{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:03:05Z","timestamp":1770814985050,"version":"3.50.1"},"reference-count":76,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Psychosom Med"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>Previous research revealed aberrances in autonomic cardiovascular regulation in fibromyalgia, which may be relevant to symptoms genesis and the increased risk of cardiovascular disorders in individuals with fibromyalgia. This study investigated the role of comorbid depression in autonomic cardiovascular dysregulations in fibromyalgia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Cardiovascular recordings were obtained in 53 participants with fibromyalgia who also had depression (<jats:italic toggle=\"yes\">n<\/jats:italic> = 27), in participants with fibromyalgia without depression (<jats:italic toggle=\"yes\">n<\/jats:italic> = 26), and in 29 healthy controls, at rest and during a cold pressor test and an arithmetic task. Assessed parameters included interbeat interval, blood pressure, heart rate variability, baroreflex sensitivity, stroke volume, preejection period, left ventricular ejection time, Heather index, and total peripheral resistance.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Participants with both fibromyalgia and depression displayed lower tonic interbeat interval, baroreflex sensitivity, and heart rate variability compared with participants with fibromyalgia without depression and controls (<jats:italic toggle=\"yes\">p<\/jats:italic> values &lt; .012, <jats:italic toggle=\"yes\">d<\/jats:italic> values = 0.71\u20131.06). Participants with fibromyalgia but without depression did not differ from controls in these variables. Moreover, participants with fibromyalgia who also had depression, but not those without depression, exhibited lower Heather index, stroke volume, and left ventricular ejection time compared with controls (<jats:italic toggle=\"yes\">p<\/jats:italic> values <jats:italic toggle=\"yes\">&lt;<\/jats:italic> .013, <jats:italic toggle=\"yes\">d<\/jats:italic> values = 0.62\u20130.78). No group differences arose for preejection period or total peripheral resistance. Stress reactivity was reduced in participants with fibromyalgia, independently of depression, for diastolic blood pressure, interbeat interval, left ventricular ejection time, and heart rate variability, than in controls.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The role of depression in the autonomic dysregulation in fibromyalgia involves chronotropic cardiac control rather than adrenergic influences on contractility and vascular tone. Blunted cardiovascular reactivity may be ascribable to pathological factors inherent to fibromyalgia. These results underline the importance of diagnostics and treatment of comorbid depressive disorders in the management of fibromyalgia.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/psy.0000000000001097","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T09:09:27Z","timestamp":1657098567000},"page":"793-802","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["The Role of Depressive Disorders in Autonomic Cardiovascular Dysregulation in Fibromyalgia"],"prefix":"10.1097","volume":"84","author":[{"given":"Gustavo A.","family":"Reyes del Paso","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana M.","family":"Contreras-Merino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Duschek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"bib1-20250812","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","volume":"33","year":"1990","journal-title":"Arthritis Rheumatol"},{"key":"bib2-20250812","first-page":"90","article-title":"Fibromyalgia syndrome: under-, over- and misdiagnosis","volume":"37","year":"2019","journal-title":"Clin Exp Rheumatol"},{"key":"bib3-20250812","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.rbr.2016.10.004","article-title":"Prevalence of fibromyalgia: literature review update","volume":"57","year":"2017","journal-title":"Rev Bras Reumatol"},{"key":"bib4-20250812","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.pec.2008.06.005","article-title":"Patient perspectives on the impact of fibromyalgia","volume":"73","year":"2008","journal-title":"Patient Educ Couns"},{"key":"bib5-20250812","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/j.jad.2020.01.129","article-title":"Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia","volume":"265","year":"2020","journal-title":"J Affect Disord"},{"key":"bib6-20250812","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2147\/PRBM.S178240","article-title":"Psychological impact of fibromyalgia: current perspectives","volume":"12","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"bib7-20250812","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jad.2018.12.001","article-title":"Prevalence