{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:20:18Z","timestamp":1791487218108,"version":"4.3.4"},"reference-count":107,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["nyaspubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ann NY Acad Sci"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic migraine (CM) and fibromyalgia (FM) are central sensitization pain conditions, with FM representing a prototypical nociplastic disorder. While both involve altered pain processing, their psychological profiles may differ, particularly in comorbid forms. In this cross\u2010sectional multicenter study, 318 women were assessed: 97 with CM (\n                    <jats:italic>\n                      M\n                      <jats:sub>age<\/jats:sub>\n                    <\/jats:italic>\n                    = 47.4 \u00b1 12.9), 130 with FM (\n                    <jats:italic>\n                      M\n                      <jats:sub>age<\/jats:sub>\n                    <\/jats:italic>\n                    = 49.8 \u00b1 12.1), and 91 with CM+FM (\n                    <jats:italic>\n                      M\n                      <jats:sub>age<\/jats:sub>\n                    <\/jats:italic>\n                    = 49.9 \u00b1 9.9). Participants completed standardized self\u2010reports of depression, anxiety, psychological distress, and defensive functioning. Women with CM showed more preserved affective regulation, whereas FM and CM+FM did not differ significantly. Cluster analysis identified three phenotypes: vulnerable (\n                    <jats:italic>n<\/jats:italic>\n                    = 73; 16% CM, 43% FM, 41% CM+FM), intermediate (\n                    <jats:italic>n<\/jats:italic>\n                    = 122; 32% CM, 43% FM, 25% CM+FM), and resilient (\n                    <jats:italic>n<\/jats:italic>\n                    = 76; 50% CM, 29% FM, 21% CM+FM). CM patients were mainly represented in the resilient cluster, while CM+FM patients were overrepresented in the vulnerable cluster. These findings indicate distinct psychological functioning in CM compared to FM and highlight greater psychological complexity in comorbid cases. Overall, results support a dimensional, transdiagnostic model of chronic pain, underscoring psychological functioning as a central factor for personalized care.\n                  <\/jats:p>","DOI":"10.1111\/nyas.70304","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:00:58Z","timestamp":1780437658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Pain: Psychological Profiles in Chronic Migraine Compared With Fibromyalgia and Their Comorbidity"],"prefix":"10.1111","volume":"1560","author":[{"given":"Martina","family":"Cangelosi","sequence":"first","affiliation":[{"name":"Department of Brain and Behavioral Sciences University of Pavia  Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Cavicchioli","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology and Health Studies Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Mesce","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology and Health Studies Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Torelli","sequence":"additional","affiliation":[{"name":"Department of Dynamic and Clinical Psychology and Health Studies Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Benfante","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annunziata","family":"Romeo","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo Maria","family":"Nimbi","sequence":"additional","affiliation":[{"name":"Department of Theoretical and Applied Sciences (DiSTA) Ecampus Telematic University  Novedrate Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorys","family":"Castelli","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natascia","family":"Ghiotto","sequence":"additional","affiliation":[{"name":"Headache Science &amp; 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