{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:45:15Z","timestamp":1790095515546,"version":"4.0.1"},"reference-count":52,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fundaci\u00f3 Doctor Ferran","award":["PI18\/00943"],"award-info":[{"award-number":["PI18\/00943"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III, Ministry of Economy and Competitiveness","doi-asserted-by":"publisher","award":["PI18\/00943"],"award-info":[{"award-number":["PI18\/00943"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Union ERDF funds (European Regional Development Fund)","award":["PI18\/00943"],"award-info":[{"award-number":["PI18\/00943"]}]},{"name":"Fundaci\u00f3 Institut Universitari per a la recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina","award":["PI18\/00943"],"award-info":[{"award-number":["PI18\/00943"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Multicomponent, non-pharmacological therapies are the preferred first-line treatments for fibromyalgia (FM), but little is known about them in primary care settings. Our study assessed the effectiveness of the FIBROCARE Program in improving the quality of life, functional impact, mood, and pain of people with FM. Methods: We conducted a pragmatic, randomized controlled trial that was not blinded for both patients and the professionals delivering the treatments in the study groups. We compared a group receiving non-pharmacological multicomponent group therapy (MT) based on health education, physical exercise, and cognitive\u2013behavioral therapy with another group receiving the usual clinical care. The MT group was treated in the primary care context in Catalonia (Spain) through 12 consecutive weekly sessions. Both groups were followed up with at the end of the MT group sessions and 6 and 12 months after the group sessions with the Short-Form 36 (SF-36) v2 Health Survey questionnaire, the Hospital Anxiety and Depression Scale (HADS-A and HADS-D), the Visual Analog Scale, and the Revised Fibromyalgia Impact Questionnaire (ClinicalTrials.gov: NCT04049006). Results: Improvements in pain intensity, functional impact, physical health, fatigue, and emotional problems that affect daily activities in the MT group lasted up to 12 months. Benefits measured by the SF-36 Mental Health dimension and the HADS-A subscale were lost after 6 months. Effects on the SF-36 Social Functioning dimension and HADS-D present at 6 months persisted for up to 12 months. Generally, the longer the time since the FM diagnosis, the better was a patient\u2019s mood. Conclusions: The FIBROCARE Program effectively improves all the studied health outcomes except patient mood, since anxiety symptoms persist. The program should reinforce patient psychological support overall, focusing particularly on the years initially after diagnosis.<\/jats:p>","DOI":"10.3390\/jcm14010161","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T07:34:19Z","timestamp":1735630459000},"page":"161","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effectiveness of a Multicomponent Program for Fibromyalgia Patients in a Primary Care Setting (FIBROCARE Program): A Pragmatic Randomized Controlled Trial"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5780-9888","authenticated-orcid":false,"given":"Rosa","family":"Caballol Angelats","sequence":"first","affiliation":[{"name":"Unitat d\u2019Expertesa en S\u00edndromes de Sensibilitzaci\u00f3 Central Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut, 43500 Tortosa, Spain"},{"name":"Programa de Doctorat Medicina i Recerca Translacional, Departament de Fonaments Cl\u00ednics, Facultat de Medicina, Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3272-6861","authenticated-orcid":false,"given":"Alessandra Queiroga","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Direcci\u00f3 d\u2019Atenci\u00f3 Prim\u00e0ria Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut, 43500 Tortosa, Spain"},{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca al\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Abellana","sequence":"additional","affiliation":[{"name":"Departament de Fonaments Cl\u00ednics, Facultat de Medicina, Universitat de Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00e8lia","family":"Carrasco-Querol","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca al\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5915-2656","authenticated-orcid":false,"given":"Anna","family":"P\u00e0mies Corts","sequence":"additional","affiliation":[{"name":"Unitat d\u2019Expertesa en S\u00edndromes de Sensibilitzaci\u00f3 Central Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut, 43500 Tortosa, Spain"},{"name":"Servei de Reumatologia, Hospital de Tortosa Verge de la Cinta, 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Gonz\u00e1lez Serra","sequence":"additional","affiliation":[{"name":"Servei de 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la Nova, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria \u00c0ngels","family":"L\u00f3pez Guerrero","sequence":"additional","affiliation":[{"name":"Equip d\u2019Atenci\u00f3 Prim\u00e0ria M\u00f3ra la Nova-M\u00f3ra d\u2019Ebre, Institut Catal\u00e0 de la Salut, 43770 