of depressive disorder among patients with fibromyalgia: systematic review and meta-analysis","volume":"245","year":"2019","journal-title":"J Affect Disord"},{"key":"bib8-20250812","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.semarthrit.2020.10.006","article-title":"The prevalence of psychiatric and chronic pain comorbidities in fibromyalgia: an ACTTION systematic review","volume":"51","year":"2021","journal-title":"Semin Arthritis Rheum"},{"key":"bib9-20250812","doi-asserted-by":"crossref","first-page":"5291","DOI":"10.2741\/3598","article-title":"Neurobiology of depression, fibromyalgia and neuropathic pain","volume":"14","year":"2009","journal-title":"Front Biosci"},{"key":"bib10-20250812","doi-asserted-by":"crossref","first-page":"151","DOI":"10.3109\/03009742.2015.1055299","article-title":"Fibromyalgia beyond reductionism. Heart rhythm fractal analysis to assess autonomic nervous system resilience","volume":"45","year":"2016","journal-title":"Scand J Rheumatol"},{"key":"bib11-20250812","doi-asserted-by":"crossref","first-page":"e0241154","DOI":"10.1371\/journal.pone.0241154","article-title":"Reduced activity, reactivity and functionality of the sympathetic nervous system in fibromyalgia: an electrodermal study","volume":"15","year":"2020","journal-title":"PLoS One"},{"key":"bib12-20250812","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.jpsychores.2006.07.004","article-title":"Psychophysiological responses in patients with fibromyalgia syndrome","volume":"61","year":"2006","journal-title":"J Psychosom Res"},{"key":"bib13-20250812","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/PSY.0b013e3181da91f1","article-title":"Aberrances in autonomic cardiovascular regulation in fibromyalgia syndrome and their relevance for clinical pain reports","volume":"72","year":"2010","journal-title":"Psychosom Med"},{"key":"bib14-20250812","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jpsychores.2010.09.012","article-title":"Autonomic cardiovascular control and responses to experimental pain stimulation in fibromyalgia syndrome","volume":"70","year":"2011","journal-title":"J Psychosom Res"},{"key":"bib15-20250812","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1097\/PSY.0b013e3182676d08","article-title":"Cerebral blood flow dynamics during pain processing in patients with fibromyalgia syndrome","volume":"74","year":"2012","journal-title":"Psychosom Med"},{"key":"bib16-20250812","doi-asserted-by":"crossref","first-page":"e0204267","DOI":"10.1371\/journal.pone.0204267","article-title":"Cerebral blood flow variability in fibromyalgia syndrome: relationships with emotional, clinical and functional variables","volume":"13","year":"2018","journal-title":"PLoS One"},{"key":"bib17-20250812","doi-asserted-by":"crossref","first-page":"e13800","DOI":"10.1111\/psyp.13800","article-title":"The cardiac, vasomotor, and myocardial branches of the baroreflex in fibromyalgia: associations with pain, affective impairments, sleep problems, and fatigue","volume":"58","year":"2021","journal-title":"Psychophysiology"},{"key":"bib18-20250812","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1016\/j.pain.2013.12.023","article-title":"The role of cardiovascular activity in fibromyalgia and conditioned pain modulation","volume":"155","year":"2014","journal-title":"Pain"},{"key":"bib19-20250812","first-page":"1787","article-title":"Abnormalities of cardiovascular neural control and reduced orthostatic tolerance in patients with primary fibromyalgia","volume":"32","year":"2005","journal-title":"J Rheumatol"},{"key":"bib20-20250812","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1152\/ajpregu.00012.2015","article-title":"Cardiovascular control in women with fibromyalgia syndrome: do causal methods provide nonredundant information compared with more traditional approaches?","volume":"309","year":"2015","journal-title":"Am J Physiol Regul Integr Comp Physiol"},{"key":"bib21-20250812","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.neubiorev.2004.06.004","article-title":"Interactions between the cardiovascular and pain regulatory systems: an updated review of mechanisms and possible alterations in chronic pain","volume":"28","year":"2004","journal-title":"Neurosci Biobehav R"},{"key":"bib22-20250812","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","year":"2015","journal-title":"J Pain"},{"key":"bib23-20250812","first-page":"R9","article-title":"Heterogeneity of psychophysiological stress responses in fibromyalgia syndrome patients","volume":"8","year":"2006","journal-title":"Arthritis Res Ther"},{"key":"bib24-20250812","doi-asserted-by":"crossref","first-page":"e13628","DOI":"10.1111\/psyp.13628","article-title":"Features of autonomic cardiovascular control during cognition in major