{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:11:21Z","timestamp":1789017081765,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite the absence of official dietary guidelines for fibromyalgia, many patients adopt restrictive diets in an attempt to alleviate symptoms. Understanding their motivations and experiences is essential to inform patient\u2010centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study included 19 individuals with fibromyalgia who reported following restrictive diets. Data were collected through semi\u2010structured interviews and analyzed using phenomenological thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      An overarching theme,\n                      <jats:italic>\u201cFibromyalgia in the Fabric of Self\u201d<\/jats:italic>\n                      , captured how the condition shaped participants\u2019 identities, motivations, and eating behaviours. Three main themes emerged. (1)\n                      <jats:bold>Ambiguous relationship to diets<\/jats:bold>\n                      : fluctuating symptoms such as pain, fatigue, and digestive issues made the link between food and symptoms unclear. Food was perceived both as a potential trigger and as a remedy, generating tensions between pleasure, self\u2010control, and fear of adverse effects. (2)\n                      <jats:bold>Diet as a field of experimentation<\/jats:bold>\n                      : in the absence of clear medical guidance, participants conducted self\u2010directed dietary experiments, often with uncertain or placebo\u2010like outcomes. These approaches frequently extended beyond conventional medicine. (3)\n                      <jats:bold>Available and lacking resources<\/jats:bold>\n                      : gaps in medical support fostered mistrust, while peer communities provided crucial informational and emotional support, though sometimes with contradictory advice. Participants expressed a strong need for personalised nutritional guidance from professionals who validate their lived experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Restrictive diets in fibromyalgia reflect complex processes of self\u2010management and identity construction, often arising as responses to gaps in care. These findings emphasise the need for clinicians to consider restrictive diets with a tailored, evidence\u2010based dietary support that acknowledges patients\u2019 subjective experiences while reducing uncertainty and conflicting information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70227","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:19:20Z","timestamp":1773206360000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cFood as Friend or Enemy\u201d: A Qualitative Study of Motivations Underlying Restrictive Dietary Practices in Fibromyalgia"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6755-8598","authenticated-orcid":false,"given":"Laura","family":"Albaladejo","sequence":"first","affiliation":[{"name":"Univ. 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