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Differential efficacy of written emotional disclosure for subgroups of fibromyalgia patients


Correspondence should be addressed to Dr Doerte U. Junghaenel, Department of Psychiatry and Behavioral Science, Putnam Hall, Stony Brook University, Stony Brook, New York 11794-8790, USA (e-mail:


Objectives. To identify differential health benefits of written emotional disclosure (ED).

Methods. Pain-coping style and demographic characteristics were examined as potential moderators of ED treatment efficacy in a randomized controlled trial with female fibromyalgia patients.

Results. Of three pain-coping styles, only patients classified as interpersonally distressed (ID) experienced significant treatment effects on psychological well-being, pain, and fatigue. Treatment effects on psychological well-being were also significantly greater for patients with a high level of education.

Conclusions. Patients with an ID-coping style and/or high education appear to benefit most from ED.