{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:35:44Z","timestamp":1792089344291,"version":"4.4.0"},"reference-count":82,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To present an innovative integrated manualized psychotherapeutic intervention for fibromyalgia (FM) based on cognitive and behavioral therapy, acceptance and commitment therapy, and somatic experiential techniques (namely the INTEGRated Psychotherapeutic InterventiOn, INTEGRO) and illustrate its application on two case studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>INTEGRO is composed of 12 individual sessions. The main objectives of the intervention were psychoeducation of chronic pain mechanisms, understanding the role of cognitive and emotional variables in one\u2019s pain perception, teaching patient-tailored skills to increase pain awareness and its management, and learning how to live with pain experience. A 57-year-old woman (patient A) and a 26-year-old woman (patient B) with FM have been selected to describe their care pathways connected to the INTEGRO protocol. Data related to assessment variables and clinical processes have been reported, focusing on the mechanisms that contribute to the maintenance (i.e., avoidance or overcompensation) of chronic pain in FM, on the role of patients\u2019 na\u00eff theories, and on the implications that all these aspects may have on the burden related to pain management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both patients showed a reduction in FM burden and an increase in self-efficacy in pain management: patient A reported an improvement in emotional regulation ability; patient B showed a decrease in pain interference in work activities and on emotional dimension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Examining each phase of the clinical protocol through the lens of its clinical application, the paper provides insights into the relationship among crucial psychosocial mechanisms, pain perception, management in FM treatment, and how all these aspects have been dealt with during psychotherapeutic treatment.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2024.1408693","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T04:44:43Z","timestamp":1729745083000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Chronic pain management in fibromyalgia: the INTEGRO (INTEGRated Psychotherapeutic InterventiOn) protocol and its application on two case studies"],"prefix":"10.3389","volume":"11","author":[{"given":"Ilenia","family":"Pasini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Donisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Veneziani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Perlini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Nizzero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irma","family":"Lippolis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Polati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittorio","family":"Schweiger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Del Piccolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/S11916-013-0356-5\/TABLES\/2","article-title":"Worldwide epidemiology of fibromyalgia topical collection on fibromyalgia","volume":"17","author":"Queiroz","year":"2013","journal-title":"Curr Pain Headache Rep"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1038\/s41584-020-00506-w","article-title":"Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment","volume":"16","author":"Sarzi-Puttini","year":"2020","journal-title":"Nat Rev Rheumatol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"16395","DOI":"10.3390\/IJERPH192416395","article-title":"Bipolar Spectrum symptoms in patients with fibromyalgia: a dimensional psychometric evaluation of 120 patients","volume":"19","author":"Schweiger","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1111\/JEP.13615","article-title":"Which symptoms best distinguish fibromyalgia patients from those with other chronic pain disorders?","volume":"28","author":"Bennett","year":"2022","journal-title":"J Eval Clin Pract"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1038\/nrrheum.2011.98","article-title":"Fibromyalgia: from pathophysiology to therapy","volume":"7","author":"Schmidt-Wilcke","year":"2011","journal-title":"Nat Rev Rheumatol"},{"key":"ref6","first-page":"6","article-title":"Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment","volume":"75","author":"Mease","year":"2005","journal-title":"J Rheumatol Suppl"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1186\/1756-0500-5-644","article-title":"Contextual and time dependent pain in fibromyalgia: an explorative study","volume":"5","author":"Fors","year":"2012","journal-title":"BMC Res Notes"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e33","DOI":"10.1017\/SJP.2021.30","article-title":"Fibromyalgia