depressive disorder","volume":"58","year":"2021","journal-title":"Psychophysiology"},{"key":"bib25-20250812","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1080\/15622975.2017.1294765","article-title":"Effects of depression and melatonergic antidepressant treatment alone and in combination with sedative-hypnotics on heart rate variability: implications for cardiovascular risk","volume":"19","year":"2018","journal-title":"World J Biol Psychiatry"},{"key":"bib26-20250812","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1016\/j.jad.2020.12.136","article-title":"Short-term cerebral blood flow variability in major depressive disorder","volume":"282","year":"2021","journal-title":"J Affect Disord"},{"key":"bib27-20250812","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.bandc.2017.08.003","article-title":"Executive function and cardiac autonomic regulation in depressive disorders","volume":"118","year":"2017","journal-title":"Brain Cogn"},{"key":"bib28-20250812","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.1017\/S0033291719001351","article-title":"A meta-analysis of heart rate variability in major depression","volume":"49","year":"2019","journal-title":"Psychol Med"},{"key":"bib29-20250812","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.pnpbp.2017.07.009","article-title":"Differences of sympathetic and parasympathetic modulation in major depression","volume":"79","year":"2017","journal-title":"Prog Neuropsychopharmacol Biol Psychiatry"},{"key":"bib30-20250812","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.ijpsycho.2015.04.014","article-title":"Reduced emotional and cardiovascular reactivity to emotionally evocative stimuli in major depressive disorder","volume":"97","year":"2015","journal-title":"Int J Psychophysiol"},{"key":"bib31-20250812","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1037\/a0013001","article-title":"Major depressive disorder is associated with attenuated cardiovascular reactivity and impaired recovery among those free of cardiovascular disease","volume":"28","year":"2009","journal-title":"Health Psychol"},{"key":"bib32-20250812","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1017\/S0033291718001988","article-title":"Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review","volume":"49","year":"2019","journal-title":"Psychol Med"},{"key":"bib33-20250812","article-title":"Cardiovascular variability and reactivity in major depressive disorder [published online February 23, 2021]","journal-title":"J Psychophysiol"},{"key":"bib34-20250812","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1097\/PSY.0000000000000702","article-title":"The predictive value of depression in the years after heart transplantation for mortality during long-term follow-up","volume":"81","year":"2019","journal-title":"Psychosom Med"},{"key":"bib35-20250812","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/PSY.0000000000000667","article-title":"Evaluating longitudinal associations between depressive symptoms, smoking, and biomarkers of cardiovascular disease in the CARDIA study","volume":"81","year":"2019","journal-title":"Psychosom Med"},{"key":"bib36-20250812","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1097\/PSY.0b013e3181eadd2b","article-title":"Autonomic nervous system dysfunction and inflammation contribute to the increased cardiovascular mortality risk associated with depression","volume":"72","year":"2010","journal-title":"Psychosom Med"},{"key":"bib39-20250812","first-page":"145","article-title":"The development of a Spanish questionnaire for assessing pain: preliminary data concerning reliability and validity","volume":"10","year":"1994","journal-title":"Eur J Psychol Assess"},{"key":"bib40-20250812","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/S0304-3959(99)00300-0","article-title":"Some empirical evidence regarding the validity of the Spanish version of the McGill Pain Questionnaire (MPQ-SV)","volume":"85","year":"2000","journal-title":"Pain"},{"key":"bib42-20250812","first-page":"59","article-title":"Fiabilidad y validez de la versi\u00f3n espa\u00f1ola del Inventario para la Depresi\u00f3n de Beck de 1978 en pacientes con trastornos psicol\u00f3gicos","volume":"10","year":"1999","journal-title":"Clin Salud"},{"key":"bib43-20250812","first-page":"107","article-title":"Propiedades psicom\u00e9tricas del cuestionario Oviedo de Sue\u00f1o","volume":"12","year":"2000","journal-title":"Psicothema"},{"key":"bib45-20250812","doi-asserted-by":"crossref","first-page":"104","DOI":"10.2117\/psysoc.1957.104","article-title":"Development of the Uchida-Kraepelin psychodiagnostic test in Japan","volume":"1","year":"1957","journal-title":"Psychologia"},{"key":"bib46-20250812","first-page":"142","article-title":"Physical training and the dynamics of the cardiac baroreflex: