Volume 6, Issue 4 (Autumn 2018)
PCP 2018, 6(4): 215-222 |
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Ghodspour Z, Najafi M, Rahimian Boogar I. Effectiveness of Mindfulness-Based Cognitive Therapy on Psychological Aspects of Quality of Life, Depression, Anxiety, and Stress Among Patients With Multiple Sclerosis. PCP 2018; 6 (4) :215-222
URL: http://jpcp.uswr.ac.ir/article-1-521-en.html
URL: http://jpcp.uswr.ac.ir/article-1-521-en.html
1- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
2- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. ,m-najafi@semnan.ac.ir
2- Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. ,
Abstract: (7223 Views)
Objective: The present study aimed at examining the effectiveness of mindfulness-based cognitive therapy on psychological aspects of Quality of Life, depression, anxiety, and stress in patients with multiple sclerosis.
Methods: This was a quasi-experimental research with pretest-posttest and control group design. A total of 30 members of the MS Society of Semnan City, Iran, was selected by purposive sampling in 2015 and were randomly divided into two groups, i.e. experimental (n=15) and control (n=15) groups. The experimental group received mindfulness-based cognitive therapy and the control group received no treatment. Before treatment and immediately after treatment, the patients filled in Lovibond psychological distress scale and multiple sclerosis Quality of Life questionnaire. The collected data were analyzed using multivariate analysis of covariance.
Results: The results showed a significant difference between the experimental and control groups in terms of health distress, mental well-being, cognitive function, and role limitations, but no significant difference was found between the two groups in terms of overall Quality of Life. Also there is not any significant difference between the experimental and control group in term of depression, anxiety and stress. Mindfulness-based cognitive therapy has a significant effect on psychological aspects of Quality of Life, including health distress, mental well-being, role limitations due to emotional problems, and cognitive performance (P<0.05). However, this effect was not statistically significant on one of the psychological aspects of Quality of Life (overall Quality of Life), depression, anxiety, and stress in patients with multiple sclerosis (P>0.05).
Conclusion: Mindfulness-based cognitive therapy can improve the psychological Quality of Life of patients with multiple sclerosis.
Methods: This was a quasi-experimental research with pretest-posttest and control group design. A total of 30 members of the MS Society of Semnan City, Iran, was selected by purposive sampling in 2015 and were randomly divided into two groups, i.e. experimental (n=15) and control (n=15) groups. The experimental group received mindfulness-based cognitive therapy and the control group received no treatment. Before treatment and immediately after treatment, the patients filled in Lovibond psychological distress scale and multiple sclerosis Quality of Life questionnaire. The collected data were analyzed using multivariate analysis of covariance.
Results: The results showed a significant difference between the experimental and control groups in terms of health distress, mental well-being, cognitive function, and role limitations, but no significant difference was found between the two groups in terms of overall Quality of Life. Also there is not any significant difference between the experimental and control group in term of depression, anxiety and stress. Mindfulness-based cognitive therapy has a significant effect on psychological aspects of Quality of Life, including health distress, mental well-being, role limitations due to emotional problems, and cognitive performance (P<0.05). However, this effect was not statistically significant on one of the psychological aspects of Quality of Life (overall Quality of Life), depression, anxiety, and stress in patients with multiple sclerosis (P>0.05).
Conclusion: Mindfulness-based cognitive therapy can improve the psychological Quality of Life of patients with multiple sclerosis.
Type of Study: Research |
Subject:
Cognitive behavioral
Received: 2018/02/2 | Accepted: 2018/05/18 | Published: 2018/10/1
Received: 2018/02/2 | Accepted: 2018/05/18 | Published: 2018/10/1
References
1. Abbott, R. A., Whear, R., Rodgers, L. R., Bethel, A., Coon, J. T., Kuyken, W., et al. (2014). Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic Research, 76(5), 341-51. [DOI:10.1016/j.jpsychores.2014.02.012] [PMID] [DOI:10.1016/j.jpsychores.2014.02.012]
2. Afzali, A., Delavar, A., Borjali, A., & Mirzamani, M. (2007). Psychometric properties of DASS-42 as assessed in a sample of Kermanshah High School students. Journal of Research in Behavioural Sciences, 5(2), 81-92.
3. Arnett, P. A., Barwick, F. H., & Beeney, J. E. (2010). Cognitive and affective neuroscience theories of cognition and depression in multiple sclerosis and guillain–barré syndrome handbook of medical neuropsychology. Berlin: Springer.
