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Integrating Virtual Reality With Activity Management for the Treatment of Fibromyalgia: Acceptability and Preliminary Efficacy
Open accessAbstract
OBJECTIVES: Cognitive-behavioral therapies (CBT) for fibromyalgia syndrome (FMS) are important interventions in the management of this condition. Empirical evidence reports that although the results are promising, further research is needed to respond more appropriately to these patients. This study focuses on exploring the use of Virtual Reality (VR) as an adjunct to the activity management component. The aim of this study is to present the results of a small-sized randomized controlled trial to test the preliminary efficacy and acceptability of this component. MATERIALS AND METHODS: The final sample was composed of 61 women diagnosed with FMS according to the American College of Rheumatology. The sample was randomly allocated to 2 conditions: VR treatment and treatment as usual. RESULTS: Participants in the VR condition achieved significant improvements in the primary outcome: disability measured with the FIQ. The improvement was also significant in secondary outcomes, such as perceived quality of life and some of the coping strategies included in the Chronic Pain Coping Inventory: task persistence and exercise. There were no differences in other secondary outcome measures like pain intensity and interference and depression. Participants reported high satisfaction with the VR component. DISCUSSION: The effects were related to the psychological aspects targeted in the treatment. The component was well accepted by FMS patients referred from a public hospital. These findings show that the VR component could be useful in the CBT treatment of FMS and encourage us to continue exploring the use of integrating VR with CBT interventions for the treatment of FMS.
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“CBTs were delivered by all studies in groups only except three studies which combined individual and group sessions (Soares and Grossi, 2002;Kashikar-Zuck et al., 2005;Garcia-Palacios et al., 2015) and one study with single person therapy (Kashikar-Zuck et al., 2012).”
From Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials (2018) · cites this paper as Garcia-Palacios et al., 2015
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From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Garcia-Palacios 2015
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From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Garcia-Palacios 2015
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Cited by
Sorted by citations
The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders
Maples-Keller, J. L., Bunnell, B. E., Kim, S.-J., & Rothbaum, B. O. (2017) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000138 · Cited by 862
“A study of patients with fibromyalgia found that using VR with activity-management treatment—which included VR-based sessions involving activity-management instructions, motivation enhancement, overcoming activity-related barriers, and acknowledgment of personal strengths—was significantly more effective than treatmen…”
BackgroundPsychological therapies for the management of chronic pain (excluding headache) in adults
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Metadata
- Authors
- Garcia-Palacios, A., Herrero, R., Vizcaíno, Y., Belmonte, M. A., Castilla, D., Molinari, G., Baños, R. M., & Botella, C.
- Affiliations
- Universitat Jaume I (ES)
- Universitat de València (ES)
- Corresponding author
- Vizcaíno, Yolanda
- Castilla, Diana
- Molinari, Guadalupe
- Botella, Cristina
- Venue
- The Clinical Journal of Pain
- Published
- 2015-06
- Volume
- 31
- Issue
- 6
- Pages
- 564-572
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2322188589
- Cited by
- 96
- References
- 8
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 15 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 11 · 2019: 7 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 1
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Repositori UJI (Universitat Jaume I) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, public-domain)
- Funders
- Fundació la Marató de TV3
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, virtual reality, activity management, cognitive behavioral therapy, chronic pain, disability, quality of life, coping strategies, treatment acceptability
- MeSH terms
- Adult, Aged, Depression, Disability Evaluation, Exercise Therapy, Feasibility Studies, Female, Fibromyalgia, Humans, Middle Aged, Pain Measurement, Quality of Life, Surveys and Questionnaires, User-Computer Interface, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome, Patient Satisfaction, Young Adult
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