{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:37:50Z","timestamp":1792841870887,"version":"4.5.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This single-center case-control study aimed to investigate the relationship between symptom severity and self-compassion level in adult women diagnosed with fibromyalgia syndrome (FMS), independent of anxiety and depression effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study included 40 women with FMS who consecutively presented to a Physical Medicine and Rehabilitation outpatient clinic and 40 healthy controls matched for age and education level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Symptom severity was assessed using the Revised Fibromyalgia Impact Questionnaire (rFIQ-TR), self-compassion using the Self-Compassion Scale (SCS-TR), and anxiety and depression using the Hospital Anxiety and Depression Scale (HADS-TR). Data were subjected to parametric\/non-parametric comparisons, Spearman correlations, and multiple logistic regression after Shapiro-Wilk and Levene tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The SCS score was significantly lower in the FMS group than in the controls (71.2\u2009\u00b1\u20098.6 vs 86.1\u2009\u00b1\u20093.4; p\u2009&lt;\u20090.001). A moderate-to-high negative correlation was found between rFIQ and SCS (\u03c1\u2009=\u2009\u20130.53; p\u2009&lt;\u20090.001). In the logistic model, every 5-point increase in SCS reduced high symptom severity by 18% (OR\u2009=\u20090.82; 95% CI 0.71\u20130.94). ROC analysis showed an AUC of 0.84 (0.74\u20130.93) for SCS; sensitivity = 0.80 and specificity = 0.78 were determined at a cutoff score of 74.5 points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A lack of self-compassion plays a significant role in increasing symptom burden in fibromyalgia syndrome. Based on the findings of our study, we recommend the Self-Compassion Scale (SCS) in clinical practice for the early diagnosis of patients with high symptom severity and referral to self-compassion-based interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261449003","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T13:43:09Z","timestamp":1779975789000},"page":"2006-2014","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between symptom severity and self-compassion in fibromyalgia: A case-control study"],"prefix":"10.1177","volume":"39","author":[{"given":"Sevil","family":"Karag\u00fcl","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Physical Therapy and Rehabilitation, Istanbul Kent University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u015f\u0131l Fazilet","family":"Kartalo\u011flu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Physical Medicine and Rehabilitation, Ac\u0131badem University, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dcr\u00fcn \u00d6zer","family":"A\u011f\u0131rba\u015f","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, Ac\u0131badem University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.04.003"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-017-0686-0"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2013.12.018"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-025-05905-4"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/ar2830"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-015-8509-4"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874312901409010001"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2008.12.003"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-021-09832-x"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/swz013"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.05.006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2021.111165"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/20494637231221451"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1546-8"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.702"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-019-01134-6"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2016.05.003"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S178240"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mincom.2016.10.004"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jrp.2006.03.004"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-017-0686-0"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00307"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mincom.2016.10.004"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-021-09832-x"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms22083891"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261449003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127261449003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261449003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:10:16Z","timestamp":1792840216000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127261449003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/10538127261449003"],"URL":"https:\/\/doi.org\/10.1177\/10538127261449003","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]}}}