expert Rev Neurother"},{"key":"R53-20230827","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/NNR.0b013e318259b6cc","article-title":"Sphygmomanometry-evoked allodynia in chronic pain patients with and without fibromyalgia","volume":"61","author":"Chandran","year":"2012","journal-title":"Nurs Res"},{"key":"R54-20230827","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1016\/j.pain.2014.09.004","article-title":"Efficacy of memantine in the treatment of fibromyalgia: a double-blind, randomised, controlled trial with 6-month follow-up","volume":"155","author":"Olivan-Bl\u00e1zquez","year":"2014","journal-title":"Pain"},{"key":"R55-20230827","doi-asserted-by":"crossref","first-page":"2365","DOI":"10.1007\/s00296-013-2725-0","article-title":"Preliminary investigation of absent nociceptive flexion reflex responses among more symptomatic women with fibromyalgia syndrome","volume":"33","author":"Umeda","year":"2013","journal-title":"Rheumatol Int"},{"key":"R56-20230827","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/AJP.0b013e318183cfa4","article-title":"The deficit of pain inhibition in fibromyalgia is more pronounced in patients with comorbid depressive symptoms","volume":"25","author":"De Souza","year":"2009","journal-title":"Clin J Pain"},{"key":"R58-20230827","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1080\/10705511.2013.824781","article-title":"Statistical power to detect the correct number of classes in latent profile analysis","volume":"20","author":"Tein","year":"2013","journal-title":"Struct Equ Modeling"},{"key":"R59-20230827","doi-asserted-by":"crossref","first-page":"1090","DOI":"10.1016\/j.csda.2004.11.004","article-title":"Evaluating latent class analysis models in qualitative phenotype identification","volume":"50","author":"Yang","year":"2006","journal-title":"Comput Stat Data Anal"},{"key":"R60-20230827","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s13142-011-0107-2","article-title":"Meeting them where they are: using the Internet to deliver behavioral medicine interventions for pain","volume":"2","author":"Rini","year":"2012","journal-title":"Transl Behav Med"},{"key":"R61-20230827","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.brat.2013.02.010","article-title":"Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial","volume":"51","author":"Buhrman","year":"2013","journal-title":"Behav Res Ther"},{"key":"R62-20230827","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1186\/s13075-014-0451-y","article-title":"Cost-utility of cognitive behavioral therapy versus US Food and Drug Administration recommended drugs and usual care in the treatment of patients with fibromyalgia: an economic evaluation alongside a 6-month randomized controlled trial","volume":"16","author":"Luciano","year":"2014","journal-title":"Arthritis Res Ther"},{"key":"R63-20230827","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.pain.2013.12.029","article-title":"Effectiveness of group acceptance and commitment therapy for fibromyalgia: a 6-month randomized controlled trial (EFFIGACT study)","volume":"155","author":"Luciano","year":"2014","journal-title":"Pain"}],"container-title":["The Clinical Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00002508-201610000-00001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T17:06:21Z","timestamp":1748711181000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00002508-201610000-00001"}},"subtitle":["A Latent Profile Analysis"],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":57,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/ajp.0000000000000336","relation":{},"ISSN":["0749-8047"],"issn-type":[{"value":"0749-8047","type":"print"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}