Individual Supportive Psychotherapy in Multiple Sclerosis: A Single-Case Study (original) (raw)
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Negah Institute for Social Research and Scientific Communication , 2020
Background: Multiple Sclerosis (MS) is one of the disorders of the central nervous system which creates many challenges for the psychological adjustment of patients all over the world. Objectives:This research was performed to demonstrate the effect of positive group-psychotherapy on reducing the psychological symptoms (depression, anxiety, and stress) and improving the quality of life in women with MS. Materials & Methods: The method of this research is quasi-experimental with pre-test, post-test, and control group. A total of 30 women were selected through a convenient sampling method from the patients of the MS-Society of Guilan Province, Iran. Then, they and randomly divided into 2 equal groups (experimental and control). The study data were collected through Depression Anxiety Stress Scale (DASS) and Multiple Sclerosis Impact Scale‐29 (MSIS) questionnaires. The intervention process was performed for the experimental group as 8 training sessions of 90 minutes long. The obtained data were analyzed by univariate analysis of covariance and multivariate analysis of covariance in SPSS V. 24. Results: The analysis showed that positive group-psychotherapy significantly modified the depression, anxiety, stress (F=39.13, P<0.001), and quality of life (F=50.44, P<0.001) in the experimental group. Conclusion: Positive group-psychotherapy can be used as an effective and efficient psychotherapy method to reduce and improve the psychological symptoms (depression, anxiety, and stress) of women with multiple sclerosis and improve their quality of life.
Journal of neurovirology, 2000
In this article we describe our experience of group psychotherapy for patients afflicted with multiple sclerosis in the care of the Centre of Multiple Sclerosis of the Don Gnocchi Foundation in Milan, and an experience of psychological support to the patients' families. Multiple sclerosis, with its disability, chronic and unforeseeable features, brings about a series of changes in the patient's life. Considering the youthful age during which the disease arises, patients are obliged to review their own life plans in their family, social and working circles and have to face living with the chronicity and the loss of their own autonomy. Group psychotherapy was qualified as a preferred ambit to express and to share individual problems. The disease also involves the family: relatives must revise certains plans and projects made before. Psychological support could help relatives not only with the emotional load following on from the disease so that they do not feel alone in the pa...
A Structured Approach to Care for Persons with Multiple Sclerosis: Need of the Hour
Acta Scientific Neurology, 2021
Introduction: Multiple sclerosis (MS) is an auto-immune disease which involves an abnormal response of the body's immune system directed against the central nervous system (CNS)-brain, spinal cord and optic nerves being involved. Suicide is defined as the act of killing yourself, most often as a result of chronic conditions. Objective: The study aims to gain insight into the presence of suicidal ideations among Persons with Multiple Sclerosis and the effect of the same on their Quality of Life. Methodology: To achieve the purpose of the study, the patients presenting to the Multiple Sclerosis clinic of Department of Neurology were assessed using the Multiple Sclerosis Quality of Life Scale (MS-QOL), Expanded Disability Status Scale (EDSS) and the Scale for Suicide Ideation (SSI). Based on the assessment individualized interventions were carried out focusing on their perception, precautions and the necessary preventive strategies to be taken. Results: The results have shown the presence of suicidal ideations among the group, with the difficulties faced by the population thereby indicating the need for a structured intervention. Conclusion: In the growing context of patients with Multiple Sclerosis and the associated disability and the chronicity, it becomes imperative, to focus on the presence, effect, perception and the protecting factors to establish the preventive strategies which shall thereby help in understanding of the method of suicide prevention and ensuring better quality of life helping in sensitivity and positivity towards mental health.
Group Positive Psychotherapy and Depression of Females Affected by Multiple Sclerosis
Objectives: Multiple Sclerosis is one of the most important and prevalent central nervous system diseases, causing disorders such as depression among affected patients. Positive psychotherapy is also a new approach that can be effective in reducing the depression of these people. This study aims to investigate the efficiency of group positive psychotherapy for decreasing the depression among females affected by Multiple Sclerosis. Methods: A samples of 30 females affected by Multiple Sclerosis with mild to moderate depression were participated, and were divided into two groups, intervention and control. Both groups completed Beck Depression Inventory II (BDI-II) at the beginning, he intervention group received six sessions of positive psychotherapy. After the intervention both group completed the questionnaire again. Data was analyzed by descriptive and inferential statistical methods. Results: The result demonstrated that, the decline of depression was more in the intervention group than the control group. Moreover in the intervention group than control group, there was obtained significant reduction in both sub-scales of Beck Depression Inventory II. Discussion: Results of this study indicated that group positive psychotherapy is effective in reducing the depression of females affected by Multiple Sclerosis. This treatment can be widely used in the caring centers for treatment of people affected by Multiple Sclerosis and this can be justified because of its low cost and good efficiency.
