{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:42:56Z","timestamp":1790808176300,"version":"4.1.0"},"reference-count":67,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI17\/00858"],"award-info":[{"award-number":["PI17\/00858"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>The intrinsically adaptive or maladaptive nature of certain activity patterns in fibromyalgia (FM) has been put into question. The role of contextual factors related to their influence on functional limitation is required. Perfectionism complicates the ability to cope of these patients. The aim of the study has been to analyze the moderating role of perfectionism between activity patterns and functional limitation. The sample were 228 women with FM. Moderation analyses were conducted with the PROCESS Macro. Activity avoidance and excessive persistence were associated with poorer functionality, regardless of perfectionism. Pain avoidance and task persistence were more strongly associated with FM impact in women with high or moderate levels of perfectionism. In a clinical setting adapting the recommendations given to patients according to their level of perfectionism would be justified. Pain avoidance might be inadvisable at high levels of perfectionism, and task persistence is recommendable especially when perfectionism is high.<\/jats:p>","DOI":"10.1177\/1054773820973273","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T08:42:21Z","timestamp":1605861741000},"page":"567-578","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Is Perfectionism Always Dysfunctional? Looking into Its Interaction with Activity Patterns in Women with Fibromyalgia"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-6732","authenticated-orcid":false,"given":"Carmen","family":"Ecija","sequence":"first","affiliation":[{"name":"Rey Juan Carlos University, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Catala","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Sanroman","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sof\u00eda","family":"Lopez-Roig","sequence":"additional","affiliation":[{"name":"Miguel Hern\u00e1ndez University Elche, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. \u00c1ngeles","family":"Pastor-Mira","sequence":"additional","affiliation":[{"name":"Miguel Hern\u00e1ndez University Elche, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University, Alcorc\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,20]]},"reference":[{"key":"bibr1-1054773820973273","doi-asserted-by":"crossref","unstructured":"Ahmed S., Aggarwal A., Lawrence A. (2019). Performance of the American College of Rheumatology 2016 criteria for fibromyalgia in a referral care setting. Rheumatology International, 39(8), 1397\u20131403. https:\/\/doi.org\/10.1007\/s00296-019-04323-7","DOI":"10.1007\/s00296-019-04323-7"},{"issue":"22","key":"bibr2-1054773820973273","first-page":"380","volume":"7","author":"Ben-Yosef M.","year":"2020","journal-title":"The Israel Medical Association Journal : IMAJ"},{"key":"bibr3-1054773820973273","doi-asserted-by":"crossref","unstructured":"Branco J. C., Bannwarth B., Failde I., Abello Carbonell J., Blotman F., Spaeth M., Saraiva F., Nacci F., Thomas E., Caub\u00e8re J. P., Le Lay K., Taieb C., Matucci-Cerinic M. (2010). Prevalence of fibromyalgia: A survey in five European countries. Seminars in Arthritis and Rheumatism, 39(6), 448\u2013453. https:\/\/doi.org\/10.1016\/j.semarthrit.2008.12.003","DOI":"10.1016\/j.semarthrit.2008.12.003"},{"key":"bibr4-1054773820973273","doi-asserted-by":"crossref","unstructured":"Brooks S. K., Rimes K. A., Chalder T. (2011). The role of acceptance in chronic fatigue syndrome. Journal of Psychosomatic Research, 71(6), 411\u2013415. https:\/\/doi.org\/10.1016\/j.jpsychores.2011.08.001","DOI":"10.1016\/j.jpsychores.2011.08.001"},{"key":"bibr5-1054773820973273","doi-asserted-by":"crossref","unstructured":"Cane