جمعه 31 فروردین 1403
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دوره 7، شماره 1 - ( 10-1397 )
جلد 7 شماره 1 صفحات 32-21 |
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Khazaeili M, Zargham Hajebi M, Mohamadkhani P, Mirzahoseini H. The Effectiveness of Mindfulness-Based Intervention on Anxiety, Depression and Burden of Caregivers of Multiple Sclerosis Patients Through Web Conferencing. PCP 2019; 7 (1) :21-32
URL: http://jpcp.uswr.ac.ir/article-1-591-fa.html
URL: http://jpcp.uswr.ac.ir/article-1-591-fa.html
The Effectiveness of Mindfulness-Based Intervention on Anxiety, Depression and Burden of Caregivers of Multiple Sclerosis Patients Through Web Conferencing. Practice in Clinical Psychology. 1397; 7 (1) :21-32
چکیده: (9736 مشاهده)
Objective: Multiple Sclerosis (MS) is one of the common autoimmune diseases that affects the central nervous system. It is a chronic neurological disorder that leads to physical inability and cognitive abnormalities that restricts the individual’s ability to function independently. The problems of MS patients significantly affect their psychological well-being, also their caregivers. Studies have shown that caregivers of these patients suffer from anxiety, depression and caregiving burden. Considering the problems of MS patients and their caregivers such as problems related to commuting, traffic and long distances to health centers, weather conditions, shortage of time and health costs, the need for remote psychological intervention is necessary. Hence, this study aimed to investigate the effect of Mindfulness-Based Intervention (MBI) via a web conferencing application on reduction of anxiety, depression and burden of caregivers of patients with MS.
Methods: This is a pre-test and post-test quasi-experimental study with control group. A total of 30 caregivers of female patients with Relapsing-Remitting MS (RRMS) who were members of the MS Society in Tehran and Qom cities in 2017, and had criteria for entering the research were selected through purposeful sampling method. They were randomly divided into test (n=15) and control groups (n=15). Beck anxiety inventory, Beck depression inventory, Caregiver burden inventory, and five-facet mindfulness questionnaire were completed online in three stages (before the intervention, after the intervention, and one-month follow-up after intervention) by two groups. The test group received eight 2-hour sessions of MBI via a web conferencing software while the control group received no intervention. For analyzing the collected data, repeated-measures Multivariate Analysis of Variance (MANOVA) was performed in SPSS V. 23.
Results: There was a significant difference in the post-test scores of anxiety and caregiving burden between the two groups. MBI significantly reduced the anxiety, and caregiving burden in the test group. Although the mean score of depression in the post-test decreased in relation to pre-test, the difference was not significant.
Conclusion: Internet-based MBI is effective in reducing anxiety, depression and burden of the caregivers of MS patients. Therefore, this method of therapy can be applied as an effective method to improve the quality of life and rehabilitate the caregivers of MS patients.
Methods: This is a pre-test and post-test quasi-experimental study with control group. A total of 30 caregivers of female patients with Relapsing-Remitting MS (RRMS) who were members of the MS Society in Tehran and Qom cities in 2017, and had criteria for entering the research were selected through purposeful sampling method. They were randomly divided into test (n=15) and control groups (n=15). Beck anxiety inventory, Beck depression inventory, Caregiver burden inventory, and five-facet mindfulness questionnaire were completed online in three stages (before the intervention, after the intervention, and one-month follow-up after intervention) by two groups. The test group received eight 2-hour sessions of MBI via a web conferencing software while the control group received no intervention. For analyzing the collected data, repeated-measures Multivariate Analysis of Variance (MANOVA) was performed in SPSS V. 23.
Results: There was a significant difference in the post-test scores of anxiety and caregiving burden between the two groups. MBI significantly reduced the anxiety, and caregiving burden in the test group. Although the mean score of depression in the post-test decreased in relation to pre-test, the difference was not significant.
Conclusion: Internet-based MBI is effective in reducing anxiety, depression and burden of the caregivers of MS patients. Therefore, this method of therapy can be applied as an effective method to improve the quality of life and rehabilitate the caregivers of MS patients.
نوع مطالعه: پژوهشي |
موضوع مقاله:
رويكرد شناختي رفتاري
دریافت: 1397/6/1 | پذیرش: 1397/9/4 | انتشار: 1397/10/11
دریافت: 1397/6/1 | پذیرش: 1397/9/4 | انتشار: 1397/10/11
فهرست منابع
1. Aghabagheri, H., Mohammadkhani, P., Omrani, S., & Farahmand, V. (2012). The efficacy of mindfulness-based cognitive therapy group on the increase of subjective well-being and hope in patients with Multiple Sclerosis. Journal of Clinical Psychology, 4(1), 23-31.
