<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-13T01:10:34Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/13901" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/13901</identifier><datestamp>2025-10-24T10:18:56Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378092</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_11351-13901" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:11351/13901">
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                  <mods:namePart>Royuela Colomer, Estíbaliz</mods:namePart>
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                  <mods:namePart>Alonso-Marsol, Sandra</mods:namePart>
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                  <mods:namePart>Serrat, Mayte</mods:namePart>
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                  <mods:namePart>Ferrés Puigdevall, Sònia</mods:namePart>
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                  <mods:namePart>Nieto, Rubén</mods:namePart>
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               <mods:identifier type="uri">http://hdl.handle.net/11351/13901</mods:identifier>
               <mods:abstract>Chronic fatigue syndrome; Fibromyalgia; Forest therapySíndrome de fatiga crònica; Fibromiàlgia; Teràpia forestalSíndrome de fatiga crónica; Fibromialgia; Terapia forestalBackground/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.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.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Fibromiàlgia - Tractament</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Síndrome de fatiga crònica - Tractament</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Natura</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Atenció plena</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Caminades (Exercici)</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Musculoskeletal Diseases::Muscular Diseases::Fibromyalgia</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Other subheadings::Other subheadings::/therapy</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Musculoskeletal Diseases::Muscular Diseases::Fatigue Syndrome, Chronic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Mind-Body Therapies</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>HUMANITIES::Humanities::Nature</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Mental Processes::Mindfulness</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculares::fibromialgia</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Otros calificadores::Otros calificadores::/terapia</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculares::síndrome de fatiga crónica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::terapias mente-cuerpo</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>HUMANIDADES::humanidades::naturaleza</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::procesos mentales::atención plena</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>The Psychological Benefits of Forest Bathing in Individuals with Fibromyalgia and Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Pilot Study</mods:title>
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