4. Beiske, A., Svensson, E., Sandanger, I., Czujko, B., Pedersen, E., Aarseth, J., et al. (2008). Depression and anxiety amongst multiple sclerosis patients. European Journal of Neurology, 15(3), 239-45. [DOI:10.1111/j.1468-1331.2007.02041.x] [PMID] [DOI:10.1111/j.1468-1331.2007.02041.x]
5. 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] [DOI:10.1037/0022-3514.84.4.822]
6. Chiesa, A., & Serretti, A. (2010). A systematic review of neurobiological and clinical features of mindfulness meditations. Psychological Medicine, 40(08), 1239-52. [DOI:10.1017/S0033291709991747] [PMID] [DOI:10.1017/S0033291709991747]
7. Crane, R. (2013). Mindfulness-based cognitive therapy: Distinctive features. Abingdon: Routledge.
8. Day, M. A., Thorn, B. E., & Rubin, N. J. (2014). Mindfulness-based cognitive therapy for the treatment of headache pain: A mixed-methods analysis comparing treatment responders and treatment non-responders. Complementary Therapies in Medicine, 22(2), 278-85. [DOI:10.1016/j.ctim.2013.12.018] [PMID] [DOI:10.1016/j.ctim.2013.12.018]
9. Dehghan, A., & Memarian, R. (2013). [Abundance of stress, anxiety and depression in multiple sclerosis patients (Persian)]. Alborz University Medical Journal, 2(2), 82-8. [DOI:10.18869/acadpub.aums.2.2.82]
10. Ghaem, H., Haghighi, A. B., Jafari, P., & Nikseresht, A. (2007). Validity and reliability of the Persian version of the multiple sclerosis Quality of Life questionnaire. Neurology India, 55(4), 369-75. [DOI:10.4103/0028-3886.33316] [PMID] [DOI:10.4103/0028-3886.33316]
11. Godfrin, K. A., & Van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and Quality of Life: A randomized controlled study. Behaviour Research and Therapy, 48(8), 738-46. [DOI:10.1016/j.brat.2010.04.006] [PMID] [DOI:10.1016/j.brat.2010.04.006]
12. Grossman, P., Kappos, L., Gensicke, H., D'souza, M., Mohr, D., Penner, I., 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] [PMID] [PMCID] [DOI:10.1212/WNL.0b013e3181f4d80d]
13. Ionescu, P., Petrescu, S., Munjev, N., Gheorghe, R., Stoean, M., & Boanta-Serban, O. (2012). The importance of depression and anxiety level for the functioning and life quality of multiple sclerosis patients. European Neuropsychopharmacology, 22(2), S385. [DOI:10.1016/S0924-977X(12)70598-9] [DOI:10.1016/S0924-977X(12)70598-9]
14. Janssens, A., Doorn, P., Boer, J., Meche, F., Passchier, J., & Hintzen, R. (2003). Impact of recently diagnosed multiple sclerosis on Quality of Life, anxiety, depression and distress of patients and partners. Acta Neurologica Scandinavica, 108(6), 389-95. [DOI:10.1034/j.1600-0404.2003.00166.x] [PMID] [DOI:10.1034/j.1600-0404.2003.00166.x]
15. Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-56. [DOI:10.1016/j.cpr.2011.04.006] [PMID] [PMCID] [DOI:10.1016/j.cpr.2011.04.006]
16. Kirchner, T., & Lara, S. (2011). Stress and depression symptoms in patients with multiple sclerosis: The mediating role of the loss of social functioning. Acta Neurologica Scandinavica, 123(6), 407-13. [DOI:10.1111/j.1600-0404.2010.01422.x] [PMID] [DOI:10.1111/j.1600-0404.2010.01422.x]
17. Levin, A. B., Hadgkiss, E. J., Weiland, T. J., & Jelinek, G. A. (2014). Meditation as an adjunct to the management of multiple sclerosis. Neurology Research International, 2014, 704691. [DOI:10.1155/2014/704691] [PMID] [PMCID] [DOI:10.1155/2014/704691]
18. Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-43. [DOI:10.1016/0005-7967(94)00075-U] [DOI:10.1016/0005-7967(94)00075-U]
19. Mitchell, A. J., Benito-León, J., González, J. M. M., & Rivera Navarro, J. (2005). Quality of Life and its assessment in multiple sclerosis: Integrating physical and psychological components of wellbeing. The Lancet Neurology, 4(9), 556-66. [DOI:10.1016/S1474-4422(05)70166-6] [DOI:10.1016/S1474-4422(05)70166-6]
20. Mitsonis, C. I., Zervas, I. M., Mitropoulos, P. A., Dimopoulos, N. P., Soldatos, C. R., Potagas, C. M., et al. (2008). The impact of stressful life events on risk of relapse in women with multiple sclerosis: A prospective study. European Psychiatry, 23(7), 497-504. [DOI:10.1016/j.eurpsy.2008.06.003] [PMID] [DOI:10.1016/j.eurpsy.2008.06.003]
21. Mohammad, K., Rimaz, S., Dastoorpour, M., Sadeghi, M., & Majdzadeh, S. R. (2014). [Quality of Life and related factors among multiple sclerosis patients (Persian)]. Journal of School of Public Health and Institute of Public Health Research, 11(4), 1-14.