2. Ahmadi-shooli, P., Feily, A. R., & Behzadipour, S. (2016). The effect of mindfulness-based cognitive therapy on the mental health of female patients suffering from Multiple Sclerosis. Shahid Sadoughi University of Medical Sciences, 23(10), 989-1000.
3. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45.[DOI:10.1177/1073191105283504] [PMID] [DOI:10.1177/1073191105283504]
4. Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329-42. [PubMed] [DOI:10.1177/1073191107313003] [DOI:10.1177/1073191107313003]
5. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-7. [DOI:10.1037/0022-006X.56.6.893] [DOI:10.1037/0022-006X.56.6.893]
6. Beck, A. T., & Steer, R. A. (1990). Manual for the Beck Anxiety Inventory. San Antonio, Texas: Psychological Corporation.
7. Bijker, L., Kleiboer, A., Riper, H., Cuijpers, P., & Donker, T. (2016). E-care 4 caregivers–an online intervention for nonprofessional caregivers of patients with depression: Study protocol for a pilot randomized controlled trial. Trials, 17(1), 193. [DOI:10.1186/s13063-016-1320-6] [PMID] [PMCID] [DOI:10.1186/s13063-016-1320-6]
8. Biyabangard, S. (2011). [The methods of research in psychology and educational science (Persian)]. Tehran: Doran.
9. Brown, K. W., Kasser, T., Ryan, R. M., Linley, P. A., & Orzech, K. (2009). When what one has is enough: Mindfulness, financial desire discrepancy, and subjective well-being. Journal of Research in Personality, 43(5), 727-36. [DOI:10.1016/j.jrp.2009.07.002] [DOI:10.1016/j.jrp.2009.07.002]
10. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present; Mindfulness and its role in psychological well–being. Journal of Personality and Social Psychology, 84(4), 822-48. [DOI:10.1037/0022-3514.84.4.822] [PMID]
11. Cavalera, C., Pagnini, F., Rovaris, M., Mendozzi, L., Pugnetti, L., Garegnani, M., et al. (2016). A telemedicine meditation intervention for people with Multiple Sclerosis and their caregivers: study protocol for a randomized controlled trial. Trials, 17(1), 4. [DOI:10.1186/s13063-015-1136-9] [DOI:10.1186/s13063-015-1136-9]
12. Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33(3), 351-9. [DOI:10.1017/S1352465805002158] [DOI:10.1017/S1352465805002158]
13. Dent, L., Peters, A., Kerr, P. L., Mochari-Greenberger, H., & Pande, R. L. (2018). Using telehealth to implement cognitive-behavioral therapy. Psychiatric Services, 69(4), 370-3. [DOI:10.1176/appi.ps.201700477] [DOI:10.1176/appi.ps.201700477]
14. Eichenberg, C., & Ott, R. (2012). [Clinical-psychological intervention on the internet (German)]. Psychotherapeut, 57(1), 58-69. [DOI:10.1007/s00278-011-0832-5] [DOI:10.1007/s00278-011-0832-5]
15. Ershad Sarabi, R., Sadoughi, F., Jamshidi Orak, R., & Bahaadinbeigy, K. (2018). [Role of mobile technology in Iran healthcare system: A review study (Persian)]. Journal of Health and Biomedical Informatics, 4(4):313-26.
16. Esmaeilzadeh, A. (2016). [The role of tele-medicine in medical science (Persian)]. Paper presented at The 1st Congress of the Association of Iran telemedicine, Tehran, Iran, 11-12 May 2017.
17. Farhadi, M., & Pasandideh, M. M. (2018). [Mindfulness based cognitive therapy in reducing stress, anxiety, depression and increase self-efficacy in female patients with Multiple Sclerosis (MS) (Persian)]. Biannual Journal of Clinical Psychology & Personality, 15(2), 7-15.
18. Fathi Ashtiani, A. (2011). [Psychological test books: Personality assessment and mental health (Persian)]. Tehran: Bessat.
19. Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177-90. [DOI:10.1007/s10862-006-9035-8] [DOI:10.1007/s10862-006-9035-8]
20. Firoozy, M., & Ramezani Piyani, M. (2018). [Effect of positive psychotherapy based on virtual social networks on anxiety and depression reduction in veterans with spinal cord (Persian)]. Iranian Journal of War & Public Health, 10(1), 21-6. [DOI:10.18869/acadpub.ijwph.10.1.21]
21. Fleisher, J., Bondi, S., Singleton-Garvin, J., Lanoff, M., Di Rocco, A., Xie, S., et al. (2016). Health literacy in Parkinson's disease caregivers (P1. 021). Neurology, 86(16 Supplement), P1-021.
