Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Effects of Acceptance and Commitment Therapy (Act) and Mindfulness-Based Stress Reduction (Mbsr) on Symptoms and Emotional Competencies in Individuals With Multiple Sclerosis Publisher Pubmed



Sadeghibahmani D1, 2 ; Esmaeili L3 ; Mokhtari F4 ; Sadeghi Bahmani L5 ; Afsharzadeh M4 ; Shaygannejad V4 ; Mirmosayyeb O4 ; Goldsteinpiekarski AN2 ; Gross JJ1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Psychology, Stanford University, Stanford, CA, United States
  2. 2. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
  3. 3. Department of Education and Psychology, University of Isfahan, Esfahan, Iran
  4. 4. Isfahan Neuroscience Research Center, Isfahan University of Medical Sciences, Esfahan, Iran
  5. 5. Department of Education and Psychology, Shahid Ashrafi Esfahani University, Esfahan, Iran
  6. 6. Isfahan University of Medical Sciences, Esfahan, Iran

Source: Multiple Sclerosis and Related Disorders Published:2022


Abstract

Background: Compared to the general population, individuals with multiple sclerosis (MS) report higher levels of insomnia, depression, fatigue, and paresthesia, and lower levels of emotional competencies (understanding emotions in self and others). Available treatments are limited, and novel approaches to reducing symptoms and enhancing emotional competencies in MS are needed. Two potentially beneficial treatments are Acceptance and Commitment Therapy (ACT) and Mindfulness-Based Stress Reduction (MBSR). The aim of the present study was to investigate the impact of ACT and MBSR on symptoms and emotional competencies in patients with MS. Methods: A total of 76 individuals with MS (81.6% females; mean age: 38.88 years; EDSS median: 2; range: 0–5) were randomly assigned to an 8-week ACT treatment, an 8-week MBSR treatment, or a wait-list control condition. At baseline and study-end (week 8), participants completed a series of questionnaires covering symptoms and emotional competencies. At mid-term (week 4), participants rated their insomnia and depression. Results: Over time, symptoms of MS decreased (medium effect size for insomnia, fatigue, and paresthesia, and large effect size for depression) and emotional competencies improved (large effect size), but more so in the MBSR and ACT conditions, compared with the control condition. At study-end, the outcome improvement did not differ between the ACT and MBSR conditions. Conclusions: Both ACT and MBSR led to reduced symptoms and enhanced emotional competencies. Psychotherapeutic interventions such as these should be considered as a means of decreasing symptoms and increasing emotional competencies among individuals with MS. © 2022
Related Docs
View other Related Docs
1. Emotional Competencies in Multiple Sclerosis, Multiple Sclerosis and Related Disorders (2023)
2. Compared to an Active Control Condition, in Persons With Multiple Sclerosis Two Different Types of Exercise Training Improved Sleep and Depression, But Not Fatigue, Paresthesia, and Intolerance of Uncertainty, Multiple Sclerosis and Related Disorders (2019)
3. Physical Activity Interventions Can Improve Emotion Regulation and Dimensions of Empathy in Persons With Multiple Sclerosis: An Exploratory Study, Multiple Sclerosis and Related Disorders (2020)
4. The Effectiveness of Mindfulness-Based Stress Reduction on Sleep Quality in Patients With Multiple Sclerosis, Caspian Journal of Neurological Sciences (2024)
5. In Patients With Multiple Sclerosis, Both Objective and Subjective Sleep, Depression, Fatigue, and Paresthesia Improved After 3 Weeks of Regular Exercise, Frontiers in Psychiatry (2019)
6. The Effectiveness of Mindfulness-Integrated Cognitive Behavior Therapy on Depression, Anxiety, and Stress in Females With Multiple Sclerosis: A Single Blind Randomized Controlled Trial, Iranian Red Crescent Medical Journal (2017)
