{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:42:43Z","timestamp":1792258963094,"version":"4.4.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"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":["J Health Psychol"],"abstract":"<jats:p>\n                    This study examined associations among pain intensity, psychological distress, neurophysiological perception, and avoidance behaviors in women with FMS. Participants included 120 women with FMS and 110 age-matched healthy controls who completed the Visual Analog Scale (VAS), Depression Anxiety Stress Scales (DASS-21), Cognitive Behavioral Avoidance Scale (CBAS), and Neurophysiological Perception Scale (NPS). Independent\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    -tests, Pearson correlations, and multivariate logistic regression were performed. Compared to controls, FMS participants had significantly higher VAS, DASS-21, and CBAS scores (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001), and lower NPS scores. VAS correlated positively with DASS-21 and CBAS scores. In regression models, higher VAS (OR\u2009=\u20093.65) and behavioral avoidance (CBAS; OR\u2009=\u20091.38) were independently associated with FMS group membership, while depression showed an inverse association (OR\u2009=\u20090.42). These findings highlight pain severity, maladaptive avoidance, and reduced subjective neurophysiological perception as clinically relevant features and emphasize the need for multidimensional biopsychosocial assessment in early FMS.\n                  <\/jats:p>","DOI":"10.1177\/13591053261491681","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:05:27Z","timestamp":1791986727000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Subjective Neurophysiological Perception and Behavioral Avoidance in Women with Fibromyalgia: An Analysis of Pain and Affective Symptoms"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8992-0556","authenticated-orcid":false,"given":"\u00d6znur \u00d6zge","family":"\u00d6zcan","sequence":"first","affiliation":[{"name":"\u00dcsk\u00fcdar University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burcu","family":"\u00c7evreli\u0307","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selin","family":"K\u0131rcali\u0307","sequence":"additional","affiliation":[{"name":"\u00dcsk\u00fcdar University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1503\/jpn.150205"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"Alciati A Sgiarovello P Atzeni F et al. (2012) Psychiatric problems in fibromyalgia: Clinical and neurobiological links between mood disorders and fibromyalgia. Reumatismo 64: 268\u2013274. https:\/\/doi.org\/10.4081\/reumatismo.2012.268","DOI":"10.4081\/reumatismo.2012.268"},{"key":"e_1_3_4_4_1","doi-asserted-by":"crossref","unstructured":"Argenbright CM Bertlesman AM Russell IM et al. (2024) The fibromyalgia pain experience: A scoping review of the preclinical evidence for replication and treatment of the affective and cognitive pain dimensions. Biomedicines 12(4): 778. https:\/\/doi.org\/10.3390\/biomedicines12040778","DOI":"10.3390\/biomedicines12040778"},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","unstructured":"Bickel KE Levy C MacPhee ER et al. (2020) An integrative framework of appraisal and adaptation in serious medical illness. 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