M\u00f3ra la Nova, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"L\u00f3pez Guerrero","sequence":"additional","affiliation":[{"name":"Equip d\u2019Atenci\u00f3 Prim\u00e0ria Flix, Institut Catal\u00e0 de la Salut, 43750 Flix, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"P\u00e9rez Ac\u00edn","sequence":"additional","affiliation":[{"name":"Equip d\u2019Atenci\u00f3 Prim\u00e0ria Flix, Institut Catal\u00e0 de la Salut, 43750 Flix, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Immaculada","family":"Matamoros Callarisa","sequence":"additional","affiliation":[{"name":"Equip 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(2024). Management of Fibromyalgia: An Update. Biomedicines, 12.","DOI":"10.3390\/biomedicines12061266"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Velasco-Furlong, L., Guti\u00e9rrez-Hermoso, L., Mateos-Pintado, B., Castro, D.G., Blanco-Rico, S., Sanrom\u00e1n-Canelada, L., L\u00f3pez-Roig, S., Pastor-Mira, M.\u00c1., and Pe\u00f1acoba-Puente, C. (2020). The 4 u\u2019s rule of fibromyalgia: A proposed model for fatigue in a sample of women with fibromyalgia: A qualitative study. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17176224"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Jurado-Priego, L.N., Cueto-Ure\u00f1a, C., Jes\u00fas Ram\u00edrez-Exp\u00f3sito, M.J., and Mart\u00ednez-Martos, J.M. (2024). Fibromyalgia: A Review of the Pathophysiological Mechanisms and Multidisciplinary Treatment Strategies. Biomedicines, 12.","DOI":"10.3390\/biomedicines12071543"},{"key":"ref_4","first-page":"90","article-title":"Prevalence of rheumatic diseases in adult population in Spain (EPISER 2016 study): Aims and methodology","volume":"15","author":"Sivera","year":"2019","journal-title":"Reumatol. Clin."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.semarthrit.2016.08.012","article-title":"2016 Revisions to the 2010\/2011 fibromyalgia diagnostic criteria","volume":"46","author":"Wolfe","year":"2016","journal-title":"Semin. Arthritis Rheum."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4078\/jrd.2022.29.1.4","article-title":"Disentangling Diagnosis and Management of Fibromyalgia","volume":"29","author":"Kang","year":"2022","journal-title":"J. Rheum. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1080\/00325481.2018.1411743","article-title":"Normalizing fibromyalgia as a chronic illness","volume":"130","author":"Clauw","year":"2018","journal-title":"Postgrad. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"53","DOI":"10.31887\/DCNS.2018.20.1\/whauser","article-title":"Facts and myths pertaining to fibromyalgia","volume":"20","author":"Fitzcharles","year":"2018","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/j.pain.0000000000002500","article-title":"Efficacy of nonpharmacological interventions for individual features of fibromyalgia: A systematic review and meta-analysis of randomised controlled trials","volume":"163","author":"Kundakci","year":"2022","journal-title":"Pain"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1002\/msc.1741","article-title":"Non-pharmacological therapies in Fibromyalgia: New horizons for physicians, new hopes for patients","volume":"21","author":"Majdoub","year":"2023","journal-title":"Musculoskelet. Care"},{"key":"ref_11","first-page":"1205","article-title":"Fibromyalgia: One year in review 2023","volume":"41","author":"Giorgi","year":"2023","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_12","first-page":"76","article-title":"Multidisciplinary rehabilitation treatments for patients with fibromyalgia: A systematic review","volume":"58","author":"Lear","year":"2022","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","article-title":"EULAR revised recommendations for the management of fibromyalgia","volume":"76","author":"Macfarlane","year":"2017","journal-title":"Ann. Rheum. Dis."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1001\/jamainternmed.2020.5651","article-title":"Association of Therapies with Reduced Pain and Improved Quality of Life in Patients with Fibromyalgia: A Systematic Review and Meta-analysis","volume":"181","author":"Mascarenhas","year":"2021","journal-title":"JAMA Intern. Med."},{"key":"ref_15","unstructured":"Departament de Salut (2024, May 20). Generalitat de Catalunya. Pla Operatiu d\u2019Atenci\u00f3 a les Persones Afectades per les S\u00edndromes de Sensibilitzaci\u00f3 Central: Fibromi\u00e0lgia, S\u00edndrome de Fatiga Cr\u00f2nica i S\u00edndrome de Sensibilitat Qu\u00edmica M\u00faltiple. 2a ed. Barcelona: Direcci\u00f3 General de Planificaci\u00f3 en Salut. Available online: https:\/\/scientiasalut.gencat.cat\/handle\/11351\/5634."