![]() ![]() Affect did not moderate these relationships and showed direct and indirect paths on health outcomes, mainly by increasing persistence and showing positive affect as an asset and not a risk factor. Preference for pain avoidance goals was always related to pain, disability and fibromyalgia impact through activity patterns. We also found a direct effect of negative and positive affect on health outcomes. Pain avoidance goals and positive affect influenced fibromyalgia impact mediated by activity avoidance. They also affected disability mediated by task and excessive persistence. Pain avoidance goals and negative affect influenced pain mediated by task-contingent persistence. Robust RMSEA fit index of the final models ranged from 0.039 for pain to 0.000 for disability and fibromyalgia impact. These factors refer to patients’ preference for hedonic goals (pain avoidance or mood-management) over achievement goals. Exploratory factor analysis showed two factors: ‘Pain-avoidance goal’ and ‘Mood-management goal’ (37 and 13% of explained variance, respectively). Eight activities from the original GPQ were changed while maintaining the conceptual equivalence. We explored the GPQ structure and performed path analyses to test conditional mediation relationships. In Study 1, after a double translation/back-translation process, we interviewed 94 women attending the Fibromyalgia Unit of the Community of Valencia in order to identify the cultural feasibility and the content validity of the GPQ. We conducted two cross-sectional studies. Thus, our aims were: (1) to develop a Spanish version of the Goal Pursuit Questionnaire (GPQ) (2) to explore the relationships between goal preferences and health outcomes, testing the moderator role of affect and the mediating role of chronic pain activity patterns. Furthermore, in chronic pain, it has only been explored with regard to negative affect. However, this perspective has not been explored in fibromyalgia. Some motivational models understand health behavior as a result of the interaction between goal preferences and mood. 3Health Sciences Faculty, Rey Juan Carlos University, Madrid, Spain.2Fibromyalgia Unit, San Vicente del Raspeig Hospital, San Vicente del Raspeig, Spain. ![]() 1Department of Behavioral Sciences and Health, Miguel Hernández University, Elche, Spain.Maria-Angeles Pastor-Mira 1*, Sofía López-Roig 1*, Fermín Martínez-Zaragoza 1, Eva León 1, Ester Abad 2, Ana Lledó 1 and Cecilia Peñacoba 3 ![]()
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