{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:47:43Z","timestamp":1790718463254,"version":"4.1.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI17\/00858"],"award-info":[{"award-number":["PI17\/00858"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007511","name":"Universidad Rey Juan Carlos","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007511","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Walking is an effective treatment for symptoms\u2019 management in patients with fibromyalgia. However, despite its benefits, fibromyalgia patients face a variety of obstacles that result in reduced ability to sustain physical exercise. The main goal of the study was to analyze the role of pain catastrophizing and fibromyalgia impact in the relationship between regular walking behavior and pain and fatigue experienced after a laboratory walking test.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>The study has an observational analytical laboratory design. A total of 100 women were contacted by the research team. Seventy-six women diagnosed with fibromyalgia aged 18\u00a0years and older (mean age\u2009=\u200955.05, <jats:italic>SD<\/jats:italic>\u2009=\u20097.69) participated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Significant correlations were found among regular walking behavior, pain catastrophizing, impact of fibromyalgia, pain intensity after walking, and fatigue intensity after walking. The serial multiple mediation analyses confirmed that pain catastrophizing and impact of fibromyalgia mediated the relationship between regular walking behavior and the level of pain (beta <jats:italic>B<\/jats:italic>\u2009=\u20090.044, 95% CI\u2009=\u2009[0.01\u20130.012]) and fatigue (beta <jats:italic>B<\/jats:italic>\u2009=\u20090.028, 95% CI\u2009=\u2009[0.01\u20130.08]) after the laboratory walking test. Also, the participants that walked less regularly experienced more pain and fatigue after the 6-Minute Walk Test.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Considering cognitive variables alongside the impact of fibromyalgia will help understand the inhibitors of engaging in physical activity. Therapeutic walking programs must be tailored to patients with fibromyalgia to reduce pain and fatigue related to physical activity and to promote better functioning and quality of life.\n<jats:table-wrap><jats:table><jats:tbody>\n                      <jats:tr>\n                        <jats:td colspan=\"2\"><jats:bold>Key Points<\/jats:bold><jats:italic>\u2022 Regular walking behavior was associated with fibromyalgia impact, pain catastrophizing, and less pain and fatigue after physical activity<\/jats:italic>.<jats:italic>\u2022 When patients catastrophize pain, they usually interpret physical activity as threatening, which generates more pain and fatigue after doing exercise<\/jats:italic>.<jats:italic>\u2022 Therapeutic programs should be designed to reduce pain catastrophizing and fibromyalgia impact<\/jats:italic>.<\/jats:td>\n                      <\/jats:tr>\n                    <\/jats:tbody><\/jats:table><\/jats:table-wrap><\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10067-022-06342-5","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T12:05:46Z","timestamp":1661947546000},"page":"225-232","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Symptoms in women with fibromyalgia after performing physical activity: the role of pain catastrophizing and disease impact"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-5788","authenticated-orcid":false,"given":"Irene","family":"L\u00f3pez-G\u00f3mez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6787-324X","authenticated-orcid":false,"given":"Lilian","family":"Velasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0642-2824","authenticated-orcid":false,"given":"Lorena","family":"Guti\u00e9rrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-6732","authenticated-orcid":false,"given":"Carmen","family":"\u00c9cija","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4989-9099","authenticated-orcid":false,"given":"Patricia","family":"Catal\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"issue":"5","key":"6342_CR1","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1002\/acr.20140","volume":"62","author":"F Wolfe","year":"2010","unstructured":"Wolfe F, Clauw DJ, Fitzcharles MA et al (2010) The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 62(5):600\u2013610. https:\/\/doi.org\/10.1002\/acr.20140","journal-title":"Arthritis Care