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e17289","DOI":"10.1097\/MD.0000000000017289","article-title":"Effectiveness, cost-utility, and benefits of a multicomponent therapy to improve the quality of life of patients with fibromyalgia in primary care","volume":"98","author":"Casajuana","year":"2019","journal-title":"Medicine"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Arfuch, V.M., Caballol Angelats, R., Aguilar Mart\u00edn, C., Gon\u00e7alves, A.Q., Carrasco-Querol, N., Gonz\u00e1lez Serra, G., Sancho Sol, M.C., Fust\u00e9 Anguera, I., Friberg, E., and Berenguera, A. (2022). Patients\u2019 Lived Experience in a Multicomponent Intervention for Fibromyalgia Syndrome in Primary Care: A Qualitative Interview Study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192013322"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2005760","DOI":"10.1080\/17482631.2021.2005760","article-title":"Patients\u2019 appraisals about a multicomponent intervention for fibromyalgia syndrome in primary care: A focus group study","volume":"16","author":"Arfuch","year":"2021","journal-title":"Int. J. Qual. Stud. Health Well-Being"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Caballol Angelats, R., Aguilar Mart\u00edn, C., Carrasco-Querol, N., Abellana, R., Gonz\u00e1lez Serra, G., Gr\u00e0cia Benaiges, D., Sancho Sol, M.C., Fust\u00e9 Anguera, I., Chavarria Jordana, S., and Berenguera, A. (2023). Usefulness of a Multicomponent Group Intervention Program for Fibromyalgia Patients in Primary Care: A Qualitative Study of Health Professionals. Healthcare, 12.","DOI":"10.3390\/healthcare12010017"},{"key":"ref_20","first-page":"771","article-title":"The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): An instrument for measuring clinical results","volume":"104","author":"Alonso","year":"1995","journal-title":"Med. Clin. (Barc.)"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"R120","DOI":"10.1186\/ar2783","article-title":"The Revised Fibromyalgia Impact Questionnaire (FIQR): Validation and psychometric properties","volume":"11","author":"Bennett","year":"2009","journal-title":"Arthritis Res. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/1477-7525-11-132","article-title":"Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR)","volume":"11","author":"Salgueiro","year":"2013","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_23","first-page":"345","article-title":"Pain in fibromyalgia and discrimination power of the instruments: Visual Analog Scale, Dolorimetry and the McGill Pain Questionnaire","volume":"33","author":"Marques","year":"2008","journal-title":"Acta Reumatol. Port."},{"key":"ref_24","first-page":"S34","article-title":"Assessing fibromyalgia-related fatigue: Content validity and psychometric performance of the Fatigue Visual Analog Scale in adult patients with fibromyalgia","volume":"29","author":"Crawford","year":"2011","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.rpsm.2012.01.003","article-title":"Use of the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression in fibromyalgia patients","volume":"5","author":"Vallejo","year":"2012","journal-title":"Rev. Psiquiatr. Salud Ment."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"181","DOI":"10.4067\/S0718-48082015000300003","article-title":"Hospital Anxiety and depression Scale (HADS) in fibromyalgia: Sensitivity and specific analysis","volume":"33","author":"Cabrera","year":"2015","journal-title":"Ter. Psicol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"963","DOI":"10.2307\/2529876","article-title":"Random-effects models for longitudinal data","volume":"38","author":"Laird","year":"1982","journal-title":"Biometrics"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"c332","DOI":"10.1136\/bmj.c332","article-title":"CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials","volume":"340","author":"Schulz","year":"2010","journal-title":"BMJ"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1157\/13074369","article-title":"The Spanish version of the Short Form 36 Health Survey: A decade of experience and new developments","volume":"19","author":"Vilagut","year":"2005","journal-title":"Gac. Sanit."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Ortega-Mart\u00ednez, A.R., Grande-Gasc\u00f3n, M.L., and Calero-Garc\u00eda, M.J. (2023). Influence of socio-affective factors on quality of life in women diagnosed with fibromyalgia. Front. Psychol., 14.","DOI":"10.3389\/fpsyg.2023.1229076"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"206","DOI":"10.4103\/ijoy.IJOY_72_18","article-title":"The impact of a daily yoga program for women with fibromyalgia","volume":"12","author":"Lazaridou","year":"2019","journal-title":"Int. J. Yoga"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e20180411","DOI":"10.1590\/1983-1447.2019.20180411","article-title":"The routines of women with fibromyalgia and an interdisciplinary challenge to promote self-care","volume":"40","author":"Oliveira","year":"2019","journal-title":"Rev. Ga\u00facha Enferm."},{"key":"ref_33","unstructured":"Feingold, K.R., Anawalt, B., and Blackman, M.R. (2000). Fibromyalgia 2003. Endotext [Internet], MDText.com, Inc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e269","DOI":"10.2196\/jmir.5309","article-title":"The Relationship Between Health Management and Information Behavior Over Time: A Study of the Illness Journeys of People Living With Fibromyalgia","volume":"18","author":"Chen","year":"2016","journal-title":"J. Med. Internet Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3639","DOI":"10.2147\/JPR.S384215","article-title":"Effect of Exercise Interventions on Health-Related Quality of Life in Patients with Fibromyalgia Syndrome: A Systematic Review and Network Meta-Analysis","volume":"15","author":"Zhang","year":"2022","journal-title":"J. Pain. Res."