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For instance, the ability to perceive a \u201csilver lining\u201d in one\u2019s illness may be related to better mental and physical health. We examined perceived silver lining as a potential moderator of the relation between fibromyalgia impact and depressive symptoms. Our sample of persons with fibromyalgia (<jats:italic>N<\/jats:italic>\u00a0=\u00a0401) completed self\u2010report measures including the Fibromyalgia Impact Questionnaire\u2010Revised, Depression Anxiety Stress Scales, and the Silver Lining Questionnaire. Moderation analyses covaried age, sex, and ethnicity. Supporting hypotheses, increasing impact of disease was related to greater depressive symptoms, and perceptions of a silver lining attenuated that association. Despite the linkage between impairment and depressive symptoms, identifying positive aspects or outcomes of illness may reduce risk for psychopathology. Therapeutically promoting perception of a silver lining, perhaps via signature strengths exercises or a blessings journal, and encouraging cognitive reframing of the illness experience, perhaps via Motivational Interviewing or Cognitive Behavioral Therapy, may reduce depressive symptoms in persons with fibromyalgia.<\/jats:p>","DOI":"10.1111\/sjop.12598","type":"journal-article","created":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T04:04:40Z","timestamp":1576123480000},"page":"543-548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Fibromyalgia impact and depressive symptoms: Can perceiving a silver lining make a difference?"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3901-0452","authenticated-orcid":false,"given":"Jameson K.","family":"Hirsch","sequence":"first","affiliation":[{"name":"Department of Psychology East Tennessee State University Johnson City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan K.","family":"Treaster","sequence":"additional","affiliation":[{"name":"Department of Psychology East Tennessee State University Johnson City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea R.","family":"Kaniuka","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences University of North Carolina at Charlotte Charlotte USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byron D.","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Psychology East Tennessee State University Johnson City USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuschia M.","family":"Sirois","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Sheffield Sheffield United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niko","family":"Kohls","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Sheffield Sheffield United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eberhard","family":"N\u00f6fer","sequence":"additional","affiliation":[{"name":"Division of Integrative Health Promotion Coburg University of Applied Sciences and Arts Coburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loren L.","family":"Toussaint","sequence":"additional","affiliation":[{"name":"Department of Psychology Luther College Decorah Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Offenb\u00e4cher","sequence":"additional","affiliation":[{"name":"Gasteiner Heilstollen Hospital Bad Gastein\u2010B\u00f6ckstein Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-011-9265-0"},{"key":"e_1_2_9_3_1","first-page":"70","article-title":"Relationship of severity of depression, anxiety and stress with severity of fibromyalgia","volume":"29","author":"Alok R.","year":"2011","journal-title":"Clinical and Experimental Rheumatology"},{"key":"e_1_2_9_4_1","first-page":"103","article-title":"Collaborative care and motivational interviewing: Improving depression outcomes through patient empowerment interventions","volume":"13","author":"Anderson B.","year":"2007","journal-title":"American Journal of Managed Care"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.06.005"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264308324626"},{"key":"e_1_2_9_7_1","first-page":"3588","article-title":"Fibromyalgia, diagnosis and prevalence. 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