Background: Multiple Sclerosis (MS) is one of the disorders of the central nervous system which creates many challenges for the psychological adjustment of patients all over the world. Objectives:This research was performed to demonstrate the effect of positive group-psychotherapy on reducing the psychological symptoms (depression, anxiety, and stress) and improving the quality of life in women with MS. Materials & Methods: The method of this research is quasi-experimental with pre-test, post-test, and control group. A total of 30 women were selected through a convenient sampling method from the patients of the MS-Society of Guilan Province, Iran. Then, they and randomly divided into 2 equal groups (experimental and control). The study data were collected through Depression Anxiety Stress Scale (DASS) and Multiple Sclerosis Impact Scale‐29 (MSIS) questionnaires. The intervention process was performed for the experimental group as 8 training sessions of 90 minutes long. The obtained data were analyzed by univariate analysis of covariance and multivariate analysis of covariance in SPSS V. 24. Results: The analysis showed that positive group-psychotherapy significantly modified the depression, anxiety, stress (F=39.13, P<0.001), and quality of life (F=50.44, P<0.001) in the experimental group. Conclusion: Positive group-psychotherapy can be used as an effective and efficient psychotherapy method to reduce and improve the psychological symptoms (depression, anxiety, and stress) of women with multiple sclerosis and improve their quality of life.
Background: Multiple Sclerosis (MS) is one of the most common neurological diseases that severely affects the patients‘ quality of sleep. Objectives: This study aimed to compare the effectiveness of reality therapy and positive psychotherapy on sleep quality in women with MS. Materials & Methods: The research method was quasi-experimental with a pre-test, post-test design and a control group. The study population included all women with MS referred to the Guilan MS Association in the summer and fall of 2019 who were selected by purposive sampling method. They were randomly assigned in three groups of 15 people for reality therapy training, positive psychotherapy, and control group. Both experimental groups received eight 90-minute sessions of psychotherapy interventions, but the control group received no training. The Pittsburgh Sleep Quality Index (PSQI) was used to collect data. Data analysis was performed by Multivariate Analysis of Covariance (MANCOVA) and Bonferroni post hoc test in SPSS version 22. Results: Both reality therapy and positive psychotherapy significantly improved sleep quality in women with MS (P<0.01). Also, based on the results, the sleep quality of the reality therapy group showed a greater and more significant improvement compared to the positive treatment (F=19.43, P<0.01). Conclusion: According to the obtained results, both methods have good practical capabilities for clinical interventions to improve sleep quality in patients with MS. Reality therapy is more effective than positive psychotherapy on the quality of sleep in women with MS.
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