as a heterogeneous condition: subgroups of patients based on physical symptoms and cognitive-affective variables related to pain","volume":"24","author":"Mart\u00ednez","year":"2021","journal-title":"Span J Psychol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"338","DOI":"10.12775\/JEHS.2020.10.09.038","article-title":"Unclear etiology and current hypotheses of the pathogenesis of fibromyalgia","volume":"10","author":"Drozd","year":"2020","journal-title":"J Educ Health Sport"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/J.SEMARTHRIT.2006.12.009","article-title":"Fibromyalgia and overlapping disorders: the unifying concept of central sensitivity syndromes","volume":"36","author":"Yunus","year":"2007","journal-title":"Semin Arthritis Rheum"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/J.NEUROSCIENCE.2016.06.006","article-title":"Neurobiology of fibromyalgia and chronic widespread pain","volume":"338","author":"Sluka","year":"2016","journal-title":"Neuroscience"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2094","DOI":"10.1186\/AR2094","article-title":"Biology and therapy of fibromyalgia. Functional magnetic resonance imaging findings in fibromyalgia","volume":"8","author":"Williams","year":"2007","journal-title":"Arthritis Res Ther"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"3167","DOI":"10.1007\/s10067-018-4300-2","article-title":"Fibromyalgia and small fiber neuropathy: the plot thickens!","volume":"37","author":"Mart\u00ednez-Lav\u00edn","year":"2018","journal-title":"Clin Rheumatol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1093\/RHEUMATOLOGY\/KEAA355","article-title":"Definition of fibromyalgia severity: findings from a cross-sectional survey of 2339 Italian patients","volume":"60","author":"Salaffi","year":"2021","journal-title":"Rheumatology"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"108156","DOI":"10.1016\/J.PEC.2024.108156","article-title":"Investigation of patients\u2019 understanding of fibromyalgia: results from an online qualitative survey","volume":"122","author":"Black","year":"2024","journal-title":"Patient Educ Couns"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/S0738-3991(03)00023-5","article-title":"How do patients with rheumatic disease experience their relationship with their doctors?: a qualitative study of experiences of stress and support in the doctor\u2013patient relationship","volume":"52","author":"Haugli","year":"2004","journal-title":"Patient Educ Couns"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"117","DOI":"10.2147\/PRBM.S178240","article-title":"Psychological impact of fibromyalgia: current perspectives","volume":"12","author":"Galvez-S\u00e1nchez","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1177\/1049732315620160","article-title":"Living with a contested, stigmatized illness: experiences of managing relationships among women with fibromyalgia","volume":"27","author":"Armentor","year":"2017","journal-title":"Qual Health Res"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"4405","DOI":"10.3389\/FPSYG.2022.924405","article-title":"Quality of life in patients with fibromyalgia: contributions of disease symptoms, lifestyle and multi-medication","volume":"13","author":"Fernandez-Feijoo","year":"2022","journal-title":"Front Psychol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1038\/s41584-022-00873-6","article-title":"Emotion regulation and the salience network: a hypothetical integrative model of fibromyalgia","volume":"19","author":"Pinto","year":"2022","journal-title":"Nat Rev Rheumatol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/J.JAD.2020.01.129","article-title":"Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia","volume":"265","author":"Galvez-S\u00e1nchez","year":"2020","journal-title":"J Affect Disord"},{"key":"ref22","first-page":"40","article-title":"Emotional regulation processes: influence on pain and disability in fibromyalgia patients","volume":"38","author":"Trucharte","year":"2020","journal-title":"Clin Exp Rheumatol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1348\/000711201161163","article-title":"Fatigue and patterns of pain in fibromyalgia: correlations with anxiety, depression and co-morbidity in a female county sample","volume":"74","author":"Kurtze","year":"2001","journal-title":"Br J Med Psychol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"366","DOI":"10.5209\/REV_SJOP.2011.V14.N1.33","article-title":"Predictors of the pain perception and self-efficacy for pain control in patients with fibromyalgia","volume":"14","author":"S\u00e1nchez","year":"2011","journal-title":"Span J Psychol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1891\/1541-6577.31.3.247","article-title":"Emotion regulation in chronic disease populations: an