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DC Field | Value | Language |
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dc.contributor.author | Serrat, Mayte | - |
dc.contributor.author | Almirall, Míriam | - |
dc.contributor.author | Musté, Marta | - |
dc.contributor.author | Sanabria Mazo, Juan P. | - |
dc.contributor.author | Feliu Soler, Albert | - |
dc.contributor.author | Méndez Ulrich, Jorge Luis | - |
dc.contributor.author | Luciano Devis, Juan Vicente | - |
dc.contributor.author | Sanz Ruiz, Antoni | - |
dc.date.accessioned | 2020-12-10T11:41:46Z | - |
dc.date.available | 2020-12-10T11:41:46Z | - |
dc.date.issued | 2020-10-18 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/2445/172657 | - |
dc.description.abstract | A recent study (FIBROWALK) has supported the effectiveness of a multicomponent treatment based on pain neuroscience education (PNE), exercise therapy (TE), cognitive behavioral therapy (CBT), and mindfulness in patients with fibromyalgia. The aim of the present RCT was: (a) to analyze the effectiveness of a 12-week multicomponent treatment (nature activity therapy for fibromyalgia, NAT-FM) based on the same therapeutic components described above plus nature exposure to maximize improvements in functional impairment (primary outcome), as well as pain, fatigue, anxiety-depression, physical functioning, positive and negative a ect, self-esteem, and perceived stress (secondary outcomes), and kinesiophobia, pain catastrophizing thoughts, personal perceived competence, and cognitive emotion regulation (process variables) compared with treatment as usual (TAU); (b) to preliminarily assess the e ects of the nature-based activities included (yoga, Nordic walking, nature photography, and Shinrin Yoku); and (c) to examine whether the positive effects of TAU + NAT-FM on primary and secondary outcomes at post-treatment were mediated through baseline to six-week changes in process variables. A total of 169 FM patients were randomized into two study arms: TAU + NAT-FM vs. TAU alone. Data were collected at baseline, at six-week of treatment, at post-treatment, and throughout treatment by ecological momentary assessment (EMA). Using an intention to treat (ITT) approach, linear mixed-e ects models and mediational models through path analyses were computed. Overall, TAU + NAT-FM was significantly more e ective than TAU at posttreatment for the primary and secondary outcomes evaluated, as well as for the process variables. Moderate-to-large effect sizes were achieved at six-weeks for functional impairment, anxiety, kinesiophobia, perceived competence, and positive reappraisal. The number needed to treat (NNT) was 3 (95%CI = 1.6-3.2). The nature activities yielded an improvement in affective valence, arousal, dominance, fatigue, pain, stress, and self-effcacy. Kinesiophobia and perceived competence were the mediators that could explain a significant part of the improvements obtained with TAU + NAT-FM treatment. TAU + NAT-FM is an e ective co-adjuvant multicomponent treatment for improving FM-related symptoms. | - |
dc.format.extent | 24 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/jcm9103348 | - |
dc.relation.ispartof | Journal of Clinical Medicine, 2020, vol. 9, num. 10, p. 1-24 | - |
dc.relation.uri | https://doi.org/10.3390/jcm9103348 | - |
dc.rights | cc-by (c) Serrat, Mayte et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Mètodes d'Investigació i Diagnòstic en Educació) | - |
dc.subject.classification | Fibromiàlgia | - |
dc.subject.classification | Teràpia cognitiva | - |
dc.subject.classification | Teràpia cognitiva basada en l'atenció plena | - |
dc.subject.classification | Teràpia d'exposició | - |
dc.subject.classification | Exercici terapèutic | - |
dc.subject.other | Fibromyalgia | - |
dc.subject.other | Cognitive therapy | - |
dc.subject.other | Mindfulness-based cognitive therapy | - |
dc.subject.other | Exposure therapy | - |
dc.subject.other | Exercise therapy | - |
dc.title | Effectiveness of a Multicomponent treatment for fibromyalgia based on Pain neuroscience education, Exercise therapy, Psychological support, and Nature exposure (NAT-FM): A Pragmatic randomized controlled trial | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 704751 | - |
dc.date.updated | 2020-12-10T11:41:46Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 33081069 | - |
Appears in Collections: | Articles publicats en revistes (Mètodes d'Investigació i Diagnòstic en Educació) |
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704751.pdf | 1.37 MB | Adobe PDF | View/Open |
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