Effectiveness of Hope-based Group Therapy on the Quality of Life in Women With Multiple Sclerosis

Abedini, Ehsan; Hashemabadi, B A Ghanbari; Sharif, J.; Torshizi, S Karimi

doi:10.29252/jnkums.7.3.623

Cited by 3 publications

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“…As for the insignificance of the difference in the quality of life for the patients’ group, one can cite Abedini (2014), a group hope therapy research on women with MS, which used a similar questionnaire to assess the quality of life, and showed that the quality of life has not had any changes in physical subscale, but has had a significant change in mental terms. However, participants in this study consisted only of day patients ( 11 ). To explain this finding, it must be mentioned that the participants in the present study have mostly been hospitalized and had advanced stages of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…The maximum score in the psychological aspect is 45, while the lowest is 9. In the Persian version of this questionnaire, the alpha coefficient as well as the retest coefficient have been reported to be larger than 70% ( 11 ).…”

Section: Methodsmentioning

confidence: 99%

“…Rehabilitation in physical, psychological, and social aspects is essential for a comprehensive management of the disease and recovery in holistic terms. Accordingly, recent studies about MS show that the treatment of MS must be done in a holistic manner through teamwork, and improving the quality of life for patients depends on the interdisciplinary collaboration of experts on medical, psychological, and social sciences ( 11 ). Also, evaluation and treatment must focus both on the patient and the family caregivers.…”

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confidence: 99%

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The Effectiveness of Group Hope Therapy Training on the Quality of Life and Meaning of Life in Patients with Multiple Sclerosis and Their Family Caregivers

Azimian¹,

Arian²,

Shojaei³

et al. 2021

IJPS

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Objective: Multiple sclerosis is a chronic, progressive neurological disease that, due to its special nature, has various physical and mental influences on the patients and their family's lives, decreasing the quality of life and threatening the meaning of life. The purpose of the present study was to evaluate the effectiveness of the group hope therapy training on the quality and the meaning of life in patients with multiple sclerosis and their family caregivers. Method: This quasi-experimental study was performed using pretest-posttest and control group. Thirty patients with multiple sclerosis along with 30 family caregivers who got low to medium scores on the Meaning in Life questionnaire by Steger (MLQ), Multiple Sclerosis Impact Scale (MSIS-29), and the Iranian Quality of Life questionnaire (IRQOL) for the caregivers were selected purposively. Then, the patients were randomly divided into two groups of 15 individuals in experimental and 15 individuals in control groups. The caregivers were grouped in the same manner. The protocol of group hope therapy training was carried out through eight two-hour sessions in two weeks separately on two experimental groups (the patients and the caregivers), and finally the posttest was given to four experimental and control groups. Results: The results of the data showed that the meaning of life in both the patient and the caregiver experimental groups increased significantly (P < 0.001), but there was no significant change in the patient and the caregiver control groups. Conclusion: Group hope therapy training is an effective intervention for improving the meaning of life and the quality of life in patients with multiple sclerosis. Also, any psychological intervention that aims to improve the quality of life in patients in an advanced stage of the disease requires attention to both the physical and the mental issues at the same time. Although group hope therapy training has improved the meaning of life in such patients, it did not have a significant impact on the quality of life. Therefore, paying attention to the stages of multiple sclerosis and the physical condition of the patients during the therapeutic intervention and adopting necessary complementary interventions seems to be essential.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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The Effectiveness of Group Hope Therapy Training on the Quality of Life and Meaning of Life in Patients with Multiple Sclerosis and Their Family Caregivers

Azimian¹,

Arian²,

Shojaei³

et al. 2021

IJPS

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“…Due to the unpredictability of MS, there is no definitive cure for this disease [1], however, there are various methods that can reduce and moderate its symptoms [3]. Literature review indicates that non-pharmacological interventions such as physical, psychological, and cognitive interventions are effective in improving the symptoms of MS [11][12][13][14][15][16]. Physical approaches include aerobic exercises, resistance training, electromagnetic field therapy, and cooling therapy.…”

