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Fibromyalgia syndrome (FM) is a chronic musculoskeletal condition that is accompanied by hypersensitivity to pain. Researchers have examined factors that affect pain ratings among people with FM, such as trauma, depressive symptoms, and coping; however, collectively, the interrelationships among this set of variables, and their relationships to pain, have not been examined. To better understand these relationships, a moderated-mediation model was used to examine how recalled trauma severity, depressive symptoms, relative emotion-focused coping relate to pain ratings. There were 501 participants who were primarily female, White, and ranged in age from 20 to 84 years. All participants had a physician's diagnosis of FM. The results indicated a significant moderated-mediation. Depressive symptoms significantly mediated the relationship between recalled trauma severity and pain ratings, such that greater trauma severity related to more depressive symptoms which in turn were associated with more pain. The mediation chain was moderated by relative emotion-focused coping (i.e., the proportion of emotion-focused coping compared to problem-focused coping), such that when relative emotion-focused coping was used at higher levels, the relationship between recalled trauma severity and depressive symptoms significantly weakened, reducing the indirect association between recalled trauma severity and pain ratings. The findings from the present study indicate that a treatment approach that includes a trauma-focused therapy such as exposure therapy or Emotional Awareness and Expression Therapy should be tested to determine whether these treatments can reduce the impact of past traumas, improve depressive symptoms, decrease pain ratings, and promote more adaptive coping among people with FM. [ABSTRACT FROM AUTHOR]

This study investigated the combined effects of national culture and perceptions of employability on relationships between job insecurity and work and non-work outcomes for individual employees. Data from 28,674 participants in 35 nations were obtained from the 2015 European Working Conditions Survey. Results showed that nation-level differences in individualism/collectivism (I/C), uncertainty avoidance (UA), and masculinity/femininity (M/F) accounted for variation in the degree to which perceptions of employability buffered the negative effects of job insecurity on job satisfaction, work engagement, and subjective well-being. Among more collectivist cultures, employability did less to minimize the effects of job insecurity on job satisfaction than in more individualistic cultures. Employability also had a weaker effect on buffering the consequences of job insecurity for job satisfaction and work engagement when cultural uncertainty avoidance was higher. And across all three outcome measures, higher levels of job insecurity combined with lower perceptions of employability were consistently more detrimental to individuals in more masculine cultures. Results support the prevailing theory regarding the mechanisms underlying the effects of job insecurity on individuals and suggest several important practical implications for managing a global workforce. [ABSTRACT FROM AUTHOR]