D., McCarthy M., Mazmanian D. (2016). Obstacles to activity pacing. Pain, 157(7), 1508\u20131514. https:\/\/doi.org\/10.1097\/j.pain.0000000000000553","DOI":"10.1097\/j.pain.0000000000000553"},{"key":"bibr6-1054773820973273","doi-asserted-by":"crossref","unstructured":"Carrillo-de-la-Pe\u00f1a M. T., Tri\u00f1anes Y., Gonz\u00e1lez-Villar A., Romero-Yuste S., G\u00f3mez-Perretta C., Arias M., Wolfe F. (2015). Convergence between the 1990 and 2010 ACR diagnostic criteria and validation of the Spanish version of the Fibromyalgia Survey Questionnaire (FSQ). Rheumatology International, 35(1), 141\u2013151. https:\/\/doi.org\/10.1007\/s00296-014-3074-3","DOI":"10.1007\/s00296-014-3074-3"},{"key":"bibr7-1054773820973273","doi-asserted-by":"crossref","unstructured":"Cer\u00f3n-Lorente L., Valenza M. C., P\u00e9rez-M\u00e1rmol J. M., Garc\u00eda-R\u00edos M. D. C., Castro-S\u00e1nchez A. M., Aguilar-Ferr\u00e1ndiz M. E. (2018). The influence of balance, physical disability, strength, mechanosensitivity and spinal mobility on physical activity at home, work and leisure time in women with fibromyalgia. Clinical Biomechanics, 60, 157\u2013163. https:\/\/doi.org\/10.1016\/j.clinbiomech.2018.10.009","DOI":"10.1016\/j.clinbiomech.2018.10.009"},{"key":"bibr8-1054773820973273","doi-asserted-by":"crossref","unstructured":"Coppens E., Kempke M. A., Stefan M. A., Van Wambeke P., Claes S., Morlion B., Luyten P., Van Oudenhove L. (2018).Cortisol and subjective stress responses to acute psychosocial stress in fibromyalgia patients and control participants. Psychosomatic Medicine, 80(3), 317\u2013326. https:\/\/doi: 10.1097\/PSY.0000000000000551","DOI":"10.1097\/PSY.0000000000000551"},{"key":"bibr9-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12346"},{"key":"bibr10-1054773820973273","volume-title":"Cognitive behavioral treatment of perfectionism","author":"Egan S.","year":"2014"},{"key":"bibr11-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511761676"},{"key":"bibr12-1054773820973273","doi-asserted-by":"crossref","unstructured":"Esteve R., L\u00f3pez-Mart\u00ednez A. E., Peters M. L., Serrano-Ib\u00e1\u00f1ez E. R., Ru\u00edz-P\u00e1rraga G. T., Gonz\u00e1lez-G\u00f3mez H., Ram\u00edrez-Maestre C. (2017). Activity pattern profiles: Relationship with affect, daily functioning, impairment, and variables related to life goals. Journal of Pain, 18(5), 546\u2013555. https:\/\/doi.org\/10.1016\/j.jpain.2016.12.013","DOI":"10.1016\/j.jpain.2016.12.013"},{"key":"bibr13-1054773820973273","doi-asserted-by":"crossref","unstructured":"Esteve R., L\u00f3pez-Mart\u00ednez A. E., Peters M. L., Serrano-Ib\u00e1\u00f1ez E. R., Ruiz-P\u00e1rraga G. T., Ram\u00edrez-Maestre C. (2018). Optimism, positive and negative affect, and goal adjustment strategies: Their relationship to activity patterns in patients with chronic musculoskeletal pain. Pain Research and Management. Advance online publication. https:\/\/doi:10.1155\/2018\/6291719","DOI":"10.1155\/2018\/6291719"},{"key":"bibr14-1054773820973273","doi-asserted-by":"crossref","unstructured":"Esteve R., Ram\u00edrez-Maestre C., Peters M. L., Serrano-Ib\u00e1\u00f1ez E. R., Ru\u00edz-P\u00e1rraga G. T., L\u00f3pez-Mart\u00ednez A. E. (2016). Development and initial validation of the activity patterns scale in patients with chronic pain. Journal of Pain, 17(4), 451\u2013461. https:\/\/doi.org\/10.1016\/j.jpain.2015.12.009","DOI":"10.1016\/j.jpain.2015.12.009"},{"issue":"3","key":"bibr15-1054773820973273","first-page":"329","volume":"40","author":"Est\u00e9vez-L\u00f3pez F.","year":"2018","journal-title":"Disability and Rehabilitation"},{"key":"bibr16-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1037\/a0015808"},{"key":"bibr17-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1007\/BF01172967"},{"key":"bibr18-1054773820973273","doi-asserted-by":"crossref","unstructured":"Galindo-Dom\u00ednguez