integrative review","volume":"31","author":"Wierenga","year":"2017","journal-title":"Res Theory Nurs Pract"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale","volume":"26","author":"Gratz","year":"2004","journal-title":"J Psychopathol Behav Assess"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/S0140-6736(08)61078-8","article-title":"Psychological adjustment to chronic disease","volume":"372","author":"de Ridder","year":"2008","journal-title":"Lancet"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"823","DOI":"10.2147\/JPR.S152012","article-title":"Pain and emotion as predictive factors of interoception in fibromyalgia","volume":"11","author":"Borg","year":"2018","journal-title":"J Pain Res"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"117","DOI":"10.3389\/FNHUM.2017.00117\/FULL","article-title":"Exteroceptive and interoceptive body-self awareness in fibromyalgia patients","volume":"11","author":"Valenzuela-Moguillansky","year":"2017","journal-title":"Front Hum Neurosci"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1097\/01.PSY.0000146329.63158.40","article-title":"Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables","volume":"66","author":"Thieme","year":"2004","journal-title":"Psychosom Med"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/J.PAIN.2006.12.026","article-title":"Helplessness and loss as mediators between pain and depressive symptoms in fibromyalgia","volume":"129","author":"Palomino","year":"2007","journal-title":"Pain"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/J.EJPAIN.2008.03.008","article-title":"The contribution of self-efficacy and depression to disability and work status in chronic pain patients: a comparison between Australian and Brazilian samples","volume":"13","author":"Sard\u00e1","year":"2009","journal-title":"Eur J Pain"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1097\/AJP.0000000000000526","article-title":"Pain-related activity management patterns and function in patients with fibromyalgia syndrome","volume":"34","author":"Racine","year":"2018","journal-title":"Clin J Pain"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/J.PAIN.2009.07.019","article-title":"Active avoidance but not activity pacing is associated with disability in fibromyalgia","volume":"147","author":"Karsdorp","year":"2009","journal-title":"Pain"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1590\/1413-78522014220300386","article-title":"Prevalence of falls in fibromyalgia patients","volume":"22","author":"Meireles","year":"2014","journal-title":"Acta Ortop Bras"},{"key":"ref36","first-page":"286","volume-title":"The psychological management of chronic pain: A treatment manual","author":"Clare","year":"1996"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1037\/0022-3514.58.4.672","article-title":"Effectiveness of maximally different cognitive strategies and expectancy in attenuation of reported pain","volume":"58","author":"Devine","year":"1990","journal-title":"J Pers Soc Psychol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"S68","DOI":"10.1016\/J.PAIN.2007.02.013","article-title":"Coping with fibromialgia: usefulness of the chronic pain coping Inventory-42","volume":"132","author":"Garcia-Campayo","year":"2007","journal-title":"Pain"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1845","DOI":"10.3390\/HEALTHCARE11131845","article-title":"E-health interventions targeting pain-related psychological variables in fibromyalgia: a systematic review","volume":"11","author":"Donisi","year":"2023","journal-title":"Healthcare"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1007\/s00482-016-0179-5","article-title":"Leitlinien und EULAR-Empfehlungen f\u00fcr die Behandlung der Fibromyalgie","volume":"31","author":"Thieme","year":"2017","journal-title":"Schmerz"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"89","DOI":"10.4081\/reumatismo.2021.1362","article-title":"The Italian Society for Rheumatology clinical practice guidelines for the diagnosis and management of fibromyalgia. Best practices based on current scientific evidence","volume":"73","author":"Ariani","year":"2021","journal-title":"Reumatismo"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1007\/S40674-023-00200-4","article-title":"The contribution of the psychologist in the assessment and treatment of fibromyalgia","volume":"9","author":"Luciano","year":"2023","journal-title":"Curr Treatm Opt Rheumatol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"Doc14","DOI":"10.3238\/arztebl.2009.0383","article-title":"Management of fibromyalgia syndrome \u2013 an interdisciplinary evidence-based guideline. GMS German","volume":"6","author":"H\u00e4user","year":"2008","journal-title":"Med Sci"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"577","DOI":"10.3390\/TOXINS12090577","article-title":"Exploring