{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:28:35Z","timestamp":1793474915465,"version":"4.5.0"},"reference-count":67,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2021,12,4]],"date-time":"2021-12-04T00:00:00Z","timestamp":1638576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Fibromyalgia is a chronic and complex disease whose management by patients requires a high level of commitment. Patient empowerment therefore represents an important milestone in chronic disease treatment and control. We explored the impact of a peer social support network from the perspective of women with fibromyalgia. Methods: A generic qualitative design was proposed for the study, for which women who had been diagnosed with fibromyalgia were purposefully selected. Six semi-structured interviews were conducted, and the collected data were thematically analysed. Results: Three key themes emerged regarding the peer social support network: (1) empowerment (facilitating acceptance of the diagnosis and acting as a source of information); (2) effects on well-being and quality of life (attenuated the stigma, improved physical well-being, provided emotional support and was a socialization medium); and (3), valuable aspects (transmitted feelings of being understood and listened to and increased personal feelings of satisfaction). Conclusions: A peer social support network for women with fibromyalgia exerts positive effects on their physical, mental, and social well-being and empowers them to better manage their disease. Healthcare for women with fibromyalgia should include strategies that connect them through peer social support networks.<\/jats:p>","DOI":"10.3390\/ijerph182312801","type":"journal-article","created":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T21:01:45Z","timestamp":1638738105000},"page":"12801","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Impact of a Peer Social Support Network from the Perspective of Women with Fibromyalgia: A Qualitative Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3893-4231","authenticated-orcid":false,"given":"Gl\u00f2ria","family":"Reig-Garcia","sequence":"first","affiliation":[{"name":"Nursing Department, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3254-6601","authenticated-orcid":false,"given":"Cristina","family":"Bosch-Farr\u00e9","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7928-9112","authenticated-orcid":false,"given":"Rosa","family":"Su\u00f1er-Soler","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8749-7800","authenticated-orcid":false,"given":"Dolors","family":"Juviny\u00e0-Canal","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Girona, 17003 Girona, Spain"},{"name":"Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00faria","family":"Pla-Vila","sequence":"additional","affiliation":[{"name":"Institut d\u2019Assist\u00e8ncia Sanit\u00e0ria, 17244 Cass\u00e0 de la Selva, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Noell-Boix","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Vic, 08500 Vic, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Boix-Roqueta","sequence":"additional","affiliation":[{"name":"Institut d\u2019Assist\u00e8ncia Sanit\u00e0ria, 17244 Cass\u00e0 de la Selva, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Mantas-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Nursing Department, University of Girona, 17003 Girona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1002\/acr.23731","article-title":"Diagnosis of Fibromyalgia: Disagreement between Fibromyalgia Criteria and Clinician-Based Fibromyalgia Diagnosis in a University Clinic","volume":"71","author":"Wolfe","year":"2019","journal-title":"Arthritis Care Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1016\/j.apmr.2018.12.019","article-title":"Association of Patterns of Moderate-to-Vigorous Physical Activity Bouts With Pain, Physical Fatigue, and Disease Severity in Women With Fibromyalgia: The al-\u00c1ndalus Project","volume":"100","author":"Gallardo","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_3","first-page":"90","article-title":"Prevalence of rheumatic diseases in the adult population in Spain (EPISER 2016 study): Aims and methodology","volume":"15","author":"Sivera","year":"2019","journal-title":"Reumatol. Cl\u00ednica"},{"key":"ref_4","first-page":"519","article-title":"Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population: Results from a nationwide study in Spain","volume":"26","author":"Mas","year":"2008","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.resed.2010.07.002","article-title":"Depresi\u00f3n, ansiedad y fibromialgia","volume":"17","year":"2010","journal-title":"Rev. Soc. Espa\u00f1ola Dolor"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"96","DOI":"10.11606\/S1518-8787.2017051007025","article-title":"Prevalence and clinical profile of chronic pain and its association with mental disorders","volume":"51","author":"Pereira","year":"2017","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7525-11-132","article-title":"Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR)","volume":"11","author":"Salgueiro","year":"2013","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e0020","DOI":"10.5041\/RMMJ.10204","article-title":"Central