7. The Effect of Mindfulness-Based Stress Reduction (Mbsr) Therapy on Quality of Life in Women With Multiple Sclerosis, Ahvaz, Iran, Journal of Caring Sciences (2019)
8. Stability of Mental Toughness, Sleep Disturbances, and Physical Activity in Patients With Multiple Sclerosis (Ms)-A Longitudinal and Pilot Study, Frontiers in Psychiatry (2018)
Experts (# of related papers)
View all Related Experts
Vahid Shaygannejad (61)
Fereshteh Ashtari (23)
Other Related Docs
9. Influence of Adjuvant Omega-3-Polyunsaturated Fatty Acids on Depression, Sleep, and Emotion Regulation Among Outpatients With Major Depressive Disorders - Results From a Double-Blind, Randomized and Placebo-Controlled Clinical Trial, Journal of Psychiatric Research (2018)
10. Comparison of Prevalence Rates of Restless Legs Syndrome, Self-Assessed Risks of Obstructive Sleep Apnea, and Daytime Sleepiness Among Patients With Multiple Sclerosis (Ms), Clinically Isolated Syndrome (Cis) and Neuromyelitis Optica Spectrum Disorder (Nmosd), Sleep Medicine (2020)
11. The Effect of Group Cognitive Behavioral Therapy on Stress, Anxiety, and Depression of Women With Multiple Sclerosis, Iranian Journal of Nursing and Midwifery Research (2017)
12. The Effectiveness of Acceptance and Commitment Therapy on Pain Severity, Perceived Stress, and Aggression in Patients With Multiple Sclerosis in Isfahan, Iran, International Journal of Body, Mind and Culture (2019)
13. Effectiveness of Cognitive Behavioral Therapy on the Quality of Sleep in Women With Multiple Sclerosis: A Randomized Controlled Trial Study, International Journal of Community Based Nursing and Midwifery (2016)
14. Effectiveness of Schema Therapy on Anxiety, Depression, Fatigue, Quality of Life, and Sleep in Patients With Multiple Sclerosis: A Randomized Controlled Trial, Middle East Journal of Rehabilitation and Health Studies (2024)
15. Impact of the Covid-19 Pandemic on the Psychological Status and Cortisol Level of Multiple Sclerosis Patients, Neuropsychological Rehabilitation (2023)
16. Clinical Characteristics and Disability Progression of Early-And Late-Onset Multiple Sclerosis Compared to Adult-Onset Multiple Sclerosis, Journal of Clinical Medicine (2020)
17. Multiple Sclerosis-Related Fatigue Lacks a Unified Definition: A Narrative Review, Journal of Research in Medical Sciences (2022)
18. Fear and Anxiety in Patients With Multiple Sclerosis During Covid-19 Pandemic; Report of an Iranian Population, Multiple Sclerosis and Related Disorders (2021)
19. Neuroimaging Markers and Disability Scales in Multiple Sclerosis: A Systematic Review and Meta-Analysis, PLoS ONE (2024)
20. The Effect of Emotional Freedom Technique on Fatigue Among Women With Multiple Sclerosis: A Randomized Controlled Trial, Iranian Journal of Nursing and Midwifery Research (2021)
21. Effect of Donepezil on Cognitive Impairment, Quality of Life, and Depression in Multiple Sclerosis Patients: A Randomized Clinical Trial, International Journal of Preventive Medicine (2020)
22. The Contribution of Self-Disclosure to the Prediction of Mood Symptoms in Patients With Multiple Sclerosis, Current Journal of Neurology (2021)
23. The Effects of Motivational Interviewing on Health Promoting Behaviors of Patients With Multiple Sclerosis, Iranian Journal of Nursing and Midwifery Research (2016)
24. Evaluation of Cognitive Rehabilitation on the Cognitive Performance in Multiple Sclerosis: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2019)
25. Association Between Perceived Social Support and Self‑Management in People With Multiple Sclerosis: A Cross‑Sectional Study, Asian Journal of Social Health and Behavior (2023)
26. Higher Disease and Pain Severity and Fatigue and Lower Balance Skills Are Associated With Higher Prevalence of Falling Among Individuals With the Inflammatory Disease of Neuromyelitis Optica Spectrum Disorder (Nmosd), Journal of Clinical Medicine (2020)
