Multiple Sclerosis

The present study was conducted to evaluate the effectiveness of cognitive therapy on emotional distress and stress coping strategies in patients with Multiple Sclerosis. The design of study was semi-experimental with pre and post-test, with a control group. The participants were 30 patients with Multiple Sclerosis living in Tehran who were randomly assigned in the experimental and control groups. The data was gathered by Stress Coping Strategies Questionnaire, and Depression, Anxiety, and Stress Scale. The experimental group participated in 12 sessions of cognitive therapy, while the control group received no help. Results of Multivariate Covariance Analysis confirmed the effectiveness of cognitive therapy on improvement of anxiety, depression, and stress coping strategies in patients suffering MS (P

Abstract Objective: Multiple sclerosis is a chronic and disabling disease. The purpose of the present research was to examine the effectiveness of cognitive-behavioral stress management training on the resilience of patients with multiple sclerosis Method: This research was a quasi-experimental design with pre-test, post-test and follow-up, and a control group. The statistical population included female patients with MS referred to the Dr. Shahbigi Neurology Clinic in Tehran. 30 patients were selected by purposeful sampling method and assigned to the two groups experimental and control group randomly. The experimental group underwent ten sessions of stress management training based on the Cognitive Behavioral Model. Data were collected using the Connor Davidson Resilience Scale. Research data were analyzed using Mixed Repeated Measures ANOVA. Results: The results revealed that cognitive-behavioral stress management training can significantly enhance the resilience of patients with MS. Conclusion: Therefore, the use of cognitive-behavioral stress management training can be effective in improving the resilience of patients with MS.

Objective: <span class="fontstyle2">This study aimed at evaluating the effectiveness of mindfulness-based cognitive therapy, logo therapy, and schema therapy on reducing stress, anxiety, and depression in patients with multiple sclerosis. Methods: <span class="fontstyle2">The present study was a quasi-experimental study with a pre-test-post-test design with a control group. The study population consisted of all members of the MS Society of Iran located in Tehran in 2019, and the sample consisted of 60 members of the Association who were selected using the convenience sampling method and were randomly assigned to three experimental groups and one control group (15 people for each group). All four groups were tested by DASS-21 scale, and then the experimental groups underwent mindfulness-based cognitive therapy, logo therapy, and schema therapy in 12 Two-hour sessions for 12 weeks, but the control group did not receive any training. Analysis was performed using SPSS22 in two parts: descriptive and inferential statistics. Results: <span class="fontstyle2">The results of analysis showed that mindfulness-based cognitive therapy has been effective on reducing stress (f= 110.90, p <0,001), anxiety (f= 88.92, p <0,001), and depression (f= 32.29, p <0,001) in patients with multiple sclerosis. Also it was shown that logo therapy was effective on stress (f= 264.60, p <0,001), anxiety (f= 175, p <0,001), and depression (f= 305.07, p <0,001), and schema therapy was effective on reducing stress (f=110.90, p <0,001), anxiety (f= 88.92, p <0,001), and depression (f= 32.29, p <0,001) in patients with multiple sclerosis. Also, the comparison of means showed that in the variables of stress, anxiety, and depression, mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective. Conclusions: <span class="fontstyle2">The findings of this study confirmed that mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective in reducing stress, anxiety, and depression in patients with multiple sclerosis.

