ArticleInternational journal of environmental research and public health2026
The Relationship Between Pain and Depression in Fibromyalgia: Structural Equation Modeling and Network Analysis.
Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Multidimensional Associations Between Psychiatric Symptoms, Sleep Disturbance, Biological Variables, and Fibromyalgia Severity: A Classification and Regression Tree and Path Analysis Study.Journal of clinical medicine · 2026Article
- The Emotional Allodynia Questionnaire: Preliminary Validation and Clinical Phenotyping in Fibromyalgia.Journal of pain research · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
Fibromyalgia (FM) is characterized by chronic pain, fatigue, and sleep disturbances, which often coexist with psychiatric symptoms, complicating its clinical profile. This study aims to investigate the relationships between FM components and psychopathological correlates, focusing on the central role of depression within the FM symptom network. A cross-sectional study was conducted on 50 outpatients diagnosed with FM according to the American College of Rheumatology 2016 criteria. Participants completed a comprehensive battery of validated assessment tools measuring FM components (pain, fatigue, and sleep disturbances), psychopathology (depression and anxiety), and stress-related dimensions. Structural equation modeling (SEM) and network analysis were used to explore the interplay between FM-related and psychological factors. The findings revealed a complex relationship between depression and pain in FM, with depression emerging as a central and highly connected factor within the symptom network, associated with both emotional and physical dysfunction. Fatigue was identified as a significant mediator between depression and pain, while stress, though not central, contributed to the overall symptom burden. These interactions underscore the multifaceted nature of FM, where psychological and physical symptoms are intricately interconnected through shared mechanisms. Systematic assessment of depressive symptoms may represent a clinically relevant target and a potential leverage point for integrated care pathways in chronic pain services.
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Registered trials
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