a comparison when blood pressure rises and falls","volume":"763","year":"2010","journal-title":"Int J Psychophysiol"},{"key":"bib47-20250812","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1002\/j.1532-2149.2011.00032.x","article-title":"Cognitive impairment in fibromyalgia syndrome: the impact of cardiovascular regulation, pain, emotional disorders and medication","volume":"16","year":"2012","journal-title":"Eur J Pain"},{"key":"bib48-20250812","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1469-8986.2006.00377.x","article-title":"Reduced baroreflex cardiac sensitivity predicts increased cognitive performance","volume":"43","year":"2006","journal-title":"Psychophysiology"},{"key":"bib49-20250812","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1469-8986.2011.01276.x","article-title":"Relationships between baroreceptor cardiac reflex sensitivity and cognitive performance: modulations by gender and blood pressure","volume":"49","year":"2012","journal-title":"Psychophysiology"},{"key":"bib50-20250812","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1109\/10.341836","article-title":"An advanced signal processing technique for impedance cardiography","volume":"42","year":"1995","journal-title":"IEEE Trans Biomed Eng"},{"key":"bib53-20250812","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.cmpb.2004.03.004","article-title":"Software for advanced HRV analysis","volume":"76","year":"2004","journal-title":"Comput Methods Programs Biomed"},{"key":"bib54-20250812","doi-asserted-by":"crossref","first-page":"62","DOI":"10.3758\/BF03204567","article-title":"A program to assess baroreceptor cardiac reflex function","volume":"26","year":"1994","journal-title":"Behav Res Methods"},{"key":"bib55-20250812","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1111\/psyp.12027","article-title":"The utility of low frequency heart rate variability as an index of sympathetic cardiac tone: a review with emphasis on a reanalysis of previous studies","volume":"50","year":"2013","journal-title":"Psychophysiology"},{"key":"bib57-20250812","first-page":"65","article-title":"A simple sequential rejective multiple test procedure","volume":"6","year":"1979","journal-title":"Scand J Stat"},{"key":"bib58-20250812","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1111\/psyp.12136","article-title":"The behavioral impact of baroreflex function: a review","volume":"50","year":"2013","journal-title":"Psychophysiology"},{"key":"bib59-20250812","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1177\/1359105317736577","article-title":"Somatic symptom presentations in women with fibromyalgia are differentially associated with elevated depression and anxiety","volume":"25","year":"2020","journal-title":"J Health Psychol"},{"key":"bib60-20250812","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ijpsycho.2022.03.001","article-title":"Blunted short-term autonomic cardiovascular reactivity to orthostatic and clinostatic challenges in fibromyalgia as an indicator of the severity of chronic pain","volume":"175","year":"2022","journal-title":"Int J Psychophysiol"},{"key":"bib61-20250812","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1111\/j.1469-8986.1997.tb02397.x","article-title":"Cardiovascular and neuroendocrine adjustment to public speaking and mental arithmetic stressors","volume":"34","year":"1997","journal-title":"Psychophysiology"},{"key":"bib62-20250812","first-page":"261","article-title":"Physiological activity during a prolonged mental stress task: evidence for a shift in the control of pressor reactions","volume":"4","year":"1990","journal-title":"J Psychophysiol"},{"key":"bib63-20250812","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1111\/j.1469-8986.2004.00245.x","article-title":"Cardiovascular reactivity and adaptation to recurrent psychological stress: replication and extension","volume":"41","year":"2004","journal-title":"Psychophysiology"},{"key":"bib64-20250812","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.biopsych.2010.06.032","article-title":"Longitudinal evidence for unfavorable effects of antidepressants on heart rate variability","volume":"68","year":"2010","journal-title":"Biol Psychiatry"},{"key":"bib65-20250812","doi-asserted-by":"crossref","first-page":"2487","DOI":"10.1038\/npp.2012.107","article-title":"Effects of antidepressants, but not psychopathology, on cardiac sympathetic control: a longitudinal study","volume":"37","year":"2012","journal-title":"Neuropsychopharmacology"},{"key":"bib66-20250812","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.neubiorev.2008.08.004","article-title":"Claude Bernard and the heart-brain connection: further elaboration of a model of neurovisceral integration","volume":"33","year":"2009","journal-title":"Neurosci Biobehav