Res"},{"issue":"1","key":"6342_CR2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.ejpain.2009.01.006","volume":"14","author":"W H\u00e4user","year":"2010","unstructured":"H\u00e4user W, Thieme K, Turk DC (2010) Guidelines on the management of fibromyalgia syndrome - a systematic review. Eur J Pain 14(1):5\u201310. https:\/\/doi.org\/10.1016\/j.ejpain.2009.01.006","journal-title":"Eur J Pain"},{"issue":"1","key":"6342_CR3","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1097\/rnj.0000000000000103","volume":"44","author":"C Pe\u00f1acoba","year":"2019","unstructured":"Pe\u00f1acoba C, Pastor-Mira MA, L\u00f3pez-Roig S, Sanz Y, Velasco L (2019) Healthcare provider advice to engage in walking regimens and adherence in women with fibromyalgia. Rehab Nursing 44(1):20\u201328. https:\/\/doi.org\/10.1097\/rnj.0000000000000103","journal-title":"Rehab Nursing"},{"issue":"5","key":"6342_CR4","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1111\/sms.13640","volume":"30","author":"E Santos","year":"2020","unstructured":"Santos E, Campos MA, P\u00e1rraga-Montilla JA, Arag\u00f3n-Vela J, Latorre-Rom\u00e1n PA (2020) Effects of a functional training program in patients with fibromyalgia: a 9-year prospective longitudinal cohort study. Scand J Med Sci Sports 30(5):904\u2013913. https:\/\/doi.org\/10.1111\/sms.13640","journal-title":"Scand J Med Sci Sports"},{"issue":"5","key":"6342_CR5","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1007\/s11916-011-0214-2","volume":"15","author":"AJ Busch","year":"2011","unstructured":"Busch AJ, Webber SC, Brachaniec M et al (2011) Exercise therapy for fibromyalgia. Curr Pain Headache Rep 15(5):358\u2013367. https:\/\/doi.org\/10.1007\/s11916-011-0214-2","journal-title":"Curr Pain Headache Rep"},{"issue":"2","key":"6342_CR6","doi-asserted-by":"publisher","first-page":"433","DOI":"10.6018\/analesps.31.2.172151","volume":"31","author":"MA Pastor","year":"2015","unstructured":"Pastor MA, L\u00f3pez-Roig S, Sanz Y et al (2015) Andar como forma de ejercicio f\u00edsico en la Fibromialgia: un estudio de identificaci\u00f3n de creencias desde la Teor\u00eda de la Acci\u00f3n Planeada. [Walking as physical exercise in fibromyalgia: an elicitation study from the theory of planned behavior]. Anal Psicolog\u00eda 31(2):433\u2013446. https:\/\/doi.org\/10.6018\/analesps.31.2.172151","journal-title":"Anal Psicolog\u00eda"},{"issue":"8","key":"6342_CR7","doi-asserted-by":"publisher","first-page":"2285","DOI":"10.1007\/s00296-011-1958-z","volume":"32","author":"AH Kayo","year":"2012","unstructured":"Kayo AH, Peccin MS, Sanches CM, Trevisani VF (2012) Effectiveness of physical activity in reducing pain in patients with fibromyalgia: a blinded randomized clinical trial. Rheumatol Int 32(8):2285\u20132292. https:\/\/doi.org\/10.1007\/s00296-011-1958-z","journal-title":"Rheumatol Int"},{"issue":"8","key":"6342_CR8","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1007\/s00296-016-3508-1","volume":"36","author":"S L\u00f3pez-Roig","year":"2016","unstructured":"L\u00f3pez-Roig S, Pastor M\u00c1, Pe\u00f1acoba C, Lled\u00f3 A, Sanz Y, Velasco L (2016) Prevalence and predictors of unsupervised walking and physical activity in a community population of women with fibromyalgia. Rheumatol Int 36(8):1127\u20131133. https:\/\/doi.org\/10.1007\/s00296-016-3508-1","journal-title":"Rheumatol Int"},{"issue":"3","key":"6342_CR9","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/0304-3959(94)00279-N","volume":"62","author":"JWS Vlaeyen","year":"1995","unstructured":"Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H (1995) Fear of movement\/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 62(3):363\u2013372. https:\/\/doi.org\/10.1016\/0304-3959(94)00279-N","journal-title":"Pain"},{"issue":"5","key":"6342_CR10","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1016\/j.jpain.2016.12.013","volume":"18","author":"R Esteve","year":"2017","unstructured":"Esteve R, L\u00f3pez-Mart\u00ednez AE, Peters ML et al (2017) Activity pattern profiles: relationship with affect, daily functioning, impairment, and variables related to life goals. J Pain 18(5):546\u2013555. https:\/\/doi.org\/10.1016\/j.jpain.2016.12.013","journal-title":"J Pain"},{"issue":"8","key":"6342_CR11","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1007\/s00296-016-3459-6","volume":"36","author":"Y Sanz-Ba\u00f1os","year":"2016","unstructured":"Sanz-Ba\u00f1os Y, Pastor M\u00c1, Velasco L et al (2016) To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia. Rheumatol Int 36(8):1135\u20131143. https:\/\/doi.org\/10.1007\/s00296-016-3459-6","journal-title":"Rheumatol