RT journal article T1 Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Ándalus project A1 Segura Jiménez, Víctor A1 Álvarez Gallardo, Inmaculada Concepción A1 Carbonell Baeza, Ana A1 Aparicio, Virginia Ariadna A1 Ortega, Francisco Bartolomé A1 Casimiro, Antonio J. A1 Delgado Fernández, Manuel A2 Didáctica de la Educación FísicaPlástica y Musical K1 women K1 tenderness K1 impact of fibromyalgia K1 health-related quality of life K1 mental health K1 cognitive performance AB Objectives: To characterize a representative sample of fibromyalgia women based on a set of relevant factors known to be related to this disease. To distinguish specific factors of the disease from other symptoms that might also exist in non-fibromyalgia women. To test whether fibromyalgia affects more severely physical or psychological outcomes.Methods: A total of 459 fibromyalgia women vs. 214 non-fibromyalgia (control) women from southern Spain (Andalusia) took part in this cross-sectional study. Several instruments were used to assess tenderness, impact of fibromyalgia, fatigue, health-related quality of life, mental health and cognitive performance.Results: Overall, fibromyalgia women showed a worse status in pain, fatigue, health-related quality of life, depression and anxiety than controls (P<0.01). In general, the observed associations presented very large effect sizes (Cohen’s d from ~1 to ~5.5). No differences between fibromyalgia and controls were observed in cognitive and memory performance, except for delayed recall, but the observed effect size was low (~0.25). The effect size observed for the global physical component (~3.3) was larger than that for the global psychological component (~1.3), all P<0.001.Conclusions: Our results reinforce the understanding of fibromyalgia as a polysymptomatic distress condition with pain as its main symptom. Our findings support that fibromyalgia seems to have a greater impact on physical than on psychological outcomes, though both are largely affected. PB Elsevier SN 0049-0172 YR 2015 FD 2015 LK http://hdl.handle.net/10498/30640 UL http://hdl.handle.net/10498/30640 LA eng NO We acknowledge Elsevier and the Seminars in Arthritis and Rheumatism for publishing our scientific article: Segura-Jiménez, V., Álvarez-Gallardo, I. C., Carbonell-Baeza, A., Aparicio, V. A., Ortega, F. B., Casimiro, A. J., & Delgado-Fernández, M. (2015). Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Ándalus project. Seminars in Arthritis and Rheumatism, 44(5), 563-570. https://doi.org/10.1016/J.SEMARTHRIT.2014.09.010 DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026