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Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicólogos del Principado de Asturias).
We currently publish four issues per year, which accounts for some 100 articles annually. We admit work from both the basic and applied research fields, and from all areas of Psychology, all manuscripts being anonymously reviewed prior to publication.

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Psicothema, 2009. Vol. Vol. 21 (nº 3). 359-368




Recursos cognitivos de percepción de control, procesos de estrés/recuperación y malestar afectivo en fibromialgia

José Luis González Gutiérrez, Cecilia Peñacoba Puente, Lilian Velasco Furlong, Almudena López-López, Francisco Mercado Romero y Paloma Barjola Valero

Universidad Rey Juan Carlos

El presente estudio evalúa un modelo estructural de relaciones entre los recursos cognitivos de control percibido sobre la enfermedad (expectativas de autoeficacia y lugar de control interno de dolor), el estado de estrés-recuperación y el malestar afectivo en mujeres con fibromialgia (n= 130). Los resultados fueron consistentes con la propuesta de que el balance de estrés-recuperación media la relación entre los recursos cognitivos y el malestar afectivo. Asimismo, se observó la presencia de un efecto directo por parte de los recursos cognitivos sobre la limitación funcional, mientras que la intensidad de dolor y los otros síntomas de enfermedad fueron directamente predictores del malestar afectivo. Teniendo en cuenta estos resultados, se señala la posible interpretación de una buena parte de las técnicas cognitivo-conductuales utilizadas habitualmente para el tratamiento de la fibromialgia, como herramientas orientadas a la búsqueda del correcto equilibrio entre estrés y recuperación, resultando fundamental para ello la modificación de las creencias de autoeficacia y las expectativas de control.

Cognitive resources of perceived control, stress-recovery processes and affective discomfort in fibromyalgia. This study evaluates a structural equation model (SEM) of linkages among cognitive control resources (illness-specific efficacy beliefs and internal pain control expectancies), stress/recovery state, and affective discomfort in women with fibromyalgia (n= 130). Results were consistent with the proposal that stress/recovery balance mediates the relationship between cognitive resources and affective discomfort. In addition, direct effects of cognitive resources on function limitation were observed, and pain intensity and symptoms were direct predictors of the affective discomfort. Based on the results, the possible interpretation of several cognitive-behavioural techniques commonly employed in the treatment of fibromyalgia are indicated as strategies aimed at finding the correct equilibrium between stress and recovery, and the modification of self-efficacy beliefs and pain control expectancies are fundamental.

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