Sensitization Syndrome and the Initial Evaluation of a Patient with Fibromyalgia: A Review","volume":"6","author":"Fleming","year":"2015","journal-title":"Rambam Maimonides Med. J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/j.pain.2010.09.030","article-title":"Central sensitization: Implications for the diagnosis and treatment of pain","volume":"152","author":"Woolf","year":"2011","journal-title":"Pain"},{"key":"ref_10","doi-asserted-by":"crossref","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":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1477-7525-6-8","article-title":"Disability and quality of life in patients with fibromyalgia","volume":"6","author":"Verbunt","year":"2008","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_12","unstructured":"Ministerio de Trabajo Migraciones y Seguridad Social (2021, March 19). Guia de Actualizaci\u00f3n en la Valoraci\u00f3n de Fibromialgia, S\u00edndrome de fatiga Cr\u00f3nica, Sensibilidad Qu\u00edmica M\u00faltiple, Electrosensibilidad y Trastornos Somatomorfos, 2nd ed. Available online: http:\/\/www.seg-social.es\/wps\/wcm\/connect\/wss\/6471dc88-9773-4cef-9605-31b3102c333e\/GUIA+ACTUALIZACI\u00d3N+FM%2C+SFC%2C+SSQM+y+ES.pdf?MOD=AJPERES&CVID=."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1002\/1529-0131(200002)13:1<42::AID-ART7>3.0.CO;2-R","article-title":"Quality of life issues for fibromyalgia patients","volume":"13","author":"Bernald","year":"2000","journal-title":"Arthritis Care Res."},{"key":"ref_14","first-page":"CD001980","article-title":"Mind and body therapy for fibromyalgia","volume":"2015","author":"Theadom","year":"2015","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-016-0903-4","article-title":"Evaluation of a self-management patient education program for patients with fibromyalgia syndrome: Study protocol of a cluster randomized controlled trial Rehabilitation, physical therapy and occupational health","volume":"17","author":"Musekamp","year":"2016","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref_16","first-page":"301","article-title":"Effectiveness of health education in patients with fibromyalgia: A systematic review","volume":"55","year":"2019","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.math.2011.04.005","article-title":"How to explain central sensitization to patients with \u2018unexplained\u2019 chronic musculoskeletal pain: Practice guidelines","volume":"16","author":"Nijs","year":"2011","journal-title":"Man. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1590\/0034-7167-2016-0279","article-title":"Interdisciplinary care praxis in groups of people living with fibromyalgia","volume":"69","author":"Miranda","year":"2016","journal-title":"Rev. Bras. Enferm."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1287\/isre.2015.0585","article-title":"Network Dynamics: How Can We Find Patients Like Us?","volume":"26","author":"Yan","year":"2015","journal-title":"Inf. Syst. Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"603","DOI":"10.12957\/reuerj.2014.15509","article-title":"Tecnologia educacional como estrat\u00e9gia de empoderamento de pessoas com enfermidades cr\u00f4nicas","volume":"22","author":"Berardinelli","year":"2015","journal-title":"Rev. Enferm. UERJ"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1287\/isre.2014.0538","article-title":"Feeling Blue? Go Online: An Empirical Study of Social Support Among Patients","volume":"25","author":"Yan","year":"2014","journal-title":"Inf. Syst. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12955-018-0912-0","article-title":"A systematic review of the psychometric properties of the cross-cultural translations and adaptations of the Multidimensional Perceived Social Support Scale (MSPSS)","volume":"16","author":"Dambi","year":"2018","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1037\/0033-2909.98.2.310","article-title":"Stress, social support, and the buffering hypothesis","volume":"98","author":"Cohen","year":"1985","journal-title":"Psych. Bull."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.dss.2014.05.004","article-title":"Moderating role of gender in the relationships between perceived benefits and satisfaction in social virtual world continuance","volume":"65","author":"Zhou","year":"2014","journal-title":"Decis. Support Syst."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1080\/0954012051233131314349","article-title":"Social support networks and medical service use among HIV-positive injection drug users: Implications to intervention","volume":"17","author":"Knowlton","year":"2005","journal-title":"AIDS Care"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/j.1532-7795.2010.00721.x","article-title":"Beyond Homophily: A Decade of Advances in Understanding Peer Influence Processes","volume":"21","author":"Brechwald","year":"2011","journal-title":"J. Res. Adolesc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.im.2016.02.001","article-title":"Knowledge sharing in online health communities: A social exchange theory perspective","volume":"53","author":"Yan","year":"2016","journal-title":"Inf. Manag."