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The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of <jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> patients. To reach this aim, 153 <jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of <jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> patients. Regarding coping strategies, <jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> patients reported higher scores on problem\u2010focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally\u2010oriented thinking factor of alexithymia significantly explained both problem\u2010 and emotion\u2010focused coping, while the difficulty\u2010describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in <jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.<\/jats:p>","DOI":"10.1111\/sjop.12405","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T07:26:38Z","timestamp":1510039598000},"page":"167-176","source":"Crossref","is-referenced-by-count":36,"title":["Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia"],"prefix":"10.1111","volume":"59","author":[{"given":"Marialaura","family":"Di Tella","sequence":"first","affiliation":[{"name":"Department of Psychology University of Turin Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Tesio","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Turin Turin 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