Martinez-Calderon, JavierFlores-Cortes, MarClavero-Cano, SusanaMorales-Asencio, Jose MiguelJensen, Mark P.Rondon-Ramos, AntonioDiaz-Cerrillo, Juan LuisAriza-Hurtado, Gina RocíoLuque-Suarez, Alejandro2022-07-292022-07-292020-10-12Martinez-Calderon J, Flores-Cortes M, Clavero-Cano S, Morales-Asencio JM, Jensen MP, Rondon-Ramos A, et al. The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study. J Clin Med. 2020 Oct 12;9(10):3252http://hdl.handle.net/10668/3845This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Chronic painCognitionCross-sectional studiesMusculoskeletal painOptimismPainSelf-efficacyDolor crónicoCogniciónEstudios transversalesDolor musculoesqueléticoOptimismoDolorAutoeficaciaMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional StudiesMedical Subject Headings::Diseases::Musculoskeletal Diseases::Muscular Diseases::Musculoskeletal PainMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Neurologic Examination::Pain MeasurementMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Personality::Personality Development::Self Concept::Self EfficacyMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal StudiesMedical Subject Headings::Chemicals and Drugs::Lipids::WaxesMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Pain::Chronic Painresearch article33053655open access10.3390/jcm91032522077-0383PMC7599728