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e126","DOI":"10.1016\/j.pec.2011.02.011","article-title":"Finally heard, believed and accepted\u2014Peer support in the narratives of women with fibromyalgia","volume":"85","author":"Sallinen","year":"2011","journal-title":"Patient Educ. Couns."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1177\/1049732307313429","article-title":"Empowering Processes and Outcomes of Participation in Online Support Groups for Patients With Breast Cancer, Arthritis, or Fibromyalgia","volume":"18","author":"Drossaert","year":"2008","journal-title":"Qual. Health Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e20180411","DOI":"10.1590\/1983-1447.2019.20180411","article-title":"The routines of women with fibromyalgia and an interdisciplinary challenge to promote self-care","volume":"40","author":"Oliveira","year":"2019","journal-title":"Rev. Gauch. Enferm."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"4035","DOI":"10.1002\/art.20660","article-title":"Influence of social support and emotional context on pain processing and magnetic brain responses in fibromyalgia","volume":"50","author":"Montoya","year":"2004","journal-title":"Arthritis Rheum."},{"key":"ref_32","first-page":"296","article-title":"Social Support for Female Sexual Dysfunction in Fibromyalgia","volume":"27","year":"2016","journal-title":"Clin. Nurs. Res."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Taylor, S.J., Bogdan, R., and De Vault, M. (2015). Introduction to Qualitative Research Methods: A Guidebook and Resource, Wiley Publications. [4th ed.].","DOI":"10.1002\/9781394260485"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/160940690300200201","article-title":"\u2018Clear as mud\u2019: Toward greater clarity in generic qualitative research","volume":"2","author":"Caelli","year":"2003","journal-title":"Int. J. Qual. Methods"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1177\/160940691401300119","article-title":"Generic Qualitative Approaches: Pitfalls and Benefits of Methodological Mixology","volume":"13","author":"Kahlke","year":"2014","journal-title":"Int. J. Qual. Methods"},{"key":"ref_36","unstructured":"Patton, M.Q. (2002). Qualitative Research and Evaluation Methods, Sage Publications. [3rd ed.]."},{"key":"ref_37","unstructured":"Kvale, S. (2004). Interviews: Learning the Craft of Qualitative Research Interviewing: An Introduction to Qualitative Research Interviewing, Sage Publications. [2nd ed.]."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1177\/1468794112468475","article-title":"Now I see it, now I don\u2019t: Researcher\u2019s position and reflexivity in qualitative research","volume":"15","author":"Berger","year":"2013","journal-title":"Qual. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1080\/13562510600874292","article-title":"Inside\u2013out: Analysis of the insider\u2013outsider concept as a heuristic device to develop reflexivity in students doing qualitative research","volume":"11","author":"Hellawell","year":"2006","journal-title":"Teach. High. Educ."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research: A synthesis of recommendations","volume":"89","author":"Harris","year":"2014","journal-title":"Acad. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1002\/art.40451","article-title":"Neurobiologic Features of Fibromyalgia Are Also Present Among Rheumatoid Arthritis Patients","volume":"70","author":"Basu","year":"2018","journal-title":"Arthritis Rheumatol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1080\/02813430701706568","article-title":"The fibromyalgia diagnosis\u2013Hardly helpful for the patients? A qualitative focus group study","volume":"25","author":"Undeland","year":"2007","journal-title":"Scand. J. Prim. Health Car"},{"key":"ref_44","doi-asserted-by":"crossref","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":"ref_45","doi-asserted-by":"crossref","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":"ref_46","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1007\/s10067-014-2752-6","article-title":"Association of physicians\u2019 illness perception of fibromyalgia with frustration and resistance to accepting patients: A cross-sectional study","volume":"35","author":"Homma","year":"2016","journal-title":"Clin. Rheumatol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1093\/pm\/pnz054","article-title":"Factors in the Building of Effective Patient-Provider Relationships in the Context of Fibromyalgia","volume":"21","author":"Chen","year":"2019","journal-title":"Pain Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.3109\/09638288.2013.868046","article-title":"The significance of FM associations for women with FM","volume":"36","author":"Juuso","year":"2014","journal-title":"Disabil. Rehabil."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2615","DOI":"10.1007\/s00296-011-2010-z","article-title":"Dietary aspects in fibromyalgia patients: Results of a survey on food awareness, allergies, and nutritional supplementation","volume":"32","author":"Arranz","year":"2012","journal-title":"Rheumatol. Int."