22. Frontario, A., Feld, E., Sherman, K., Krupp, L., & Charvet, L. (2016). Telehealth mindfulness meditation improves cognitive performance in adults with Multiple Sclerosis (MS) (P3. 092). Neurology, 86(16 Supplement), P3-092.
23. Gharabaghi, H., & Talaei Mashoof, A. A. (2009). [The oretical basics of E-learning (Persian)]. Paper presented at The 1st E-Learning Student Conference, Tehran, Iran, 10-11 December 2009. [PMCID]
24. Ghassemzadeh, H., Mojtabai, R., Karamghadiri, N., & Ebrahimkhani, N. (2005). Psychometric properties of a Persian-language version of the Beck Depression Inventory-Second edition: BDI-II-Persian. Depress Anxiety, 21(4), 185-92. [DOI:10.1002/da.20070] [PMID] [DOI:10.1002/da.20070]
25. Goodarzian, M. (2016). [The effectiveness of remote nursing through telephone consultation on the rate of depression and anxiety in family carers in patients with stroke (Persian)] [MSc. thesis]. Tehran: University of Welfare and Rehabilitation Sciences.
26. Grossman, P., Kappos, L., Gensicke, H., D'Souza, M., Mohr, D. C., Penner, I. K., et al. (2010). MS quality of life, depression, and fatigue improve after mindfulness training: A randomized trial. Neurology, 75(13), 1141-9. [DOI:10.1212/WNL.0b013e3181f4d80d] [DOI:10.1212/WNL.0b013e3181f4d80d]
27. Hailey, D., Ohinmaa, A., Roine, R., & Bulger, T. (2008). Uptake of telemental health services in Alberta: A success, but not in all regions. Journal of Telemedicine and Telecare, 13(8), 42-4. [DOI:10.1258/135763307783247329] [DOI:10.1258/135763307783247329]
28. Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mind-fulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255-62. [DOI:10.1093/clipsy.bph080] [DOI:10.1093/clipsy.bph080]
29. Hosseini, A., Moghaddasi, H., Asadi, F., & Karimi, M. (2012). [Feasibility study of implementing of telesurgery in hospitals affiliated to Tehran Universities of Medical Sciences, Iran (Persian)]. Director General, 9(1), 64-74.
30. Izadi, S., & Neamat Tavousi, M. (2017). [The effectiveness of mindfulness therapy in quality of life among patients with MS (Persian)]. Journal of Thought & Behavior in Clinical Psychology, 11(42), 37-46.
31. Jahanbakhshian, N., & Zahrakar, K. (2018). Effect of Positive Psychotherapy Based on Virtual Social Networks on Anxiety and Depression Reduction in Veterans with Spinal Cord. Iranian Journal of War & Public Health, 10(1), 21-6. [DOI:10.18869/acadpub.ijwph.10.1.21] [DOI:10.29252/ijwph.10.1.21]
32. Kabat-Zinn, T. (1990). Full catastrophe living: Using wisd om of your body and mind to face stress, pain and illness. New York: Dell. [PMID] [PMID]
33. Kahrizi, S., Taghavi, M., Ghasemi, R., & Goodarzi, M. (2017). [The effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on depression, anxiety and somatic symptoms in asthma patients (Persian)]. Razi Journal of Medical Sciences, 24(154), 27-36.
34. Karamoozian, M., Askarizadeh, G., & Darekordi, A. (2017). Validation of iranian version of pregnancy related anxiety questionnaire. International Journal of Preventive Medicine, 8(1), 17. [DOI:10.4103/ijpvm.IJPVM_63_16] [DOI:10.4103/ijpvm.IJPVM_63_16]
35. Ke, Y., Ng, T., Yeo, H. L., Shwe, M., Gan, Y. X., & Chan, A. (2016). Psychometric properties and measurement equivalence of the English and Chinese versions of the Beck Anxiety Inventory in patients with breast cancer. Supportive Care in Cancer, 25(2), 633-43. [DOI:10.1007/s00520-016-3452-3] [DOI:10.1007/s00520-016-3452-3]
36. Mahmoodi, M., Mohammad Khani, P., Ghobari Banab, B., & Bagheri, F. (2016). [Effectiveness of group cognitive-behavioral therapy on strategies for coping with stress of family caregivers of patients with Alzheimer's disease (Persian)]. Iranian Journal of Ageing, 11(4), 190-201. [DOI:10.21859/sija-1101190] [DOI:10.21859/sija-1101190]
37. Mak, W. W., Chio, F., Chan, A., Lui, W., & Wu, E. (2017). The efficacy of internet-based mindfulness training and cognitive-behavior traing with telephone support in the enhancement of mental health among college students and young working adults: Randomized controlled trial. Journal of Medical Internet Research, 19(3), e84. [DOI:10.2196/jmir.6737] [DOI:10.2196/jmir.6737]
38. Marziniak, M., Brichetto, G., Feys, P., Meyding-Lamadé, U., Vernon, K., & Meuth, S. G. (2018). The use of digital and remote communication technologies as a tool for Multiple Sclerosis management: Narrative review. JMIR Rehabilitation and Assistive Technologies, 5(1), e5. [DOI:10.2196/rehab.7805] [PMCID] [PMID] [DOI:10.2196/rehab.7805]
39. Mohammadkhani, P., & Khanipour, H. (2016). [Mindfulness based cognitive therapies (Persian)]. Tehran: University of Social Welfare and Rehabilitation Sciences.