27. Crocus Sativus L. (Saffron) Versus Sertraline on Symptoms of Depression Among Older People With Major Depressive Disorders–A Double-Blind, Randomized Intervention Study, Psychiatry Research (2019)
28. Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons With Multiple Sclerosis, Dysphagia (2021)
29. The Effect of Emotional Intelligence Training on Self-Efficacy in Women With Multiple Sclerosis, Iranian Journal of Nursing and Midwifery Research (2017)
30. Mental Toughness, Sleep Disturbances, and Physical Activity in Patients With Multiple Sclerosis Compared to Healthy Adolescents and Young Adults, Neuropsychiatric Disease and Treatment (2016)
31. A Comparison of the Effects of Reflexology and Relaxation on Pain in Women With Multiple Sclerosis, Journal of Complementary and Integrative Medicine (2016)
32. Sexual Dysfunction in Women With Neuromyelitis Optica Spectrum Disorders and Multiple Sclerosis, Sexuality and Disability (2022)
33. Ermin Deficiency Leads to Compromised Myelin, Inflammatory Milieu, and Susceptibility to Demyelinating Insult, Brain Pathology (2022)
34. Stress Differentially Predicts Multiple Sclerosis Relapses, Neurology Asia (2014)
35. Risk of Depression After Parkinson's Disease, Stroke, Multiple Sclerosis, and Migraine in an Iranian Population and Assess Psychometric Characteristics of Three Prevalent Depression Questionnaires, IBRO Neuroscience Reports (2024)
36. Comparison of Cognitive Rehabilitation Versus Donepezil Therapy on Memory Performance, Attention, Quality of Life, and Depression Among Multiple Sclerosis Patients, Neurology Research International (2020)
37. Comparing the Effects of Reflexology and Relaxation on Fatigue in Women With Multiple Sclerosis, Iranian Journal of Nursing and Midwifery Research (2015)
38. The Study of Circadian Rhythms Disorder and Its Relationship With Chronic Fatigue in Multiple Sclerosis in Compare With Control Group, Journal of Isfahan Medical School (2011)
39. Side Effects of Methylprednisolone Pulse Therapy in Treatment of Multiple Sclerosis, Journal of Isfahan Medical School (2012)
40. Effectiveness of Multiple Disease-Modifying Therapies in Relapsing-Remitting Multiple Sclerosis: Causal Inference to Emulate a Multiarm Randomised Trial, Journal of Neurology, Neurosurgery and Psychiatry (2023)
41. Expectations of Multiple Sclerosis Patients and Their Families: A Qualitative Study in Iran, Iranian Red Crescent Medical Journal (2015)
42. 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 (2015)
43. Multiple Sclerosis Severity Score (Msss) Improves the Accuracy of Individualized Prediction in Ms, Multiple Sclerosis Journal (2022)
44. Time Interval Between the Onset of Symptoms and Diagnosis of Multiple Sclerosis and the Influential Factors: A National Registry-Based Study, Clinical Neurology and Neurosurgery (2024)
45. Association Between Family Caregivers’ Quality of Life and Psychological Capital of the Patients With Multiple Sclerosis, Journal of Isfahan Medical School (2016)
46. Assessment of Intelligence Quotient in Patients With Neuromyelitis Optica Spectrum Disease and Multiple Sclerosis, Multiple Sclerosis and Related Disorders (2023)
47. The Prevalence of Lower Urinary Tract Symptoms Based on Individual and Clinical Parameters in Patients With Multiple Sclerosis, BMC Neurology (2020)
48. Male Sex Is Independently Associated With Faster Disability Accumulation in Relapse-Onset Ms But Not in Primary Progressive Ms, PLoS ONE (2015)
49. First-Year Treatment Response Predicts the Following 5-Year Disease Course in Patients With Relapsing-Remitting Multiple Sclerosis, Neurotherapeutics (2025)
50. Does Rtms on Brain Areas of Mirror Neurons Lead to Higher Improvements on Symptom Severity and Empathy Compared to the Rtms Standard Procedure? – Results From a Double-Blind Interventional Study in Individuals With Major Depressive Disorders, Journal of Affective Disorders (2019)