Volume 28, Issue 4 (Fall 2020)                   Avicenna J Nurs Midwifery Care 2020, 28(4): 62-73 | Back to browse issues page


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Rezaeian Langroodi R, Ghiasian M, Roozbehani M, Shamsaei F. Comparison of the Effectiveness of Yoga and Psychotherapy group Therapy Based on Acceptance and Commitment on Fatigue and Quality of Life of Multiple Sclerosis Patients. Avicenna J Nurs Midwifery Care 2020; 28 (4) :62-73
URL: http://nmj.umsha.ac.ir/article-1-2191-en.html
1- PhD student in Psychology, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd , Iran.
2- Assistant Professor, Department of Neurology, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3- Assistant Professor, Department of Physical Education (Motor Behavior), Borujerd Branch, Islamic Azad University, Borujerd , Iran. , Mehdi.roozbahani@gmail.com
4- Associate Professor, Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (3132 Views)

Introduction: Multiple sclerosis (MS) is a chronic and debilitating disease of the central nervous system. Chronic illness and lack of definitive treatment reduce all aspects of physical and social functioning and thus reduce quality of life. The aim of this study was to compare the effectiveness of a group of yoga and psychotherapy group exercises based on acceptance and commitment to fatigue and quality of life of patients with MS.
Methods: In the present quasi-experimental study (pre-test-post-test design), 60 women with MS referred to the Neshat Clinic in Hamadan were selected randomly, considering entry criteria and then divided into two equal groups of yoga exercises and acceptance and commitment-based therapy groups (both 12 sessions each). Data were analyzed using independent t-test, Chi-score and Fisher's exact test, analysis of covariance and LSD with 95% confidence level by SPSS software version 22.
Results: The results showed that compared to group psychotherapy based on acceptance and commitment, yoga group demonstrated -5.29±0.69 units of reduction in the fatigue score and 8.39±1.11 units of decrease in quality of life score which was statistically significant (P <0.001).
Conclusion: It can be concluded that yoga and group psychotherapy based on acceptance and commitment reduce fatigue and increase the quality of life of patients with MS. It is effective that these results can promise a new development in interventions, so that in addition to drug treatment, complementary therapies can be used to reduce the complications of the disease.

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✅ It can be concluded that yoga and group psychotherapy based on acceptance and commitment reduce fatigue and increase the quality of life of patients with MS. It is effective that these results can promise a new development in interventions, so that in addition to drug treatment, complementary therapies can be used to reduce the complications of the disease.


Type of Study: Original Research | Subject: Nursing
Received: 2020/03/29 | Accepted: 2020/05/17 | Published: 2020/08/19

