Volume 27, Issue 1 (3-2019)
Avicenna J Nurs Midwifery Care 2019, 27(1): 35-44 |
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Ghazagh M, Zadhasan Z. The Effect 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
URL: http://nmj.umsha.ac.ir/article-1-1877-en.html
URL: http://nmj.umsha.ac.ir/article-1-1877-en.html
1- MA, Department of Psychology, Faculty of Psychology, Payame NourUniversity, Tehran, Iran , mercedeh.gh@gmail.com
2- MA, Department of Psychology, Faculty of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
2- MA, Department of Psychology, Faculty of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
Abstract: (6080 Views)
Introduction: Multiple sclerosis (MS) is considered to beone of the most common chronic diseases of the central nervous system. Its chronic nature, no cure being available and its onset at a young age can have a devastating effect on quality of life and fatigue. This research aims to study the effect of group mindfulness-based stress reduction program and conscious yoga on the quality of life and fatigue in patients with Multiple Sclerosis.
Methods: This was a quasi-experimental study with pretest-posttest design and control group. The sampling method was initially a public call amogst members of the MS Society in Tehran. 24 patients with MS and having the criteria needed for inclusion of the applicants were randomly assigned to the experimental group (n=12) and control group (n=12).The participants completed MS patients’ quality of life questionnaires (MSQOL-54) and the Fatigue Severity Scale (FSS), before and after treatment. The experimental group was treated in 8 sessions of group mindfulness-based stress reduction program (for 2 hours each session). Data was analyzed using covariance single variable and SPSS 21.
Results: The results showed that there was a significant difference amogst the mean scores of some subscales of the quality of life including physical functioning, role in relation to physical and mental energy, mental well-being, health threats, perceived health, satisfaction with sexual function, quality of life and fatigue test and control groups (P<0/05).
Conclusion: The results showed that the program of reduction of consciousness-based stress is effective in reducing fatigue and increasing some of the subscales of quality of life in MS patients. Therefore, it can be concluded that if such interventions are applied to patients with chronic illnesses such as MS in addition to medical therapies, their illness can be reduced by changing perceptions of patients from their long-term illness.
Methods: This was a quasi-experimental study with pretest-posttest design and control group. The sampling method was initially a public call amogst members of the MS Society in Tehran. 24 patients with MS and having the criteria needed for inclusion of the applicants were randomly assigned to the experimental group (n=12) and control group (n=12).The participants completed MS patients’ quality of life questionnaires (MSQOL-54) and the Fatigue Severity Scale (FSS), before and after treatment. The experimental group was treated in 8 sessions of group mindfulness-based stress reduction program (for 2 hours each session). Data was analyzed using covariance single variable and SPSS 21.
Results: The results showed that there was a significant difference amogst the mean scores of some subscales of the quality of life including physical functioning, role in relation to physical and mental energy, mental well-being, health threats, perceived health, satisfaction with sexual function, quality of life and fatigue test and control groups (P<0/05).
Conclusion: The results showed that the program of reduction of consciousness-based stress is effective in reducing fatigue and increasing some of the subscales of quality of life in MS patients. Therefore, it can be concluded that if such interventions are applied to patients with chronic illnesses such as MS in addition to medical therapies, their illness can be reduced by changing perceptions of patients from their long-term illness.
Type of Study: Original Research |
Subject:
Midwifery
Received: 2018/05/8 | Accepted: 2018/05/27 | Published: 2019/03/27
Received: 2018/05/8 | Accepted: 2018/05/27 | Published: 2019/03/27
References
1. 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 journal of nursing and midwifery research. 2014 Nov;19(6):593.
2. Golan D, Doniger GM, Wissemann K, Zarif M, Bumstead B, Buhse M, Fafard L, Lavi I, Wilken J, Gudesblatt M. The impact of subjective cognitive fatigue and depression on cognitive function in patients with multiple sclerosis. Multiple Sclerosis Jour-nal. 2018 Feb;24(2):196-204. [DOI:10.1177/1352458517695470]
3. Mao P, Reddy PH. Is Multiple Sclerosis A Mitochondrial Disease?. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Dis-ease. 2010 Jan 1;1802(1):66-79. [DOI:10.1016/j.bbadis.2009.07.002]
4. Pakpour AH, Yekaninejad MS, Mohammadi NK, Molsted S, Zarei F, Patti F, Harrison A. Health-related quality of life in Iranian patients with multiple sclerosis: a cross-cultural study. Neurol Neurochir Pol. 2009 Nov 1;43(6):517-26.
5. Pugliatti M, Rosati G, Carton H, Riise T, Drulovic J, Vécsei L, Milanov I. The epidemiology of multiple sclerosis in Europe. Euro-pean journal of Neurology. 2006 Jul 1;13(7):700-22. [DOI:10.1111/j.1468-1331.2006.01342.x]
6. 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. European journal of neurology. 2012 Mar 1;19(3):431-7. [DOI:10.1111/j.1468-1331.2011.03535.x]
7. Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. A Survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. Zahedan Journal of Research in Medical Sciences. 2010 Oct 1;12(3):29-33.