H. (2019). El an\u00e1lisis de moderaci\u00f3n en el \u00e1mbito socioeducativo a trav\u00e9s de la macro Process en SPSS Statistics. REIRE Revista d\u2019Innovaci\u00f3 i Recerca en Educaci\u00f3, 12(1), 1\u201311. http:\/\/doi.org\/10.1344\/reire2019.12.122356","DOI":"10.1344\/reire2019.12.122356"},{"key":"bibr19-1054773820973273","doi-asserted-by":"crossref","unstructured":"Gatchel R. J. (2018). The importance of the profession of nursing in health care: Current and future issues. Journal of Applied Biobehavioral Research, 23(1), 1\u20135. https:\/\/doi.org\/10.1111\/jabr.12127","DOI":"10.1111\/jabr.12127"},{"issue":"1","key":"bibr20-1054773820973273","first-page":"133","volume":"23","author":"Gelabert E.","year":"2011","journal-title":"Psicothema"},{"key":"bibr21-1054773820973273","doi-asserted-by":"crossref","unstructured":"Hadzic R., Sharpe L., Wood B. M. (2017). The relationship between pacing and avoidance in chronic pain: A systematic review and meta-analysis. The Journal of Pain, 18(10), 1165\u20131173. https:\/\/doi.org\/10.1016\/j.jpain.2017.04.008","DOI":"10.1016\/j.jpain.2017.04.008"},{"key":"bibr22-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2014.10.001"},{"key":"bibr23-1054773820973273","doi-asserted-by":"crossref","unstructured":"Harper K. L., Eddington K. M., Lunsford J., Hoet A. C. (2020). Perfectionism and the impact of intrinsic and extrinsic motivation in daily life. Journal of Individual Differences, 41(3), 117\u2013123. https:\/\/doi.org\/10.1027\/1614-0001\/a000310","DOI":"10.1027\/1614-0001\/a000310"},{"key":"bibr24-1054773820973273","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes A. F.","year":"2017"},{"key":"bibr25-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1037\/17335-000"},{"key":"bibr26-1054773820973273","volume-title":"Perfectionism: A relational approach to conceptualization, assessment, and treatment","author":"Hewitt P. L.","year":"2017"},{"key":"bibr27-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.05.028"},{"issue":"4","key":"bibr28-1054773820973273","first-page":"5","volume":"32","author":"Ingrid B.","year":"2008","journal-title":"Perspectives (Gerontological Nursing Association (Canada))"},{"key":"bibr29-1054773820973273","doi-asserted-by":"crossref","unstructured":"Kindermans H. P. J., Roelofs J., Goossens M. E., Huijnen I. P., Verbunt J. A., Vlaeyen J. W. (2011). Activity patterns in chronic pain: Underlying dimensions and associations with disability and depressed mood. The Journal of Pain, 12(10), 1049\u20131058. https:\/\/doi.org\/10.1016\/j.jpain.2011.04.009","DOI":"10.1016\/j.jpain.2011.04.009"},{"key":"bibr30-1054773820973273","doi-asserted-by":"crossref","unstructured":"Kroska E. B. (2016). A meta-analysis of fear-avoidance and pain intensity: The paradox of chronic pain. Scandinavian Journal of Pain, 13(1), 43\u201358. https:\/\/doi.org\/10.1016\/j.sjpain.2016.06.011","DOI":"10.1016\/j.sjpain.2016.06.011"},{"key":"bibr31-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0171186"},{"key":"bibr32-1054773820973273","doi-asserted-by":"crossref","unstructured":"Luthi F., Vuistiner P., Favre C., Hilfiker R., L\u00e9ger B. (2018). Avoidance, pacing, or persistence in multidisciplinary functional rehabilitation for chronic musculoskeletal pain: An observational study with cross-sectional and longitudinal analyses. PLoS One, 13(9), e0203329. https:\/\/doi.org\/10.1371\/journal.pone.0203329","DOI":"10.1371\/journal.pone.0203329"},{"key":"bibr33-1054773820973273","doi-asserted-by":"crossref","unstructured":"McCracken L. M. (2013). Committed action: An application of the psychological flexibility model to activity patterns in chronic pain. The Journal of Pain, 14(8), 828\u2013835. https:\/\/doi.org\/10.1016\/j.jpain.2013.02.009","DOI":"10.1016\/j.jpain.2013.02.009"},{"key":"bibr34-1054773820973273","doi-asserted-by":"crossref","unstructured":"McCracken L. M., Chilcot