Int"},{"key":"6342_CR12","doi-asserted-by":"publisher","first-page":"e8643","DOI":"10.7717\/peerj.8643","volume":"8","author":"G Crombez","year":"2020","unstructured":"Crombez G, De Paepe AL, Veirman E, Eccleston C, Verleysen G, Van Ryckeghem DML (2020) Let\u2019s talk about pain catastrophizing measures: an item content analysis. PeerJ 8:e8643. https:\/\/doi.org\/10.7717\/peerj.8643","journal-title":"PeerJ"},{"issue":"3","key":"6342_CR13","doi-asserted-by":"publisher","first-page":"R79","DOI":"10.1186\/ar3002","volume":"12","author":"W H\u00e4user","year":"2010","unstructured":"H\u00e4user W, Klose P, Langhorst J et al (2010) Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 12(3):R79. https:\/\/doi.org\/10.1186\/ar3002","journal-title":"Arthritis Res Ther"},{"issue":"4","key":"6342_CR14","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1080\/03630242.2019.1662869","volume":"60","author":"MA Pastor-Mira","year":"2020","unstructured":"Pastor-Mira MA, L\u00f3pez-Roig S, Pe\u00f1acoba C, Sanz-Ba\u00f1os Y, Lled\u00f3 A, Velasco L (2020) Predicting walking as exercise in women with fibromyalgia from the perspective of the theory of planned behavior. Women Health 60(4):412\u2013425. https:\/\/doi.org\/10.1080\/03630242.2019.1662869","journal-title":"Women Health"},{"issue":"6","key":"6342_CR15","doi-asserted-by":"publisher","first-page":"475","DOI":"10.1097\/AJP.0b013e3182385392","volume":"28","author":"G Crombez","year":"2012","unstructured":"Crombez G, Eccleston C, Van Damme S, Vlaeyen JW, Karoly P (2012) Fear-avoidance model of chronic pain: the next generation. Clin J Pain 28(6):475\u2013483. https:\/\/doi.org\/10.1097\/AJP.0b013e3182385392","journal-title":"Clin J Pain"},{"issue":"6","key":"6342_CR16","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.3390\/jcm9061763","volume":"9","author":"C \u00c9cija","year":"2020","unstructured":"\u00c9cija C, Luque-Reca O, Suso-Ribera C, Catala P, Pe\u00f1acoba C (2020) Associations of cognitive fusion and pain catastrophizing with fibromyalgia impact through fatigue, pain severity, and depression: an exploratory study using structural equation modeling. J Clin Med 9(6):1763. https:\/\/doi.org\/10.3390\/jcm9061763","journal-title":"J Clin Med"},{"issue":"3","key":"6342_CR17","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1097\/AJP.0000000000001010","volume":"38","author":"L Velasco","year":"2021","unstructured":"Velasco L, L\u00f3pez-G\u00f3mez I, Guti\u00e9rrez L, \u00c9cija C, Catal\u00e1 P, Pe\u00f1acoba C (2021) Exploring the preference for fatigue-avoidance goals as a mediator between pain catastrophizing, functional impairment, and walking behavior in women with fibromyalgia. Clin J Pain 38(3):182\u2013188. https:\/\/doi.org\/10.1097\/AJP.0000000000001010","journal-title":"Clin J Pain"},{"issue":"2","key":"6342_CR18","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1002\/art.1780330203","volume":"33","author":"F Wolfe","year":"1990","unstructured":"Wolfe F, Smythe HA, Yunus MB et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33(2):160\u2013172. https:\/\/doi.org\/10.1002\/art.1780330203","journal-title":"Arthritis Rheum"},{"issue":"2","key":"6342_CR19","doi-asserted-by":"publisher","first-page":"e88740","DOI":"10.1371\/journal.pone.0088740","volume":"9","author":"F Wolfe","year":"2014","unstructured":"Wolfe F, Walitt BT, Katz RS, H\u00e4user W (2014) Symptoms, the nature of fibromyalgia, and diagnostic and statistical manual 5 (DSM-5) defined mental illness in patients with rheumatoid arthritis and fibromyalgia. PLoS One 9(2):e88740. https:\/\/doi.org\/10.1371\/journal.pone.0088740","journal-title":"PLoS ONE"},{"key":"6342_CR20","volume-title":"Principles and practice of structural equation modeling","author":"RB Kline","year":"1998","unstructured":"Kline RB (1998) Principles and practice of structural equation modeling. Guilford, New York"},{"key":"6342_CR21","unstructured":"Soper DS (2022) A-priori sample size calculator for multiple regression [software] 2022. Available from:\u00a0https:\/\/www.danielsoper.com\/statcalc. Accessed 19 July 2022"},{"issue":"2","key":"6342_CR22","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/j.apmr.2005.10.013","volume":"87","author":"K Mannerkorpi","year":"2006","unstructured":"Mannerkorpi K, Svantesson U, Broberg C (2006) Relationships between performance-based tests and patients\u2019 ratings of activity limitations, self-efficacy, and pain in fibromyalgia. Arch Phys Med Rehabil 87(2):259\u2013264. https:\/\/doi.org\/10.1016\/j.apmr.2005.10.013","journal-title":"Arch Phys Med