RT Journal Article T1 Using vignettes to assess the contribution of goal adjustment in the adaptation to chronic musculoskeletal pain A1 López-Martínez, Alicia Eva A1 Ramírez-Maestre, María del Carmen A1 Serrano-Ibáñez, Elena Rocío A1 Ruiz-Párraga, Gema Teresa A1 Peters, Madelon L. A1 Esteve-Zarazaga, Rosa K1 Mialgia - Evaluación AB Purpose The quality of life of individuals with chronic musculoskeletal pain partly depends on their capacity to adjust theirpersonal goals. Vignettes have been rarely used to assess this ability. Therefore, this study aimed to test the relationshipsbetween vignettes assessing different goal strategies and chronic pain adaptation (i.e., daily functioning, pain-related impairment,and psychological well-being).Methods The sample comprised 258 individuals with chronic musculoskeletal pain who completed a series of questionnairesand vignettes. The vignettes presented a short description of a situation in which a person with chronic pain experienced athreat to a valued domain-specific goal and had to choose a possible goal management solution (i.e., goal persistence, flexibilityreengagement, and disengagement). Hierarchical regression analyses were used to predict chronic pain adaptationusing the selected vignette strategies as predictors.Results After controlling for age, sex, pain intensity, and the responses to the dispositional goal management scales, persistence,reengagement, and disengagement goal strategies presented in the case scenarios predicted daily functioning (p < .001).Persistence, flexibility, disengagement (p < .001), and reengagement (p < .05) predicted pain-related impairment. Persistence,disengagement (p < .001), and flexibility (p < .05) predicted psychological well-being scores.Conclusion The use of vignettes could be useful to assess goal adjustment because this methodology enables respondentsto provide more context-specific responses. The results of this approach could be used to improve clinical practice aimed athelping people with chronic musculoskeletal pain to better cope with this health condition. PB Springer Nature YR 2020 FD 2020 LK https://hdl.handle.net/10630/37643 UL https://hdl.handle.net/10630/37643 LA eng NO López-Martínez, A.E., Ramírez-Maestre, C., Serrano-Ibáñez, E.R. et al. Using vignettes to assess the contribution of goal adjustment in the adaptation to chronic musculoskeletal pain. Qual Life Res 29, 2137–2148 (2020). https://doi.org/10.1007/s11136-020-02487-5 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 22 ene 2026