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19, = 0.006) and decreased negative affect ( (15) = 2.25, = 0.04. VR interventions are feasible, safe, and tolerable for individuals living with MS and may improve affect. VR interventions are feasible, safe, and tolerable for individuals living with MS and may improve affect. There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). The goal of the present study was to estimate the in