emotional distress, psychological traits and attitudes in patients with chronic migraine undergoing OnabotulinumtoxinA prophylaxis versus withdrawal treatment","volume":"12","author":"Donisi","year":"2020","journal-title":"Toxins"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.3899\/JRHEUM.100104","article-title":"Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome \u2014 a systematic review and Metaanalysis of randomized controlled trials","volume":"37","author":"Bernardy","year":"2010","journal-title":"J Rheumatol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"242","DOI":"10.1002\/EJP.1121","article-title":"Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome \u2013 a systematic review and meta-analysis of randomized controlled trials","volume":"22","author":"Bernardy","year":"2018","journal-title":"Eur J Pain"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1016\/J.PAIN.2013.12.029","article-title":"Effectiveness of group acceptance and commitment therapy for fibromyalgia: a 6-month randomized controlled trial (EFFIGACT study)","volume":"155","author":"Luciano","year":"2014","journal-title":"Pain"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/S10880-020-09741-5","article-title":"Strategies for managing chronic pain, chronic PTSD, and comorbidities: reflections on a case study documented over ten years","volume":"28","author":"Weisfeld","year":"2021","journal-title":"J Clin Psychol Med Settings"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1076763","DOI":"10.3389\/FPSYT.2022.1076763","article-title":"The role of mind body interventions in the treatment of irritable bowel syndrome and fibromyalgia","volume":"13","author":"Islam","year":"2022","journal-title":"Front Psych"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/J.JBMT.2014.04.003","article-title":"Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis","volume":"19","author":"Courtois","year":"2015","journal-title":"J Bodyw Mov Ther"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"3973","DOI":"10.3390\/ijerph20053973","article-title":"\u201cINTEGRO INTEGRated psychotherapeutic InterventiOn\u201d on the Management of Chronic Pain in patients with fibromyalgia: The role of the therapeutic relationship","volume":"20","author":"Pasini","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/J.SEMARTHRIT.2016.08.012","article-title":"2016 revisions to the 2010\/2011 fibromyalgia diagnostic criteria","volume":"46","author":"Wolfe","year":"2016","journal-title":"Semin Arthritis Rheum"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"R120","DOI":"10.1186\/AR2783","article-title":"The revised fibromyalgia impact questionnaire (FIQR): validation and psychometric properties","volume":"11","author":"Bennett","year":"2009","journal-title":"Arthritis Res Ther"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"A714.3","DOI":"10.1136\/annrheumdis-2013-eular.2112","article-title":"Psychometric characteristics of the italian version of the revised fibromyalgia impact questionnaire using classical test theory and rasch analysis","volume":"72","author":"Salaffi","year":"2013","journal-title":"Clin Exp Rheumatol"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/0304-3959(75)90044-5","article-title":"The McGill pain questionnaire: major properties and scoring methods","volume":"1","author":"Melzack","year":"1975","journal-title":"Pain"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/0304-3959(85)90045-4","article-title":"Semantics of pain in Italy: the Italian version of the McGill pain questionnaire","volume":"22","author":"Maiani","year":"1985","journal-title":"Pain"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/0304-3959(83)90143-4","article-title":"Development of the Wisconsin brief pain questionnaire to assess pain in cancer and other diseases","volume":"17","author":"Daut","year":"1983","journal-title":"Pain"},{"key":"ref58","first-page":"129","article-title":"Pain assessment: global use of the brief pain inventory","volume":"23","author":"Cleeland","year":"1994","journal-title":"Ann Acad Med Singap"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/0304-3959(95)00156-5","article-title":"A validation study of an Italian version of the brief pain inventory (breve Questionario per la Valutazione del Dolore)","volume":"65","author":"Caraceni","year":"1996","journal-title":"Pain"},{"key":"ref60","first-page":"607","article-title":"Validazione della versione italiana del Brief Pain Inventory nei pazienti con dolore cronico","volume":"68","author":"Bonezzi","year":"2002","journal-title":"Minerva Anestesiol"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/J.EJPAIN.2005.12.008","article-title":"The pain self-efficacy questionnaire: taking pain into account","volume":"11","author":"Nicholas","year":"2007","journal-title":"Eur