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However, differences among patients regarding how pain impacts on daily life are remarkable. The main aim of this study was to identify clinical and pain\u2010related cognitive variables characterizing patients reporting high adaptability despite experiencing severe chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred and eighty\u2010three Spanish patients with FM with high levels of pain were classified into 2 groups: (1) those reporting low impact of the syndrome, and (2) those with moderate\u2010to\u2010high impact. Perceived stress, anxiety, and depressive symptoms along with pain catastrophizing, psychological inflexibility, and perceived control over pain were evaluated. Differences in sociodemographics, years with FM, past\/current major depressive disorder comorbidity, and health\u2010related economic costs (ie, medications, use of medical services, lost productivity due to sick leave) were also assessed. Stepwise logistic regression analyses predicting group membership from clinical variables and pain\u2010related cognitive processes as predictors were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Lower stress, anxiety, and depressive symptoms, along with reduced pain catastrophism, psychological inflexibility, and perceived control over pain, were found in the low\u2010impact group. Significant predictors of group membership (low\u2010impact vs. moderate\u2010to\u2010high impact) in regression analyses were \u201ccognitive fusion\u201d (psychological inflexibility), \u201chelplessness\u201d (pain catastrophizing), and depressive symptomatology, together with pain intensity and other FM symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study provides further evidence on resilience resources in chronic pain by identifying some variables (ie, reduced depressive symptomatology, pain catastrophizing, and psychological inflexibility) differentially characterizing a profile of patients with FM who are especially able to adapt to high levels of pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12847","type":"journal-article","created":{"date-parts":[[2019,10,18]],"date-time":"2019-10-18T22:28:56Z","timestamp":1571437736000},"page":"255-261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain\u2010Related Cognitive Features"],"prefix":"10.1111","volume":"20","author":[{"given":"Natalia","family":"Angarita\u2010Osorio","sequence":"first","affiliation":[{"name":"Group of Psychological Research in Fibromyalgia &amp; Chronic Pain (AGORA) Fundaci\u00f3 Sant Joan de D\u00e9u Esplugues de Llobregat Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adri\u00e1n","family":"P\u00e9rez\u2010Aranda","sequence":"additional","affiliation":[{"name":"Group of Psychological Research in Fibromyalgia &amp; Chronic Pain (AGORA) Fundaci\u00f3 Sant Joan de 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