References
1. Janina Wendebourg MJ, Heesen C, Finlayson M, Meyer B, Pöttgen J, Köpke S. Patient education for people with multiple sclerosis-associated fatigue: a systematic review. PLoS One. 2017; 12(3):e0173025. [DOI:10.1371/journal.pone.0173025] [PMID] [PMCID]
2. Dobryakova E, Genova HM, DeLuca J, Wylie GR. The dopamine imbalance hypothesis of fatigue in multiple sclerosis and other neurological disorders. Front Neurol. 2015; 6:52. [DOI:10.3389/fneur.2015.00052] [PMID] [PMCID]
3. Cameron MH, Peterson V, Boudreau EA, Downs A, Lovera J, Kim E, et al. Fatigue is associated with poor sleep in people with multiple sclerosis and cognitive impairment. Mult Scler Int. 2014; 2014: 872732. [DOI:10.1155/2014/872732] [PMID] [PMCID]
4. Khabaronline. 70 Thousands MS Patients in Iran; 2017 [cited 2018 Feb. 2]. Available form: https://www.khabaronline.ir/detail/539288/society/health.
5. Induruwa I, Constantinescu CS, Gran B. Fatigue in multiple sclerosis-a brief review. J Neurol Sci. 2012; 323(1-2):9-15. [DOI:10.1016/j.jns.2012.08.007] [PMID]
6. Cote I, Trojan DA, Kaminska M, Cardoso M,Benedetti A, Weiss D, et al. (2013). Impact of Sleep Disorder Treatment on fatigue in Multiple sclerosis. Mult Scler. 19(4):480-9. [DOI:10.1177/1352458512455958] [PMID]
7. Purdehkordi H., Nikanjam M. The effect of aerobic and yoga exercises on fatigue and general health of patients with MS. Kermanshah Uni Med Sci. 2015; 19(6):.?-?
8. Ghazagh M, Zadhasan Z. The effet of Group Mindfulness- Based Stress Reduction Program on the Quality of Life and Fatigue in Patients With Multiple Sclerosis. Avicenna J Nurs Midwifery Care. 2019; 27(1): 35-44. [DOI:10.30699/ajnmc.27.1.35]
9. Kargarfard M, Eetemadifar M, Mehrabi M, Maghzi AH, Hayatbakhsh MR.Fatigue, Depression, and Health- Related Quality of Life in Patients with Multiple Sclerosis in Isfahan, Iran. Eur J Neurol. 2012; 19(3): 431-7. [DOI:10.1111/j.1468-1331.2011.03535.x] [PMID]
10. Salehpoor G, Rezaei S, Hosseininezhad M. Quality of life in Multiple Sclerosis (MS) and role of fatigue, depression, anxiety, and stress; A bicenter study from north of Iran. Iranian J Nurs Midwifery Res. 2014; 19(6): 593.
11. Mostert S, Kesselring J. Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Mult Scler. 2002; 8(2):161-8. [DOI:10.1191/1352458502ms779oa] [PMID]
12. Guner S, Inanici F. Yoga therapy and ambulatory multiple sclerosis assessment of gait analysis parameters, fatigue and balance. J Body Mov Ther. 2015; 19(1):72-81. [DOI:10.1016/j.jbmt.2014.04.004] [PMID]
13. Aghili SM, Afzali S. The Effect of Yoga Yoga Breathing Exercises on chronic Low Pain, Anxiety, Psychological and Physical Well-being of Women with MS. Health Psych. 2017; 5(20):109-24.
14. Shahrjerdi SH, Golpaygani M, Faraji F, Masoumi M. The Effect of 8 Weeks of Central Stability and Yoga Exercises on the Balance of Women with Multiple Sclerosis. Razi J. 2015; 22(140):32-42.
15. Amaranath B, Nagendra HR, Deshpande S. Effect of integrated Yoga module on positive and negative emotions in Home Guards in Bengaluru: A wait list randomized control trial. Int J Yoga. 2016; 9(1):35. [DOI:10.4103/0973-6131.171719] [PMID] [PMCID]
16. Hawton, Salkovskis K. Cognitive theraphy for psychiatric problems. Translator ? Tehran: Arjmand; 2011. p: 259-68.
17. Buhrman M, Skoglund A, Husell J, Bergström K, Gordh T, Hursti T, et al. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behav Res Ther. 2013; 51(6):307-15. [DOI:10.1016/j.brat.2013.02.010] [PMID]
18. Davoudi M, Shamli L, Hasianfard H. The effect of treatment based on acceptance and commitment on the symptoms of chronic fatigue and pain perception of people with multiple sclerosis. Iran J Psychi Clin Psych. 2019; 25(3): 250-265. [DOI:10.32598/ijpcp.25.3.250]
19. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989; 46(10):1121-3. [DOI:10.1001/archneur.1989.00520460115022] [PMID]
20. Pazokian M, Shaban M, Zakerimoghadam M, Mehran A, Sangalji B. The effect of aerobic stretching exercise on fatigue in patients with MS referred to MS Society of Tehran. J Hol Nurs Midwifery; 2012, 22(2): 18-24.
21. Oken B, Kishigams S, Zajdel D, Bourdette D, Carlsen J, Hass M et all. Randomized Controlled trial of Yoga and Exercise in Multiple Sclerosis. J Neurol. 2004. 62(11):2058-64. doi: 10.1212/01.wnl.0000129534.88602.5c. [DOI:10.1212/01.WNL.0000129534.88602.5C] [PMID]
22. Daglas U, Stenager E. "Ingemann- Hansen T. Multiple Sclerosis and Physical Exercise: Recommendation for the application ofresistance- endurance- and combined training effects of Yoga on symptom management in breast cancer patients: A randomized controlled trail. Int J Yoga. 2008; 2(2):73-9.
23. Kileff J, Ashburn A. A pilot study of the effect of aerobic exercise on people with moderate disability Multiple Sclerosis. Clin Rehab. 2005; 19(2): 165-9. [DOI:10.1191/0269215505cr839oa] [PMID]
24. Velikonja O, Curic K, Ozura A, Jazbec SS. Influence of sports climbing and yoga on spasticity, cognitive function, mood and fatigue in patients with multiple sclerosis. Clin Neurol Neurosurg. 2010; 112(7): 597-601. [DOI:10.1016/j.clineuro.2010.03.006] [PMID]
25. Najafi Dollatabadi SH, Nourian KH, Najafi Dollatabadi A, Mohhebi Z. The effect of yoga techniques on the quality of life of women with multiple sclerosis. Hormozgan Med J. 2012; 16(2):143-150.
26. Cramer H, SilkeLangs P, Klose P, Paul A, Dobos G. Yoga for breast cancer patients and survivors: a systematic rewiew and meta- analysis. BMC Cancer; 2012; 12: 412. [DOI:10.1186/1471-2407-12-412] [PMID] [PMCID]

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