Evidence map›Paper›PMID 41827558›Full record

ArticleHealthcare (Basel, Switzerland)2026

Masculine Identity, Body Image and Illness-Related Shame: Pathways to Psychological Distress in Men with Fibromyalgia.

Shulamit Geller, Sigal Levy, Ronit Avitsur

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shulamit GellerSchool of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo 6818211, Israel.ORCID 0000-0001-7652-2233
Sigal LevyStatistics Education Unit, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo 6818211, Israel.ORCID 0000-0003-1272-2388
Ronit AvitsurSchool of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo 6818211, Israel.ORCID 0000-0002-3401-748X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough recognition of fibromyalgia (FMS) in men is growing, the mechanisms that contribute to their psychological distress remain poorly understood. This study aims to clarify how FMS alters men's psychological distress and to identify potential protective and risk factors involved in this process in this often-underrepresented population.

methodsThis study comprised a total of 225 men aged 18-75; of these, 102 were men with FMS (based on self-report) and 123 were healthy peers (HPs), all of whom completed questionnaires on demographics, anxiety (GAD-7), depression (PHQ-9), body appreciation (BAS-2), masculine self-esteem (MSES), illness-related shame (CISS), and pain intensity (SF-MPQ).

resultsMen with FMS reported significantly higher depression and anxiety, lower body appreciation, and compromised masculine identity. Between-group analysis showed body appreciation mediated the fibromyalgia-distress relationship. However, within the FMS group, compromised masculine identity and illness-related shame were the strongest pathways to distress, while body appreciation showed no effect. Moderation analysis confirmed body appreciation buffered distress in controls but not in men with FMS.

conclusionMasculine identity threats and illness-related shame constitute central mechanisms of psychological distress in men with FMS. Body appreciation operates differently in this population than in healthy men. Findings underscore the need for gender-sensitive interventions addressing identity disruption and emphasizing functionality over appearance-based acceptance.

Indexed as

body appreciationfibromyalgiaillness-related shamemasculine identitypsychological distress

Identifiers

PMID41827558
PMCPMC12984332

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.