J Pain"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1111\/PAPR.12242","article-title":"The pain self-efficacy questionnaire: cross-cultural adaptation into Italian and assessment of its measurement properties","volume":"15","author":"Chiarotto","year":"2015","journal-title":"Pain Pract"},{"key":"ref63","author":"Sighinolfi","year":"2010"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"2759","DOI":"10.6092\/2282-1619\/MJCP-2759","article-title":"Psychological interventions in fibromyalgia: an updated systematic review. Mediterranean","volume":"9","author":"Albajes","year":"2021","journal-title":"J Clin Psychol"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/J.JPAIN.2004.02.576","article-title":"Psychological aspects of persistent pain: current state of the science","volume":"5","author":"Keefe","year":"2004","journal-title":"J Pain"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1007\/S11916-009-0023-Z","article-title":"The illness uncertainty concept: a review","volume":"13","author":"Wright","year":"2009","journal-title":"Curr Pain Headache Rep"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1080\/10615806.2014.888060","article-title":"Living with the unexplained: coping, distress, and depression among women with chronic fatigue syndrome and\/or fibromyalgia compared to an autoimmune disorder","volume":"27","author":"McInnis","year":"2014","journal-title":"Anxiety Stress Coping"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1037\/TRA0000907","article-title":"Traumatic experiences and somatoform dissociation in women with fibromyalgia","volume":"14","author":"Romeo","year":"2022","journal-title":"Psychol Trauma"},{"key":"ref69","volume-title":"Oltre il dolore cronico: vivere in modo pieno e vitale","author":"Joann","year":"2014"},{"key":"ref70","volume-title":"Psicoterapia sensomotoria","author":"Ogden","year":"2016"},{"key":"ref71","author":"Marchi","year":"2021"},{"key":"ref72","volume-title":"SCL-90-R: Symptom Checklist-90-R: Administration, scoring, and procedures manual","author":"Derogatis","year":"1994"},{"key":"ref73","author":"Sarno","year":"2011"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1016\/j.eurpsy.2010.12.006","article-title":"Psychometric properties of the Italian version of the SCL-90-R: a study on a large community sample","volume":"27","author":"Prunas","year":"2012","journal-title":"Eur Psychiatry"},{"key":"ref75","volume-title":"Attachment in adults: Clinical and developmental perspectives","author":"Sperling","year":"1994"},{"key":"ref76","volume-title":"L\u2019Attachment style questionnaire (ASQ) Di Feeney, Noller E Hanrahan","author":"Fossati","year":"2007"},{"key":"ref77","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1002\/cpp.332","article-title":"The psychometric characteristics of the traumatic experiences checklist (TEC): first findings among psychiatric outpatients","volume":"9","author":"Nijenhuis","year":"2002","journal-title":"Clin Psychol Psychother"},{"key":"ref78","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/1073191105283504","article-title":"Using self-report assessment methods to explore facets of mindfulness","volume":"13","author":"Baer","year":"2006","journal-title":"Assessment"},{"key":"ref79","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1007\/s10862-013-9403-0","article-title":"The Italian five facet mindfulness questionnaire: a contribution to its validity and reliability","volume":"36","author":"Giovannini","year":"2014","journal-title":"J Psychopathol Behav Assess"},{"key":"ref80","first-page":"1","article-title":"Measuring therapeutic empathy in a clinical context: validating the Italian version of the empathic understanding of relationship inventory","volume":"20","author":"Messina","year":"2013","journal-title":"TPM Test Psychometr Methodol Appl Psychol"},{"key":"ref81","article-title":"The relationship inventory now: issues and advances in theory, method and use","volume-title":"The psychotherapeutic process: A research handbook","author":"Barrett-Lennard","year":"1986"},{"key":"ref82","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1080\/10503300500352500","article-title":"Development and validation of a revised short version of the working alliance inventory","volume":"16","author":"Hatcher","year":"2006","journal-title":"Psychother Res"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1408693\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T04:44:48Z","timestamp":1729745088000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1408693\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":82,"alternative-id":["10.3389\/fmed.2024.1408693"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2024.1408693","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]},"article-number":"1408693"}}