22. Mohammadkhani, P., & Khanipour, H. (2011). Mindfulness based cognitive therapies. Tehran: University of Social Welfare and Rehabilitation Science. [PMCID] [PMCID]
23. Omidi, A., Mohammadkhani, P., Mohammadi, A., & Zargar, F. (2013). Comparing mindfulness based cognitive therapy and traditional cognitive behavior therapy with treatments as usual on reduction of major depressive disorder symptoms. Iranian Red Crescent Medical Journal, 15(2), 142-6. [DOI:10.5812/ircmj.8018] [PMID] [PMCID] [DOI:10.5812/ircmj.8018]
24. Payamani, F., Nazari, A., Noktehdan, H., Ghadiriyan, F., & Karami, K. (2012). Complementary therapy in patients with multiple sclerosis. Iran Journal of Nursing, 25(77), 12-20.
25. Perich, T., Manicavasagar, V., Mitchell, P. B., & Ball, J. R. (2013). The association between meditation practice and treatment outcome in mindfulness-based cognitive therapy for bipolar disorder. Behaviour Research and Therapy, 51(7), 338-43. [DOI:10.1016/j.brat.2013.03.006] [PMID] [DOI:10.1016/j.brat.2013.03.006]
26. Sá, M. J. (2008). Psychological aspects of multiple sclerosis. Clinical Neurology and Neurosurgery, 110(9), 868-77. [DOI:10.1016/j.clineuro.2007.10.001] [PMID] [DOI:10.1016/j.clineuro.2007.10.001]
27. Segal, Z., Williams, J., & Teasdale, J. (2002). Mindfulness- based cognitive therapy for depression: A new approach to prevention relapse. New York: Guilford Press.
28. Simpson, R., Booth, J., Lawrence, M., Byrne, S., Mair, F., & Mercer, S. (2014). Mindfulness based interventions in multiple sclerosis: A systematic review. BMC Neurology, 14(1), 15. [DOI:10.1186/1471-2377-14-15] [PMID] [PMCID] [DOI:10.1186/1471-2377-14-15]
29. Stauffer, M. (2006). Understanding multiple sclerosis. Jackson, Mississippi: University Press of Mississippi.
30. Stepleman, L. M., Jump, R., Shelton, S. F., & Hughes, M. D. (2009). Psychological consultation services at a Multiple Sclerosis clinic: A programmatic example. International Journal of MS Care, 11(4), 180-6. [DOI:10.7224/1537-2073-11.4.180] [DOI:10.7224/1537-2073-11.4.180]
31. Tavee, J., Rensel, M., Planchon, S. M., Butler, R. S., & Stone, L. (2011). Effects of meditation on pain and Quality of Life in multiple sclerosis and peripheral neuropathy: A pilot study. International Journal of MS Care, 13(4), 163-8. [DOI:10.7224/1537-2073-13.4.163] [PMID] [PMCID] [DOI:10.7224/1537-2073-13.4.163]
32. Vickrey, B., Hays, R. D., Harooni, R., Myers, L. W., & Ellison, G. W. (1995). A health-related Quality of Life measure for multiple sclerosis. Quality of Life Research, 4(3), 187-206. [DOI:10.1007/BF02260859] [PMID] [DOI:10.1007/BF02260859]
33. Wallin, M. T., Wilken, J. A., Turner, A. P., & Williams, R. M. (2006). Depression and multiple sclerosis: Review of a lethal combination. Journal of Rehabilitation Research and Development, 43(1), 45-62. [DOI:10.1682/JRRD.2004.09.0117] [PMID] [DOI:10.1682/JRRD.2004.09.0117]
34. Williams, M. J., McManus, F., Muse, K., & Williams, J. M. G. (2011). Mindfulness‐based cognitive therapy for severe health anxiety (hypochondriasis): An interpretative phenomenological analysis of patients' experiences. British Journal of Clinical Psychology, 50(4), 379-97. [DOI:10.1111/j.2044-8260.2010.02000.x] [PMID] [DOI:10.1111/j.2044-8260.2010.02000.x]
35. World Health Organization. (2008). Atlas: Multiple sclerosis resources in the world 2008. Geneva: World Health Organization.
36. Zwibel, H. L., & Smrtka, J. (2011). Improving Quality of Life in multiple sclerosis: an unmet need. The American Journal of Managed Care, 17(Suppl 5), S139-45. [PMID] [PMID]
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