Rehabil"},{"issue":"11","key":"6342_CR23","first-page":"2666","volume":"27","author":"B Pankoff","year":"2000","unstructured":"Pankoff B, Overend T, Lucy D, White K (2000) Validity and responsiveness of the 6 minute walk test for people with fibromyalgia. J Rheumatol 27(11):2666\u20132670","journal-title":"J Rheumatol"},{"issue":"Suppl 1","key":"6342_CR24","doi-asserted-by":"publisher","first-page":"S55","DOI":"10.1016\/S1699-258X(06)73084-4","volume":"2","author":"J Rivera","year":"2006","unstructured":"Rivera J, Alegre C, Ballina FJ et al (2006) Documento de consenso de la Sociedad Espa\u00f1ola de Reumatolog\u00eda sobre la fibromialgia. Reumatol Clin 2(Suppl 1):S55\u2013S66. https:\/\/doi.org\/10.1016\/S1699-258X(06)73084-4","journal-title":"Reumatol Clin"},{"issue":"8","key":"6342_CR25","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","volume":"35","author":"CL Craig","year":"2003","unstructured":"Craig CL, Marshall AL, Sj\u00f6str\u00f6m M et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35(8):1381\u20131395. https:\/\/doi.org\/10.1249\/01.MSS.0000078924.61453.FB","journal-title":"Med Sci Sports Exerc"},{"issue":"13","key":"6342_CR26","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1157\/13127277","volume":"131","author":"J Garc\u00eda Campayo","year":"2008","unstructured":"Garc\u00eda Campayo J, Rodero B, Alda M et al (2008) Validaci\u00f3n de la versi\u00f3n espa\u00f1ola de la escala de la catastrofizaci\u00f3n ante el dolor (Pain Catastrophizing Scale) en la fibromialgia [Validation of the Spanish version of the Pain Catastrophizing Scale in fibromyalgia]. Med Clin 131(13):487\u2013492. https:\/\/doi.org\/10.1157\/13127277","journal-title":"Med Clin"},{"key":"6342_CR27","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1186\/1477-7525-11-132","volume":"11","author":"M Salgueiro","year":"2013","unstructured":"Salgueiro M, Garc\u00eda-Leiva JM, Ballesteros J, Hidalgo J, Molina R, Calandre EP (2013) Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR). Health Qual Life Outcomes 11:132. https:\/\/doi.org\/10.1186\/1477-7525-11-132","journal-title":"Health Qual Life Outcomes"},{"issue":"2","key":"6342_CR28","first-page":"129","volume":"23","author":"CS Cleeland","year":"1994","unstructured":"Cleeland CS, Ryan KM (1994) Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap 23(2):129\u2013138","journal-title":"Ann Acad Med Singap"},{"key":"6342_CR29","volume-title":"Introduction to mediation, moderation, and conditional process analysis: a regression-based approach","author":"AF Hayes","year":"2013","unstructured":"Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press, New York, NY"},{"issue":"6","key":"6342_CR30","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1037\/\/0022-3514.51.6.1173","volume":"51","author":"RM Baron","year":"1986","unstructured":"Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Person Social Psychol 51(6):1173\u20131182. https:\/\/doi.org\/10.1037\/\/0022-3514.51.6.1173","journal-title":"J Person Social Psychol"},{"key":"6342_CR31","unstructured":"Rivera Redondo J (2012) La fibromialgia en el sistema sanitario espa\u00f1ol. Generalidades e impacto en la calidad de vida. In: Pe\u00f1acoba C (ed) Fibromialgia y promoci\u00f3n de la salud: Herramientas de intervenci\u00f3n psicosocial. Dykinson,\u00a0Madrid, Spain, pp 45\u201373"},{"issue":"12","key":"6342_CR32","doi-asserted-by":"publisher","first-page":"2357","DOI":"10.1111\/pme.12817","volume":"16","author":"ZL McCormick","year":"2015","unstructured":"McCormick ZL, Gagnon CM, Caldwell M et al (2015) Short-term functional, emotional, and pain outcomes of patients with complex regional pain syndrome treated in a comprehensive interdisciplinary pain management program. Pain Med 16(12):2357\u20132367. https:\/\/doi.org\/10.1111\/pme.12817","journal-title":"Pain Med"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-022-06342-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10067-022-06342-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-022-06342-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T05:10:35Z","timestamp":1672981835000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10067-022-06342-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,31]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["6342"],"URL":"https:\/\/doi.org\/10.1007\/s10067-022-06342-5","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,31]]},"assertion":[{"value":"28 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of Rey Juan Carlos University (Reference PI17\/00858).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}