},{"key":"ref_36","first-page":"26","article-title":"Cognitive-behavioral therapy and acceptance and commitment therapy for anxiety and depression in patients with fibromyalgia: A systematic review and meta-analysis","volume":"97","author":"Cojocaru","year":"2023","journal-title":"Med. Pharm. Rep."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1002\/msc.1470","article-title":"Fibromyalgia Self-Management: Mapping the behaviour change techniques used in a practice-based programme","volume":"18","author":"Pearson","year":"2020","journal-title":"Musculoskeletal Care"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1111\/1756-185X.14293","article-title":"Efficacy of adding pain neuroscience education to a multimodal treatment in fibromyalgia: A systematic review and meta-analysis","volume":"25","author":"Saracoglu","year":"2022","journal-title":"Int. J. Rheum. Dis."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2201","DOI":"10.1007\/s00296-023-05403-5","article-title":"Multi-disciplinary community-based group intervention for fibromyalgia: A pilot randomized controlled trial","volume":"43","author":"Turcotte","year":"2023","journal-title":"Rheumatol. Int."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"pzab200","DOI":"10.1093\/ptj\/pzab200","article-title":"Effectiveness of a Multicomponent Treatment Based on Pain Neuroscience Education, Therapeutic Exercise, Cognitive Behavioral Therapy, and Mindfulness in Patients With Fibromyalgia (FIBROWALK Study): A Randomized Controlled Trial","volume":"101","author":"Serrat","year":"2021","journal-title":"Phys. Ther."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1111\/pme.12375","article-title":"Evaluation of the Interdisciplinary PSYMEPHY Treatment on Patients with Fibromyalgia: A Randomized Control Trial","volume":"15","author":"Torre","year":"2014","journal-title":"Pain. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1136\/ard.2002.004945","article-title":"Fibromyalgia: A randomised, controlled trial of a treatment programme based on self management","volume":"63","author":"Cedraschi","year":"2004","journal-title":"Ann. Rheum. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Wilson, N., Beasley, M.J., Pope, C., Dulake, D., Moir, L.J., Hollick, R.J., and Macfarlane, G.J. (2022). UK healthcare services for people with fibromyalgia: Results from two web-based national surveys (the PACFiND study). BMC Health Serv. Res., 22.","DOI":"10.1186\/s12913-022-08324-4"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1001\/jama.292.19.2388","article-title":"Management of fibromyalgia syndrome","volume":"292","author":"Goldenberg","year":"2004","journal-title":"JAMA"},{"key":"ref_45","unstructured":"Gencat, Institut Catal\u00e0 de la Salut (2024, May 20). Educaci\u00f3 sanit\u00e0ria [online]. Available online: https:\/\/ics.gencat.cat\/ca\/Ciutadania\/que-oferim\/tractament\/educacio-sanitaria\/."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Geraghty, A.W.A., Maund, E., Newell, D., Santer, M., Everitt, H., Price, C., Pincus, T., Moore, M., Little, P., and West, R. (2021). Self-management for chronic widespread pain including fibromyalgia: A systematic review and meta-analysis. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0254642"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-de-Regil, L. (2021). Psychoeducation for Patients with Fibromyalgia: A Systematic Review. Healthcare, 9.","DOI":"10.3390\/healthcare9060737"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Galvez-S\u00e1nchez, C.M., and Montoro, C.I. (2023). Psychoeducation for Fibromyalgia Syndrome: A Systematic Review of Emotional, Clinical and Functional Related-Outcomes. Behav. Sci., 13.","DOI":"10.3390\/bs13050415"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Sosa-Reina, M.D., Nunez-Nagy, S., Gallego-Izquierdo, T., Pecos-Mart\u00edn, D., Monserrat, J., and \u00c1lvarez-Mon, M. (2017). Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Biomed. Res. Int., 2017.","DOI":"10.1155\/2017\/2356346"},{"key":"ref_50","first-page":"CD013340","article-title":"Mixed exercise training for adults with fibromyalgia","volume":"5","author":"Bidonde","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1080\/13548506.2020.1849746","article-title":"Mindfulness-Based Cognitive Therapy for Treating Chronic Pain A Systematic Review and Meta-analysis","volume":"26","author":"Pei","year":"2021","journal-title":"Psychol. Health Med."},{"key":"ref_52","unstructured":"Maruish, M.E. (2011). User\u2019s Manual for the SF-36v2 Health Survey, QualityMetric Incorporated. [3rd ed.]."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/1\/161\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:56:58Z","timestamp":1760115418000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/1\/161"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,30]]},"references-count":52,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1]]}},"alternative-id":["jcm14010161"],"URL":"https:\/\/doi.org\/10.3390\/jcm14010161","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,30]]}}}