A Psychoeducation Program for Stress Management and Psychosocial Problems in Multiple Sclerosis
2020
Background: Multiple Sclerosis (MS) patients should cope effectively with problems of life and with problems originating from the disease. This is important because it affects the course of the disease, psychiatric morbidity, and quality of life. Objective: This study was carried out as an intervention design with a control group to assess the effects of psychoeducation on MS patients’ ways of coping with stress, psychiatric symptoms, and qualities of life. Subjects and Methods: A total of 80 MS patients affiliated with the MS Association of Turkey were included and randomly assigned into intervention and control groups. An 8‑week psychoeducation program was offered to the intervention group, whereas the control group was not given any treatment during the same period. Data were collected using a Descriptive Information Form, the Ways of Coping Inventory, the Brief Symptom Inventory, and the MS Quality of Life‑54 scale. Results: Based on the study, among the ways of coping with stress, problem‑focused approach increased, whereas the emotional‑focused approach decreased statistically significantly in the intervention group. Among the psychiatric symptoms, the levels of anxiety, depression, and somatization decreased. However, there was no significant change in the negative self‑concept and hostility symptoms. The total quality‑of‑life scores increased significantly (P < 0.05). In the intervention group, these effects continued in the three‑month‑follow‑up measurement. The control group showed no statistically significant change in the same parameters during the same periods. It is recommended that group psychoeducation programs should be carried out extensively in order for MS patients to cope with stress effectively and improve their mental health and quality of life
International Journal of Qualitative Studies on Health and Well-being
Purpose: To investigate how psychotherapists experience using individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms in persons with multiple sclerosis (MS). Method: Semi-structured interviews with three psychotherapists were conducted after CBT with 12 participants with MS, and analysed using qualitative content analysis. Results: Two main themes emerged: Trusting their expertise as psychotherapists whilst lacking MS-specific knowledge, and The process of exploring the participants' readiness for CBT with modifications of content and delivery. The psychotherapists perceived it difficult to know whether a symptom was attributable to depression or to MS, and for some participants the CBT needed to be adapted to a more concrete content. Conclusions: Psychotherapists may need more MS-specific knowledge and an insight into the individual's functioning. The content of CBT in terms of concrete home assignments and behavioural activation needs to be individualised.
The European Research Journal
Objective. Multiple Sclerosis (MS) is a chronic disease which affects physical,psychological and social functioning of patients. In this study we aim to indicate psychiatric comorbidity, some psychosocial factors and their associations with quality of life in patients with MS. Methods. A total of 227 patients underwent psychiatric examination and the following scales were applied: Socio-demographic data form, Hospital Anxiety and Depression Scale (HADS), Multiple Sclerosis Quality of Life-54 (MSQOL-54), Psychosocial Adjustment to Illness Scale-Self report (PAIS-SR) and Multidimensional Scale of Perceived Social Support (MSPSS). Results. Among 227 patients with MS, 67.8% (n = 154) had psychiatric diagnosis; 24.2% (n = 55) had depression,19.8% (n = 45) had adjustment disorder, 14.9% (n = 34) had anxiety disorder, 7.1% (n=16) had dysthymic disorder and 1.8% (n = 4) had bipolar disorder. Patients with a psychiatric diagnosis had lower scores in role limitations due to emotional problems, emotional well-being, health perceptions, social function, cognitive function, health distress and mental health composite of MSQOL-54. PAIS-SR and MSPSS scores were significantly lower in MS patients with a psychiatric diagnosis. PAIS-SR scores were negatively correlated with role limitations-emotional, emotional well-being, social function, sexual function, satisfaction with sexual function, physical health composite and mental health composite scores of MSQOL-54. MSPSS total score was positively correlated with emotional well-being score of MSQOL-54. Conclusions. In MS patients, there is a high prevalence of psychopathology and it is associated with quality of life, perceived social support and psychosocial adjustment of the patients. Quality of life is reduced especially in emotional and mental aspects in patients with a psychiatric diagnosis. Diagnosis and treatment of psychopathology in MS patients seems crucial to decrease disease burden.
Multimodal Psychotherapy in Patients with Multiple Sclerosis (MS)
Practice in Clinical Psychology, 2013
A B S T R A C T Objective: The main purpose of this study was to investigate the effectiveness of Lazarus Multimodal Psychotherapy (MMT) on perceived stress in individuals with Multiple Sclerosis (MS). Method: Through a quasi-experimental design, forty patients in Qazvin city in Iran were selected by convenient sampling and then divided into two groups: experimental and control groups. After group assignment, Cohen’s perceived stress questionnaire and clinical interview based on DSM-IV were administered. Among 20 patients in experimental group, 16 patients completed the treatment. MMT was implemented in twelve 90- minute sessions in a period of 3 months. All subjects completed perceived stress questionnaire before (pretest) and after 3 and a 1 month follow-up periods. Results: Results of Multivariate Analysis of Covariance (MANCOVA) showed that MMT had a significant effect on perceived stress. Results of Analysis of Covariance (ANCOVA) showed that MMT could significantly decrease ne...
International journal of psychology and psychoanalysis, 2020
Background: Recent empirical literature on autoimmune diseases has focused extensively on the implementation and evaluation of psychosocial interventions. Psychotherapy and counselling processes for multiple sclerosis (MS) have gained special attention given the cognitive and behavioral dimensions of the symptoms as well as their unpredictable course. The current study aims to gain a deeper understanding of the meaning making processes for persons with MS (PwMS) who are in psychotherapy treatment. Method: The sample of this study consisted of ten PwMS who described their experience of the illness and of psychotherapy of choice through semi-structured interviews. Data collection and analysis adhered to Interpretative Phenomenological Analysis guidelines. Results: The results revealed that PwMS struggled with understanding the initial symptoms, contemplated taking medication, and related symptom development to psychological factors such as depression. Participants were preoccupied with disability representations and questioned the trustworthiness of their bodies. They worked towards integrating the illness into their identity and described how psychotherapy encouraged psychological agency whilst feeling supported and "accepted". Conclusions: Psychotherapy contributes to the processes of shaping participants' life worlds, offering a space to self-organize and reflect within genuine therapeutic relationships.