8. Russell CS, White MB, White CP. Why me? Why now? Why multiple sclerosis?: Making meaning and perceived quality of life in a Midwestern sample of patients with multiple sclerosis. Families, Systems, & Health. 2006;24(1):65. [DOI:10.1037/1091-7527.24.1.65]
9. Siegert RJ, Abernethy DA. Depression in multiple sclerosis: a review. Journal of Neurology, Neurosurgery & Psychiatry. 2005 Apr 1;76(4):469-75. [DOI:10.1136/jnnp.2004.054635]
10. Benedict RH, Wahlig E, Bakshi R, Fishman I, Munschauer F, Zivadinov R, Weinstock-Guttman B. Predicting quality of life in multiple sclerosis: accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. Journal of the neurological sciences. 2005 Apr 15;231(1):29-34. [DOI:10.1016/j.jns.2004.12.009]
11. Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, Rafatbakhsh M. Effectiveness of applying progressive muscle re-laxation technique on quality of life of patients with multiple sclerosis. Journal of clinical nursing. 2009 Aug 1;18(15):2171-9. [DOI:10.1111/j.1365-2702.2009.02787.x]
12. Crayton H, Heyman RA, Rossman HS. A multimodal approach to managing the symptoms of multiple sclerosis. Neurology. 2004 Dec 14; 63(11 suppl 5):S12-8. [DOI:10.1212/WNL.63.11_suppl_5.S12]
13. Jean VM, Beatty WW, Paul RH, Mullins L. Coping with general and disease-related stressors by patients with multiple sclerosis: relationships to psychological distress. Multiple Sclerosis Journal. 1997 Jun;3(3):191-6. [DOI:10.1177/135245859700300304]
14. Buchanan RJ, Schiffer R, Stuifbergen A, Zhu L, Wang S, Chakravorty BJ, Kim M. Demographic and disease characteristics of people with multiple sclerosis living in urban and rural areas. International Journal of MS Care. 2006;8(3):89-97. [DOI:10.7224/1537-2073-8.3.89]
15. Cakit BD, Nacir B, Genç H, Saraçoglu M, Karagöz A, Erdem HR, Ergün U. Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study. American journal of physical medicine & rehabilitation. 2010 Jun 1;89(6):446-57. [DOI:10.1097/PHM.0b013e3181d3e71f]
16. Oken BS, Zajdel D, Kishiyama S, Flegal K, Dehen C, Haas M, Kraemer DF, Lawrence J, Leyva J. Randomized, controlled, six-month trial of yoga in healthy seniors: effects on cognition and quality of life. Alternative therapies in health and medicine. 2006;12(1):40.
17. Imel Z, Baldwin S, Bonus K, MacCoon D. Beyond the individual: Group effects in mindfulness-based stress reduction. Psycho-therapy Research. 2008 Nov 1;18(6):735-42. [DOI:10.1080/10503300802326038]
18. Speca M, Carlson LE, Goodey E, Angen M. A randomized, wait-list controlled clinical trial: the effect of a mindfulness medita-tion-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic medicine. 2000 Sep 1;62(5):613-22. [DOI:10.1097/00006842-200009000-00004]
19. Bogosian A, Chadwick P, Windgassen S, Norton S, McCrone P, Mosweu I, Silber E, Moss-Morris R. Distress improves after mind-fulness training for progressive MS: A pilot randomised trial. Multiple Sclerosis Journal. 2015 Aug;21(9):1184-94. [DOI:10.1177/1352458515576261]
20. Aghabagheri H, Mohammadkhani P, Omrani S, Farahmand V. 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. 2012; 1(13): 23-31.
21. Blankespoor RJ, Schellekens MP, Vos SH, Speckens AE, de Jong BA. The effectiveness of mindfulness-based stress reduction on psychological distress and cognitive functioning in patients with multiple sclerosis: a pilot study. Mindfulness. 2017 Oct 1;8(5):1251-8. [DOI:10.1007/s12671-017-0701-6]
22. Kabat‐Zinn J. Mindfulness‐based interventions in context: past, present, and future. Clinical psychology: Science and practice. 2003 Jun 1;10(2):144-56. [DOI:10.1093/clipsy/bpg016]
23. Brantley J. Mindfulness-based stress reduction. In Acceptance and mindfulness-based approaches to anxiety 2005 (pp. 131-145). Springer, Boston, MA. [DOI:10.1007/0-387-25989-9_5]
24. Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of consulting and clinical psychology. 2000 Aug;68(4):615. [DOI:10.1037//0022-006X.68.4.615]
25. Peterson LG, Pbert L. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry. 1992 Jul;149(7):936-43. [DOI:10.1176/ajp.149.7.936]
26. Baer RA, Krietemeyer J. Overview of mindfulness-and acceptance-based treatment approaches. Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications. 2006:3-27. [DOI:10.1016/B978-012088519-0/50002-2]
27. Shahvarvqy-Farahani A, Zymyan M, Fallah-Pour M. Reliability measures of the Persian versionof fatigue in people with MS. Rehabil. 2009; 10(4):46-51.
28. Brunner LS. Brunner & Suddarth's textbook of medical-surgical nursing. Lippincott Williams & Wilkins; 2010.
29. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. Journal of personality and social psychology. 2003 Apr;84(4):822. [DOI:10.1037/0022-3514.84.4.822]
30. Teasdale JD, Segal ZV, Williams JM. Mindfulness training and problem formulation. Clinical psychology: Science and practice. 2003 Jun 1;10(2):157-60. [DOI:10.1093/clipsy/bpg017]
31. Baer RA, editor. Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications. Elsevier; 2015 Jul 14.
32. da Silva AM, Vilhena E, Lopes A, Santos E, Gonçalves MA, Pinto C, Moreira I, Mendonça D, Cavaco S. Depression and anxiety in a Portuguese MS population: associations with physical disability and severity of disease. Journal of the neurological sci-ences. 2011 Jul 15;306(1):66-70. [DOI:10.1016/j.jns.2011.03.042]
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