Section: Introductionmentioning

confidence: 99%

Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery

et al. 2022

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Background and objectives The present study aimed to assess the effectiveness of guided imagery on fatigue, stigma, and mood in patients with multiple sclerosis. Methods This clinical trial is a double-blind study that was conducted on 60 patients with multiple sclerosis referred to the largest center for special diseases in the southeast of Iran in 2020. The convenience sampling method was used to select the participants who were later divided into two groups of intervention (n = 30) and control (n = 30) using block randomization method. The intervention group listened to the guided imagery audio file at home for 25 min. The control group did not receive any intervention. Data were collected by demographic information questionnaires, Fatigue Severity Scale (FSS), Reece Stigma Scale for Multiple Sclerosis (RSS-MS), and the Profile of Mood States (POMS) before and one month after the intervention. Results According to the results, there was no significant difference between the two groups before the intervention in terms of the score of fatigue (P < 0.0 = 67), stigma (P < 0.64), and mood (P < 0.17). However, after the intervention, a significant differences was observed in this regard (P < 0.0001). In the intervention group, the mean score of fatigue decreased from 59.72 ± 18.32 to 35.8 ± 16.15, and the mean score of stigma decreased from 17.31 ± 15.62 to 5.09 ± 8.06, showing a significant reduction in the levels of fatigue (P < 0.0001) and stigma (P < 0.0001) compared to before intervention. Also, the mean score of mood decreased from 36.90 ± 12.21 to 28.55 ± 11.87, indicating an improvement in the mood of samples in the intervention group (P < 0.0001). Conclusions The results indicated that guided imagery, as a cost-effective method, can decrease the fatigue and stigma, and enhance the mood of patients with MS. Therefore, nursing staff can use this method to improve MS patients’ mood and decrease their fatigue and stigma.

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“…SIT consists of information provision, the Socratic method of cognitive restructuring (CR), problem-solving, relaxation, behavioral training, self-monitoring, selflearning, self-improvement, and changing environmental situations [13]. According to Abedini et al, hope-based group therapy (HBGT) was effective in increasing hope and reducing depression in MS women [14]. Research findings revealed that patients examined for the methods of adjustment to stress were in an undesirable condition, and that stress could affect severity and recurrence of the disease, thereby reducing the quality of life in patients [15].…”

Section: Introductionmentioning

confidence: 99%

Effects of Stress Inoculation Training on General Health and Occupational Adjustment Strategies in Patients with Multiple Sclerosis

Tavakkoli

Nazer

Meymand

2021

JOHE

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Background: Due to its chronic and debilitating nature, multiple sclerosis (MS) affects various psychological dimensions of patients' life, thereby disturbing their adjustment to their situation and the environment. This study aimed to investigate effects of stress inoculation training (SIT) on general health and occupational adjustment strategies in MS patients.Materials & Methods: In this educational trial, 40 people were selected by random sampling from all MS patients who referred to a special clinic in Rafsanjan (Kerman, Iran, 2018) and randomly assigned to intervention and control groups. Dimensions of general health and adjustment strategies were evaluated before and after SIT by the General Health Questionnaire (GHQ) and Bell Adjustment Inventory. The intervention group received SIT treatment weekly for seven sessions. Besides, data were analyzed using analysis of covariance. Results: The participants' mean age was 34.92 ± 7.32 years. Regarding general health dimensions, the results showed that the mean scores of physical health (11.40 ± 30.8), anxiety (6.10 ± 1.94), social health (6.70 ± 1.56), and depression (5.80 ± 1.32) did not change significantly after SIT (p > 0.05). Concerning adjustment strategies, SIT was effective in improving occupational (13.6 ± 1.35) and emotional strategies (13.2±2.74) with p = 0.038 and p = 0.021, respectively. Conclusion: According to the results, SIT was effective in improving occupational and emotional adjustment, yet it was not effective in improving the dimensions of public health. Moreover, it seems in order to improve general health in MS patients, various variables are essential along with stress control.

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Effectiveness of Hope-based Group Therapy on the Quality of Life in Women With Multiple Sclerosis

Abstract: Background & Objectives: Multiple Sclerosis(M.S) is one of the most common chronic disease of the central nervous system in young adults

Cited by 3 publications

References 0 publications

The Effectiveness of Group Hope Therapy Training on the Quality of Life and Meaning of Life in Patients with Multiple Sclerosis and Their Family Caregivers

The Effectiveness of Group Hope Therapy Training on the Quality of Life and Meaning of Life in Patients with Multiple Sclerosis and Their Family Caregivers

Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery

Effects of Stress Inoculation Training on General Health and Occupational Adjustment Strategies in Patients with Multiple Sclerosis

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