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This study was cross-sectional in design. A convenience sample of women with FM ( n = 231) completed measures of pain severity, FNE, PAcc, AV, and PA. A simple mediation model and a moderate mediation model was constructed and analyzed using the SPSS macro-PROCESS. First, PAcc mediated the effect of FNE on AV (\u03b2 = .02, SE = 0.008; [95% CI [0.0075, 0.0394]). Second, a mediated effect of PAcc between FNE and AV moderated by PA at medium and high levels of PA were found ( m: 0.23; \u03b2 = \u2212.22, p = .0006; h: 9.59; \u03b2 = \u2212.34, p = .0002. Future work should seek to validate study findings in diverse samples of FM patients. Additionally, future work should explore how FM self-management interventions that include PAcc can promote increased activity among women suffering from FM with medium to high levels of PA.<\/jats:p>","DOI":"10.1177\/10547738221122670","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T05:04:09Z","timestamp":1665464649000},"page":"902-913","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The Influence of the Fear of Negative Evaluation on Activity Avoidance in Fibromyalgia: Exploring Pain Acceptance and Positive Affect as Resilience Variables"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-6732","authenticated-orcid":false,"given":"Carmen","family":"Ecija","sequence":"first","affiliation":[{"name":"Rey Juan Carlos University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Catala","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Javier Array\u00e1s-Grajera","sequence":"additional","affiliation":[{"name":"University of Seville, 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, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,11]]},"reference":[{"key":"bibr1-10547738221122670","volume-title":"Multiple regression: Testing and interpreting interactions","author":"Aiken L. 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