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Over recent years the focus on chronic pain in this
disorder has led the way toward detecting the psychological
and behavioral aspects that explain, more than the
etiology of the disorder, the emotional repercussions that
this has for the sufferer. In this framework, it has been
confirmed that a passive attitude, exaggeration of the
negative consequences, and reduced use of distraction
strategies constitute a dysfunctional style of coping,
associated with greater levels of distress in this type of
patient.10 On the other hand, the ability to maintain an
adequate level of activity constitutes a determinant
positive factor, not just in response to therapy, but also in
the patient¡¯s quality of life.

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