Cognitive-affective assets and vulnerabilities: Two factors influencing adaptation to Fibromyalgia

Lilian Velasco Furlong, Alex Zautra, Cecilia Peñacoba Puente, Almudena López-López, Paloma Barjola Valero

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


This study set to explore whether variables related to cognitive-affective assets would complement measures of psychological vulnerability for the prediction of physical functioning and pain tolerance in 138 women with Fibromyalgia Syndrome (FMS). Depression, anxiety, stress response and negative affect were defined a priori as measures of vulnerability, while pain self-efficacy, internality and positive affect were identified as assets. Confirmatory factor analyses supported the validity of the hypothesised two-factor structure in FMS. A structural equation model (SEM) revealed that the two factors were associated with different outcomes in FMS as predictors. Pain and associated symptoms appeared related to psychological vulnerabilities in FMS patients, whereas physical functioning and tolerance for pain were better predicted by assets. These results are discussed with reference to current theoretical models concerning the role of psychological factors in FMS, and intervention methods designed to improve quality of life and reduce pain in FMS patients.

Original languageEnglish (US)
Pages (from-to)197-212
Number of pages16
JournalPsychology and Health
Issue number2
StatePublished - Feb 2010


  • Affective variables
  • Fibromyalgia
  • Pain
  • Physical functioning
  • Self-efficacy

ASJC Scopus subject areas

  • Applied Psychology
  • Public Health, Environmental and Occupational Health


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