J., Norton S. (2015). Further development in the assessment of psychological flexibility: A shortened Committed Action Questionnaire (CAQ-8). European Journal of Pain, 19(5), 677\u2013685. https:\/\/doi.org\/10.1002\/ejp.589","DOI":"10.1002\/ejp.589"},{"key":"bibr35-1054773820973273","doi-asserted-by":"crossref","unstructured":"McCracken L. M., Patel S., Scott W. (2018). The role of psychological flexibility in relation to suicidal thinking in chronic pain. European Journal of Pain, 22(10), 1774\u20131781. https:\/\/doi.org\/10.1002\/ejp.1273","DOI":"10.1002\/ejp.1273"},{"key":"bibr36-1054773820973273","doi-asserted-by":"crossref","unstructured":"McCracken L. M., Morley S. J. (2014). The psychological flexibility model: A basis for integration and progress in psychological approaches to chronic pain management. Journal of Pain, 15(3), 221\u2013234. https:\/\/dx.doi.org\/10.1016\/j.jpain.2013.10.014","DOI":"10.1016\/j.jpain.2013.10.014"},{"key":"bibr37-1054773820973273","doi-asserted-by":"crossref","unstructured":"McCracken L. M., Vowles K. E., Zhao-O\u2019Brien J. (2010). Further development of an instrument to assess psychological flexibility in people with chronic pain. Journal of Behavioral Medicine, 33(5), 346\u2013354. https:\/\/doi.org\/10.1007\/s10865-010-9264-x","DOI":"10.1007\/s10865-010-9264-x"},{"key":"bibr38-1054773820973273","doi-asserted-by":"crossref","unstructured":"McLellan R. K., Aznavoorian-Barry P., Brown D., Corcoran E. C., Pearce G. (2017). Commentary of the Special Panel at the Hopkinton Conference Working Group on Workplace Disability Prevention. Journal of Occupational Rehabilitation, 27(1), 1\u20133. https:\/\/doi.org\/10.1007\/s10926-016-9676-8","DOI":"10.1007\/s10926-016-9676-8"},{"key":"bibr39-1054773820973273","doi-asserted-by":"crossref","unstructured":"Mehta S., Rice D., McIntyre A., Getty H., Speechley M., Sequeira K., Shapiro A. P., Morley-Forster P., Teasell R. W. (2016). Identification and characterization of unique subgroups of chronic pain individuals with dispositional personality traits. Pain Research & Management. Advance online publication. https:\/\/doi.org\/10.1155\/2016\/5187631","DOI":"10.1155\/2016\/5187631"},{"key":"bibr40-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000476162.13177.ae"},{"key":"bibr41-1054773820973273","first-page":"30","volume":"26","author":"Meulders A.","year":"2019","journal-title":"Current Opinion in Behaviour Sciences"},{"key":"bibr42-1054773820973273","doi-asserted-by":"crossref","unstructured":"Molnar D. S., Sirois F. M., Methot-Jones T. (2016). Trying to be perfect in an imperfect world: Examining the role of perfectionism in the context of chronic illness. In Sirois F. M., Molnar D. S. (Eds.), Perfectionism, health, and well-being. (pp. 69\u201399). Springer International Publishing. https:\/\/doi.org\/10.1007\/978-3-319-18582-8_4","DOI":"10.1007\/978-3-319-18582-8_4"},{"key":"bibr43-1054773820973273","doi-asserted-by":"crossref","unstructured":"Munkombwe W. M., Petersson K., Elg\u00e1n C. (2020). Nurses\u2019 experiences of providing nonpharmacological pain management in palliative care: A qualitative study. Journal of Clinical Nursing, 29(9\u201310), 1643\u20131652. https:\/\/doi.org\/10.1111\/jocn.15232","DOI":"10.1111\/jocn.15232"},{"key":"bibr44-1054773820973273","doi-asserted-by":"crossref","unstructured":"Racine M., Gal\u00e1n S., De La Vega R., Pires C. T., Sol\u00e9 E., Nielson W. R., Mir\u00f3 J., Moulin D. E., Jensen M. P. (2018). Pain-related activity management patterns and function in patients with fibromyalgia syndrome. Clinical Journal of Pain, 34(2), 122\u2013129. https:\/\/doi.org\/10.1097\/AJP.0000000000000526","DOI":"10.1097\/AJP.0000000000000526"},{"key":"bibr45-1054773820973273","doi-asserted-by":"crossref","unstructured":"Randall E. T., Gray L. S., Fletcher A. A. (2018). Topical review: Perfectionism and pediatric chronic pain: