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               <dc:title>The Psychological Benefits of Forest Bathing in Individuals with Fibromyalgia and Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Pilot Study</dc:title>
               <dc:creator>Royuela Colomer, Estíbaliz</dc:creator>
               <dc:creator>Alonso-Marsol, Sandra</dc:creator>
               <dc:creator>Feliu-Soler, Albert</dc:creator>
               <dc:creator>Serrat, Mayte</dc:creator>
               <dc:creator>Ferrés Puigdevall, Sònia</dc:creator>
               <dc:creator>Nieto, Rubén</dc:creator>
               <dc:subject>Fibromiàlgia - Tractament</dc:subject>
               <dc:subject>Síndrome de fatiga crònica - Tractament</dc:subject>
               <dc:subject>Natura</dc:subject>
               <dc:subject>Atenció plena</dc:subject>
               <dc:subject>Caminades (Exercici)</dc:subject>
               <dc:subject>DISEASES::Musculoskeletal Diseases::Muscular Diseases::Fibromyalgia</dc:subject>
               <dc:subject>Other subheadings::Other subheadings::/therapy</dc:subject>
               <dc:subject>DISEASES::Musculoskeletal Diseases::Muscular Diseases::Fatigue Syndrome, Chronic</dc:subject>
               <dc:subject>ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Mind-Body Therapies</dc:subject>
               <dc:subject>HUMANITIES::Humanities::Nature</dc:subject>
               <dc:subject>PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Mindfulness</dc:subject>
               <dc:subject>ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculares::fibromialgia</dc:subject>
               <dc:subject>Otros calificadores::Otros calificadores::/terapia</dc:subject>
               <dc:subject>ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculares::síndrome de fatiga crónica</dc:subject>
               <dc:subject>TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::terapias mente-cuerpo</dc:subject>
               <dc:subject>HUMANIDADES::humanidades::naturaleza</dc:subject>
               <dc:subject>PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::atención plena</dc:subject>
               <dc:description>Chronic fatigue syndrome; Fibromyalgia; Forest therapy</dc:description>
               <dc:description>Síndrome de fatiga crònica; Fibromiàlgia; Teràpia forestal</dc:description>
               <dc:description>Síndrome de fatiga crónica; Fibromialgia; Terapia forestal</dc:description>
               <dc:description>Background/Objectives: The main objective of the present study is to assess the short-term effects of Forest Bathing (FB) conducted in a Mediterranean forest on individuals with fibromyalgia (FM) and/or chronic fatigue syndrome/myalgia encephalomyelitis (CFS/ME) on perceived pain, fatigue, state anxiety, positive and negative affect, mood states, and state mindfulness. Methods: A total of 44 participants with FM and/or CSF/ME agreed to participate in this study. The FB session consisted of a 3 km silent walk, lasting three hours and guided by a specialized psychologist and a mountain guide to guarantee the safety of the activity. Paired-sample t-tests were used to analyze the pre–post changes in perceived pain, fatigue, state anxiety, positive and negative affect, mood states, and mindfulness. Results: All reported variables but self-reported pain showed statistically significant pre–post variations after the FB session. Particularly, large-to-very-large improvements in positive and negative affect, state anxiety, tension, depression, anger, and vigor were found. Small-to-moderate effect sizes for fatigue, friendliness, and state mindfulness were also reported. Conclusions: This study provides preliminary evidence of the short-term benefits of FB in individuals with FM and/or CFS/ME, especially on state anxiety and negative affect.</dc:description>
               <dc:description>The project was funded in part by the Spanish Ministry for Science and Innovation (MCIN) State R + D + I Program Oriented to the Challenges of Society (Ref. PID 2020-117667RA-I00) and co-financed by European Union ERDF funds. We are grateful to the CIBER of Epidemiology and Public Health (CIBERESP CB22/02/00052; ISCIII) for its support.</dc:description>
               <dc:date>2025-10-24T10:18:56Z</dc:date>
               <dc:date>2025-10-24T10:18:56Z</dc:date>
               <dc:date>2025-10-22T07:52:35Z</dc:date>
               <dc:date>2025-10-22T07:52:35Z</dc:date>
               <dc:date>2025-07</dc:date>
               <dc:type>info:eu-repo/semantics/article</dc:type>
               <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
               <dc:identifier>http://hdl.handle.net/11351/13901</dc:identifier>
               <dc:relation>Healthcare;13(14)</dc:relation>
               <dc:relation>https://doi.org/10.3390/healthcare13141654</dc:relation>
               <dc:rights>Attribution 4.0 International</dc:rights>
               <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
               <dc:publisher>MDPI</dc:publisher>
               <dc:source>Scientia</dc:source>
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