Purpose:  Multiple Sclerosis (MS) is an autoimmune disease which is on the rise in recent years especially in Iran. Although there has been much progress in MS treatment, there is no definitive cure for it. Considering high prices of prescription drugs and their serious side effects as well as, impact of this illness on function efficiency of individuals, it seems that exercise training is one of the effective, cheap, and without side effects methods, in improvement of the performance of MS patients. In this regard, the present study aimed to provide comprehensive information on the background and the latest studies conducted to evaluate the effect of various exercise trainings (resistance, aerobic, core stability, Pilates, and combined) on this disease.  Methods :  An electronic search from 1994 to 2022 was performed in the Magiran, SID, PubMed, Google Scholar, and Scopus databases to find published articles. The keywords were multiple sclerosis, physical activity, exercise, training, aerobics, resistance, combined, core stability and Pilates. Different articles were selected and reviewed according to relation with subject. Results: The results indicated that various exercise training with different duration, intensity, and frequency cause different adaptations in people. Furthermore, regular continuous combined exercise training can be more effective than one type of exercise training in improvement and reduction of the symptoms of MS disease. The mechanism of improvement in combined exercise training can be justified due to the benefits of concurrent use of two or more types of training protocols. Conclusions: It can be said that the combined use of exercise trainings is the most useful and effective method for these patients. However, more studies on the best combination of exercise trainings for MS patients should be done in the future.

Purpose: This study was conducted aiming to investigate the effect of selected TRX and Pilates training on balance parameters, fatigue index, and quality of life in female patients of multiple sclerosis. Method: In this study, 30 female patients with MS in Isfahan city with an average age of 37.41 ± 7.57 years and a history of MS of 11.31 ± 3.77 years and an Expanded Disability Status Scale of 0.84 ± 1.81 were placed in three groups including control, TRX and Pilates groups. The training program consisted of eight weeks including 3 sessions of 60 minutes of exercise per week. In order to investigate balance, fatigue, and quality of life, the Berg test, Fatigue Severity Scale, and Multiple Sclerosis Quality of Life were used respectively. SPSS version 25 software was used for statistical analysis. Results: The results of this study have shown that both exercise programs have led to a significant improvement in the mean parameters of balance (P < 0.005), fatigue (P < 0.005), and quality of life (P < 0.001). Conclusions: Considering the noticeable impact of these training protocols on the quality of life, balance and fatigue, these interventions can be considered as an efficient and cost-effective methods to improve health condition in MS patients.

Objective: The purpose of this study was to predict marital satisfaction based on health anxiety and self-efficacy with the mediation role of mindfulness in women with multiple sclerosis. Method: The present research method was descriptive-correlational using structural equation modeling (path analysis). The statistical population included 14899 married women with diplomas and higher education who were members of the Tehran MS Association in 2021. Using the Cochran formula, 342 women were selected as research samples through convenience sampling. All participants responded to four questionnaires, including Olson et al.’s Marital Satisfaction, Salkovskis et al.’s Health Anxiety, Schwarzer and Jerusalem’s Self-efficacy, and Baer et al.’s Mindfulness questionnaires. Results: The results showed the direct effect of marital satisfaction through self-efficacy and health anxiety was significant (P<0/05). Also, the indirect effect of marital satisfaction through mindfulness was significant (P<0/05). Conclusion: According to the results, mindfulness plays a mediating role in the relationship between health anxiety, self-efficacy, and marital satisfaction.   

 Objective: This study aimed to examine the effects of reality therapy on improving psychological capital and sense of cohesion among Iranian Patients with Multiple Sclerosis. Method: This study was performed in Tehran in 2021. Sampling was employed to select 36 participants who completed the Psychological Capital Questionnaire and Sense of Cohesion Scale in the pretest, posttest, and onemonth follow-up stages. The participants of the experimental group underwent eight weekly 90-minute sessions to receive the online reality therapy; However, the control group received no intervention. Results: Data analysis showed a significant difference in psychological capital and sense of cohesion in the experimental group compared to the control group (P< 0/05). There was a significant difference in three subscales of psychological capital (i.e., self-efficacy, resilience, and hope) and two subscales of the sense of cohesion (i.e., perceptibility and controllability) in Patients with MS in the experimental group (P <0.05), but no significant difference in optimism (a subscale of the psychological capital) and significance (a subscale of sense of cohesion) (P> 0.05). Conclusion: Due to the effects of reality therapy on patients with multiple sclerosis, this psychological therapy can be employed to improve the psychological capital and sense of cohesion.