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      <dc:title>A Mobile Application to Help Self-Manage Pain Severity, Anxiety, and Depressive Symptoms in Patients with Fibromyalgia Syndrome: A Pilot Study.</dc:title>
      <dc:creator>De la Vega, Rocío</dc:creator>
      <dc:creator>Miró, Jordi</dc:creator>
      <dc:creator>Lleixà-Daga, Meritxell</dc:creator>
      <dc:creator>Llorens-Vernet, Pere</dc:creator>
      <dc:subject>Fibromialgia</dc:subject>
      <dc:subject>Dolor - Aspectos psicológicos</dc:subject>
      <dc:subject>Depresión mental</dc:subject>
      <dc:subject>Salud mental</dc:subject>
      <dc:subject>Salud - Innovaciones tecnológicas</dc:subject>
      <dc:description>Abstract: Treatment for individuals with fibromyalgia syndrome (FMS) is complex and is not always&#xd;
accessible to those who could benefit. The aim of this study was to conduct a preliminary evaluation&#xd;
of a mobile-app-delivered, cognitive behavioral treatment (CBT)-based intervention in helping adults&#xd;
self-manage fibromyalgia symptoms. A total of 100 adults with FMS (M [SD] age = 49.81, [9.99]&#xd;
years; 94% women) were given access to the digital treatment program and downloaded the app.&#xd;
Pain severity, anxiety symptoms, depression symptoms, fatigue, and sleep quality were assessed&#xd;
at pre-treatment, post-treatment, and 3-month follow-up. Fifty-three of the potential participants&#xd;
completed the 47-day treatment. Data showed significant improvements in pain severity (p = 0.007,&#xd;
d = 0.43), anxiety (p = 0.011, d = 0.40) and depressive symptoms (p = 0.001, d = 0.50) from pre-treatment&#xd;
to post-treatment. The effect sizes associated with app use are consistent with improvements seen&#xd;
in previously published clinical trials of CBT for FMS. Improvements were generally maintained,&#xd;
although there was some decrease in the outcomes from post-treatment to the 3-month followup.&#xd;
Most participants reported that they were very satisfied with the app. The use of the app&#xd;
was associated with similar levels of improvements found with in-person CBT treatment for FMS.&#xd;
Research to evaluate the effectiveness of the app in a controlled trial is warranted.</dc:description>
      <dc:date>2024-03-12T09:50:13Z</dc:date>
      <dc:date>2024-03-12T09:50:13Z</dc:date>
      <dc:date>2024</dc:date>
      <dc:date>2022-09-23</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>Miró, J.; Lleixà-Daga, M.; de la Vega, R.; Llorens-Vernet, P.; Jensen, M.P. A Mobile Application to Help Self-Manage Pain Severity, Anxiety, and Depressive Symptoms in Patients with Fibromyalgia Syndrome: A Pilot Study. Int. J. Environ. Res. Public Health 2022, 19, 12026.</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10630/30807</dc:identifier>
      <dc:identifier>10.3390/ijerph191912026</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
      <dc:rights>open access</dc:rights>
      <dc:rights>Atribución 4.0 Internacional</dc:rights>
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