Rev"},{"key":"bib67-20250812","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1037\/1089-2680.10.3.229","article-title":"Heart rate variability as an index of regulated emotional responding","volume":"10","year":"2006","journal-title":"Rev Gen Psychol"},{"key":"bib68-20250812","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.neubiorev.2011.11.009","article-title":"A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health","volume":"36","year":"2012","journal-title":"Neurosci Biobehav Rev"},{"key":"bib69-20250812","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.jad.2018.05.011","article-title":"Cerebral blood flow modulations during cognitive control in major depression","volume":"237","year":"2018","journal-title":"J Affect Disord"},{"key":"bib70-20250812","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.ijpsycho.2018.07.003","article-title":"Cerebral blood flow modulations during proactive control in major depressive disorder","volume":"133","year":"2018","journal-title":"Int J Psychophysiol"},{"key":"bib71-20250812","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.neures.2011.01.001","article-title":"A multi-channel near-infrared spectroscopy study of prefrontal cortex activation during working memory task in major depressive disorder","volume":"70","year":"2011","journal-title":"J Neurosci Res"},{"key":"bib72-20250812","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.archger.2014.07.003","article-title":"Depressive symptoms in older adults are associated with decreased cerebral oxygenation of the prefrontal cortex during a trail-making test","volume":"59","year":"2014","journal-title":"Arch Gerontol Geriatr"},{"key":"bib73-20250812","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ejpain.2008.02.007","article-title":"Increased sensitivity to heat pain in chronic low blood pressure","volume":"13","year":"2009","journal-title":"Eur J Pain"},{"key":"bib74-20250812","first-page":"463","article-title":"Blood pressure and risk of headache: a prospective study of 22,685 adults in Norway","volume":"72","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"bib75-20250812","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ijpsycho.2007.03.012","article-title":"Relationships between baroreceptor cardiac reflex sensitivity and pain experience","volume":"65","year":"2007","journal-title":"Int J Psychophysiol"},{"key":"bib76-20250812","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.pain.2004.12.032","article-title":"Widespread pain in fibromyalgia is related to a deficit of endogenous pain inhibition","volume":"114","year":"2005","journal-title":"Pain"},{"key":"bib77-20250812","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1136\/bmj.308.6926.446","article-title":"Low blood pressure and depression in older men: a population based study","volume":"308","year":"1994","journal-title":"BMJ"},{"key":"bib78-20250812","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.jpsychores.2016.12.008","article-title":"Affective impairment in chronic low blood pressure","volume":"93","year":"2017","journal-title":"J Psychosom Res"},{"key":"bib79-20250812","first-page":"403Y13","article-title":"Increased pain in fibromyalgia: effects of stimulus type and mode of presentation","volume":"105","year":"2003","journal-title":"Pain"},{"key":"bib80-20250812","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0010-440X(00)90140-8","article-title":"Anxiety disorders in major depression","volume":"41","year":"2000","journal-title":"Compr Psychiatry"},{"key":"bib81-20250812","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1002\/1520-6394(2000)12:1+<69::AID-DA9>3.0.CO;2-K","article-title":"Comorbidity of mood and anxiety disorders","volume":"12","year":"2000","journal-title":"Depress Anxiety"},{"key":"bib82-20250812","doi-asserted-by":"crossref","first-page":"R190","DOI":"10.1186\/ar3519","article-title":"Cardiac autonomic impairment and chronotropic incompetence in fibromyalgia","volume":"13","year":"2011","journal-title":"Arthritis Res Ther"},{"key":"bib83-20250812","first-page":"245","article-title":"Fibromyalgia has a high prevalence and impact in cardiac failure patients","volume":"4","year":"2017","journal-title":"Eur J Rheumatol"}],"container-title":["Psychosomatic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PSY.0000000000001097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T23:11:48Z","timestamp":1755040308000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PSY.0000000000001097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,22]]},"references-count":76,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/psy.0000000000001097","relation":{},"ISSN":["1534-7796","0033-3174"],"issn-type":[{"value":"1534-7796","type":"electronic"},{"value":"0033-3174","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6,22]]}}}