{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:16:06Z","timestamp":1778717766559,"version":"3.51.4"},"reference-count":47,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Instituto de Salud Carlos III (Spain), cofinanced by the European Union through the Fondo Europeo de Desarrollo Regional (FEDER)","award":["PI17\/00858"],"award-info":[{"award-number":["PI17\/00858"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The objective of this study is to explore the mediator role of cognitive fusion and chronic pain acceptance on the effects that the walking pattern, following an established clinical guideline for physical exercise, can have on fatigue (physical and mental) in patients with chronic pain. The sample consisted of a total of 231 women with fibromyalgia with a mean age of 56.91 years (Standard Deviation SD = 9.58 years, range 30\u221278 years). The results show a significant indirect effect of the walking pattern on both physical and mental fatigue through cognitive fusion and chronic pain acceptance. Specifically, walking predicted less cognitive fusion, which predicted greater chronic pain acceptance, which, in turn, predicted less mental and physical fatigue (Beta-B- = \u22120.04, Standard Error SE = 0.02, 95% Confidence Interval 95% CI = [\u22120.09, \u22120.02]; B = \u22120.09, SE = 0.05, 95% CI = [\u22120.22, \u22120,15], respectively). It can be concluded that the walking pattern is linked to both physical and mental fatigue through cognitive defusion and chronic pain acceptance. These cognitive abilities would allow fibromyalgia patients to perceive an improvement in both physical and mental fatigue by carrying out the walking pattern. Emphasizing the training of cognitive defusion and pain acceptance would improve the adherence of these patients to walking.<\/jats:p>","DOI":"10.3390\/ijerph182413148","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T01:20:41Z","timestamp":1639444841000},"page":"13148","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4989-9099","authenticated-orcid":false,"given":"Patricia","family":"Catala","sequence":"first","affiliation":[{"name":"Department of Psychology, Universidad Rey Juan Carlos, Avda. de Atenas s\/n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0642-2824","authenticated-orcid":false,"given":"Lorena","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidad Rey Juan Carlos, Avda. de Atenas s\/n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-6732","authenticated-orcid":false,"given":"Carmen","family":"\u00c9cija","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidad Rey Juan Carlos, Avda. de Atenas s\/n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"Serrano del Moral","sequence":"additional","affiliation":[{"name":"General Surgery and Digestive Surgery Service, Hospital Universitario de Fuenlabrada, 28944 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidad Rey Juan Carlos, Avda. de Atenas s\/n, 28922 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1007\/s11916-011-0214-2","article-title":"Exercise Therapy for Fibromyalgia","volume":"15","author":"Busch","year":"2011","journal-title":"Curr. 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