Theoretical underpinnings, assessment, and treatment. Journal of Pediatric Psychology, 43(3), 326\u2013330. https:\/\/doi.org\/10.1093\/jpepsy\/jsx106","DOI":"10.1093\/jpepsy\/jsx106"},{"key":"bibr46-1054773820973273","doi-asserted-by":"crossref","unstructured":"Rayner L., Hotopf M., Petkova H., Matcham F., Simpson A., Mccracken L. M. (2016). Depression in patients with chronic pain attending a specialised pain treatment centre: Prevalence and impact on health care costs. Pain, 157(7), 1472\u20131479. https:\/\/doi.org\/10.1097\/j.pain.0000000000000542","DOI":"10.1097\/j.pain.0000000000000542"},{"key":"bibr47-1054773820973273","doi-asserted-by":"crossref","unstructured":"Salgueiro M., Garc\u00eda-Leiva J. M., Ballesteros J., Hidalgo J., Molina R., Calandre E. P. (2013). Validation of a Spanish version of the revised fibromyalgia impact questionnaire (FIQR). Health and Quality of Life Outcomes, 11(1), 132. https:\/\/doi.org\/10.1186\/1477-7525-11-132","DOI":"10.1186\/1477-7525-11-132"},{"key":"bibr48-1054773820973273","doi-asserted-by":"crossref","unstructured":"Segura-Jim\u00e9nez V., Borges-Cosic M., Soriano-Maldonado A., Est\u00e9vez-L\u00f3pez F. \u00c1lvarez-Gallardo I. C., Herrador-Colmenero M., Delgado-Fern\u00e1ndez M., Ruiz J. R. (2017). Association of sedentary time and physical activity with pain, fatigue, and impact of fibromyalgia: The al-\u00c1ndalus study. Scandinavian Journal of Medicine & Science in Sports, 27(1), 83\u201392. https:\/\/doi.org\/10.1111\/sms.12630","DOI":"10.1111\/sms.12630"},{"key":"bibr49-1054773820973273","doi-asserted-by":"crossref","unstructured":"Segura-Jim\u00e9nez V., Est\u00e9vez-L\u00f3pez F., Soriano-Maldonado A. \u00c1lvarez-Gallardo I. C., Delgado-Fern\u00e1ndez M., Ruiz J. R., Aparicio V. A. (2016). Gender differences in symptoms, health-related quality of life, sleep quality, mental health, cognitive performance, pain-cognition, and positive health in Spanish fibromyalgia individuals: The Al-\u00c1ndalus project. Pain Research & Management. Advance online publication. https:\/\/doi.org\/10.1155\/2016\/5135176","DOI":"10.1155\/2016\/5135176"},{"key":"bibr50-1054773820973273","doi-asserted-by":"crossref","unstructured":"Sirois F. M., Molnar D. S. (2017). Perfectionistic strivings and concerns are differentially associated with self-rated health beyond negative affect. Journal of Research in Personality, 70, 73\u201383. https:\/\/doi.org\/10.1016\/j.jrp.2017.06.003","DOI":"10.1016\/j.jrp.2017.06.003"},{"key":"bibr51-1054773820973273","doi-asserted-by":"crossref","unstructured":"Sirois F. M., Toussaint L., Hirsch J. K., Kohls N., Weber A., Offenb\u00e4cher M. (2019). Trying to be perfect in an imperfect world: A person-centred test of perfectionism and health in fibromyalgia patients versus healthy controls. Personality and Individual Differences, 137, 27\u201332. https:\/\/doi.org\/10.1016\/j.paid.2018.08.005","DOI":"10.1016\/j.paid.2018.08.005"},{"key":"bibr52-1054773820973273","doi-asserted-by":"crossref","unstructured":"Smith M. M., Saklofske D. H., Yan G., Sherry S. B. (2017). Does perfectionism predict depression, anxiety, stress, and life satisfaction after controlling for neuroticism? Journal of Individual Differences, 38, 63\u201370. https:\/\/dx.doi.org\/10.1027\/1614-0001\/a000223","DOI":"10.1027\/1614-0001\/a000223"},{"key":"bibr53-1054773820973273","doi-asserted-by":"crossref","unstructured":"Soriano-Maldonado A., Amris K., Ortega F. B., Segura-Jim\u00e9nez V., Est\u00e9vez-L\u00f3pez F. \u00c1lvarez-Gallardo I. C., Aparicio V. A., Delgado-Fern\u00e1ndez M., Henriksen M., Ruiz J. R. (2015). Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. Quality of Life Research, 24(12), 2951\u20132957. https:\/\/doi.org\/10.1007\/s11136-015-1045-0","DOI":"10.1007\/s11136-015-1045-0"},{"key":"bibr54-1054773820973273","first-page":"3","volume-title":"The psychology of perfectionism: Theory, research, applications","author":"Stoeber J.","year":"2018"},{"key":"bibr55-1054773820973273","doi-asserted-by":"crossref","unstructured":"Stoeber J., Corr P. J. (2016). A short empirical note on perfectionism and flourishing. Personality and Individual Differences, 90, 50\u201353. https:\/\/doi.org\/10.1016\/j.paid.2015.10.036","DOI":"10.1016\/j.paid.2015.10.036"},{"key":"bibr56-1054773820973273","doi-asserted-by":"crossref","unstructured":"Stournaras D., Petrovic K. (2019). Fibromyalgia treatment and management considerations for nurse practitioners. Journal of the American Association of Nurse Practitioners, 31(6), 371\u2013377. https:\/\/doi.org\/10.1097\/JXX.0000000000000178","DOI":"10.1097\/JXX.0000000000000178"},{"key":"bibr57-1054773820973273","doi-asserted-by":"crossref","unstructured":"Suh H., Sohn H., Kim T., Lee D. (2019). A review and meta-analysis of perfectionism interventions: Comparing face-to-face with online modalities. Journal of Counseling Psychology, 66(4), 473\u2013486. https:\/\/doi.org\/10.1037\/cou0000355","DOI":"10.1037\/cou0000355"},{"key":"bibr58-1054773820973273","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00442"},{"key":"bibr59-1054773820973273","doi-asserted-by":"publisher","DOI":"10.2217\/pmt-2016-0003"},{"key":"bibr60-1054773820973273","doi-asserted-by":"crossref","unstructured":"Vilardaga R., Davies P. S., Vowles K. E., Sullivan M. D. (2020). Theoretical grounds of Pain Tracker Self Manager: An Acceptance and Commitment Therapy digital intervention for patients with chronic pain. Journal of Contextual Behavioral Science, 15, 172\u2013180. https:\/\/doi.org\/10.1016\/j.jcbs.2020.01.001","DOI":"10.1016\/j.jcbs.2020.01.001"},{"key":"bibr61-1054773820973273","doi-asserted-by":"crossref","unstructured":"Vlaeyen J. W. S., Crombez G. (2020). Behavioral conceptualization and treatment of chronic pain. Annual Review of Clinical Psychology, 16, 187\u2013212. https:\/\/doi.org\/10.1146\/annurev-clinpsy-050718-095744","DOI":"10.1146\/annurev-clinpsy-050718-095744"},{"key":"bibr62-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1016\/j.elerap.2010.07.003"},{"key":"bibr63-1054773820973273","first-page":"880","volume":"26","author":"White K.P.","year":"1999","journal-title":"The Journal of Rheumatology"},{"key":"bibr64-1054773820973273","doi-asserted-by":"crossref","unstructured":"Wimberley T. E., Mintz L. B., Suh H. (2016). Perfectionism and mindfulness: Effectiveness of a bibliotherapy intervention. Mindfulness, 7(2), 433\u2013444. https:\/\/dx.doi.org\/10.1007\/s12671-015-0460-1","DOI":"10.1007\/s12671-015-0460-1"},{"key":"bibr65-1054773820973273","doi-asserted-by":"crossref","unstructured":"Wolfe F., Clauw D. J., Fitzcharles M.A., Goldenberg D. L., Katz R. S., Mease P., Russell A. S., Russell I. J., Winfield J. B., Yunus M. B. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research, 62(5), 600\u2013610. https:\/\/doi.org\/10.1002\/acr.201","DOI":"10.1002\/acr.20140"},{"key":"bibr66-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"bibr67-1054773820973273","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203755"}],"container-title":["Clinical Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1054773820973273","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1054773820973273","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1054773820973273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:00:31Z","timestamp":1777392031000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1054773820973273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,20]]},"references-count":67,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/1054773820973273"],"URL":"https:\/\/doi.org\/10.1177\/1054773820973273","relation":{},"ISSN":["1054-7738","1552-3799"],"issn-type":[{"value":"1054-7738","type":"print"},{"value":"1552-3799","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,20]]}}}