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/j.1742-1241.2007.01638.x","article-title":"The health status burden of people with fibromyalgia: A review of studies that assessed health status with the SF-36 or the SF-12","volume":"62","author":"Hoffman","year":"2007","journal-title":"Int. J. Clin. Pr."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/RHU.0000000000001120","article-title":"The Impact of a Group-Based Multidisciplinary Rehabilitation Program on the Quality of Life in Patients with Fibromyalgia","volume":"26","author":"Jacobs","year":"2020","journal-title":"JCR J. Clin. Rheumatol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1136\/annrheumdis-2012-201807","article-title":"Measurement invariance of the Illness Invalidation Inventory (3*I) across language, rheumatic disease and gender","volume":"73","author":"Kool","year":"2014","journal-title":"Ann. Rheum. Dis."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1037\/a0035754","article-title":"The consequences of perceived discrimination for psychological well-being: A meta-analytic review","volume":"140","author":"Schmitt","year":"2014","journal-title":"Psychol. Bull."},{"key":"ref_54","unstructured":"World Health Organization (WHO) (2021, March 16). Definition of Health\u2014Public Health. Available online: https:\/\/www.publichealth.com.ng\/world-health-organizationwho-definition-of-health\/."},{"key":"ref_55","first-page":"197","article-title":"Impacts of social support on symptoms in Brazilian women with fibromyalgia","volume":"57","author":"Freitas","year":"2017","journal-title":"Rev. Bras. Reum."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"547","DOI":"10.2165\/11313650-000000000-00000","article-title":"Societal and Patient Burden of Fibromyalgia Syndrome","volume":"27","author":"Annemans","year":"2009","journal-title":"Pharmacoeconomics"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1159\/000076455","article-title":"Social Support and the Persistence of Complaints in Chronic Fatigue Syndrome","volume":"73","author":"Prins","year":"2004","journal-title":"Psychother. Psychosom."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jpsychores.2014.12.018","article-title":"The within-day relation between lonely episodes and subsequent clinical pain in individuals with fibromyalgia: Mediating role of pain cognitions","volume":"79","author":"Wolf","year":"2015","journal-title":"J. Psychosom. Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1155\/2009\/134808","article-title":"Understanding the Psychosocial Profile of Women with Fibromyalgia Syndrome","volume":"14","author":"Shuster","year":"2009","journal-title":"Pain Res. Manag."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1002\/msc.167","article-title":"A qualitative exploration of carers\u2019 and \u2018patients\u2019 experiences of fibromyalgia: One illness, different perspectives","volume":"8","author":"Rodham","year":"2010","journal-title":"Musculoskelet. Care"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"169","DOI":"10.3109\/10253890.2014.1001975","article-title":"Finding benefit in stressful uncertain circumstances: Relations to social support and stigma among women with unexplained illnesses","volume":"18","author":"McInnis","year":"2015","journal-title":"Stress"},{"key":"ref_62","unstructured":"Kurkkurainen, M.L. (2008). Fibromyalgia Patients\u00b4 Sense of Coherence, Social Support and Quality of Life. [Ph.D Dissertation, University of Oulu]."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1111\/hsc.12403","article-title":"The role of \u2018social support\u2019 in the experience of fibromyalgia-narratives from South Africa","volume":"25","author":"Cooper","year":"2017","journal-title":"Health Soc. Care Community"},{"key":"ref_64","first-page":"32","article-title":"Intervenci\u00f3n psicoeducativa en pacientes con fibromialgia en atenci\u00f3n primaria: Efectividad y diferencias entre terapia individual y grupal","volume":"73","author":"Arnal","year":"2005","journal-title":"Cuad. Med. Psicosom\u00e1tica"},{"key":"ref_65","unstructured":"Rallo, A. (2021, November 24). Ruta Assistencial: S\u00edndrome Sensibilitat Central. Available online: http:\/\/catsalut.gencat.cat\/ca\/coneix-catsalut\/catsalut-territori\/girona\/publicacions\/."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","article-title":"EULAR revised recommendations for the management of fibromyalgia","volume":"76","author":"Macfarlane","year":"2017","journal-title":"Ann. Rheum. Dis."},{"key":"ref_67","unstructured":"NICE (2021, November 24). Chronic Pain (Primary and Secondary) in over 16s: Assessment of All Chronic Pain and Management of Chronic Primary Pain. Available online: https:\/\/www.nice.org.uk\/guidance\/ng193\/chapter\/Recommendations."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/23\/12801\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:39:42Z","timestamp":1760168382000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/23\/12801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,4]]},"references-count":67,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["ijerph182312801"],"URL":"https:\/\/doi.org\/10.3390\/ijerph182312801","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-842143\/v1","asserted-by":"object"}]},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,4]]}}}