40. Mohammadkhani, P., & Tamanayifar, S. (2005). [Mindfulness based cognitive therapy for depression (Persian)]. Tehran: Faradid Publisher.
41. Moss-Morris, R., McCrone, P., Yardley, L., van Kessel, K., Wills, G., & Dennison, L. (2012). A pilot randomised controlled trial of an Internet-based cognitive behavioural therapy self-management programme (MS Invigor8) for Multiple Sclerosis fatigue. Behaviour Research and Therapy, 50(6), 415-21. [DOI:10.1016/j.brat.2012.03.001] [DOI:10.1016/j.brat.2012.03.001]
42. Novak, M., & Guest, C. (1989). Application of a multidimensional caregiver burden inventory. The gerontologist, 29(6), 798-803. [DOI:10.1093/geront/29.6.798] [DOI:10.1093/geront/29.6.798]
43. Omidi, A., & Mohamadkhani, P. (2008). [Mindfulness training as a clinical intervention (Persian)]. Mental Health, 1(1), 29-38.
44. Opara, J., & Brola, W. (2017). Quality of life and burden in caregivers of Multiple Sclerosis patients. Physiotherapy and Health Activity, 25(1), 9-16. [DOI:10.1515/pha-2017-0002] [DOI:10.1515/pha-2017-0002]
45. Pagnini F. (2016). A telemedicine mindfulness-based intervention for people with Multiple Sclerosis and their caregivers. Retrieved from: https://clinicaltrials.gov/ct2/show/NCT02364505
46. Pahlavanzadeh, S., Dalvi-Isfahani, F., Alimohammadi, N., & Chitsaz, A. (2015). The effect of group psycho education program on the burden of family caregivers with Multiple Sclerosis patients in Isfahan in 2013-2014. Iranian Journal of Nursing and Midwifery Research, 20(4), 420-5. [DOI:10.4103/1735-9066.161000] [PMID] [PMCID] [DOI:10.4103/1735-9066.161000]
47. Salehi Nejad, S., Azami, M., Motamedi, F., Sedighi, B., & Shahesmaili, A. (2017). [The effect of web-based information intervention in caregiving burden in caregivers of patients with dementia (Persian)]. Journal of Health and Biomedica Informatics, 4(3), 181-91.
48. Segal, Z. V., Teasdale, J. D., & Williams, M. (2002). Mindfulness – based cognitive therapy for depression. New York: Guilford Press.
49. Shirazi, E., Ahmadkhaniha, H. R., Sayyahfar, S., Hosseini Shams Abadi, R., & Afsharkhass, L. (2018). [Delivery of medical care by telehealth system (Persian)]. Journal of Razi Medical Science, 24(11), 9-12.
50. Shirazi, E., Hakim Shooshtari, M., Shalbafan, M. R., Hadi, F., & Bidaki, R. (2017). [E-health, telemedicine and telepsychiatry (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology, 22(4):266-9. [DOI:10.18869/nirp.ijpcp.22.4.267]
51. Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., Schmidt, S. (2006). Measuring mindfulness-the Freiburg Mindfulness Inventory (FMI). Personality and Individual Differences, 40(8), 1543-55. [DOI:10.1016/j.paid.2005.11.025] [DOI:10.1016/j.paid.2005.11.025]
52. Wilz, G., Reder, M., Meichsner, F., & Soellner, R. (2017). The Tele.TAnDem intervention: Telephone-based CBT for family caregivers of people with dementia. Gerontologist, 58(2), e118-29. [DOI:10.1093/geront/gnx183] [PMID] [DOI:10.1093/geront/gnx183]
53. Zeynali, F. (2016). The effectiveness, mindfulness based Program reducing stress on quality of life patients with Multiple Sclerosis. Journal of The Studies of Psychology and Educational Sciences, 2(1), 57-68.
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