Neurocognitive and emotional status after one-year of mindfulness-based intervention in patients with relapsing-remitting multiple sclerosis

Torre, Gabriel G. De la; Mato, Isabel; Doval, Sandra; Espinosa, Raúl; Moya, Miguel; Cantero, Rafael; González, Macarena; González, Carmen Lasso de la Vega; García, Manuel Ato; Hermans, Gaëtane; González-Torre, Sara; Navas, José Miguel Mestre; Hidalgo, Verónica

doi:10.1080/23279095.2020.1732388

Cited by 11 publications

(3 citation statements)

References 69 publications

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“…Cognitive impairment is common in PwMS and treatment options are limited [47]. A recent meta-analysis has indicated positive effects on cognitive functioning following MBI training in general populations [48] whilst recent pilot studies among PwMS suggest benefit [49][50][51].…”

Section: Strengths and Limitations Of The Primary Studiesmentioning

confidence: 99%

Mindfulness-based interventions for people with multiple sclerosis: a systematic review and meta-aggregation of qualitative research studies

Simpson

Wasilewski

et al. 2021

Disability and Rehabilitation

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Purpose: Mindfulness-based interventions (MBIs) are effective treatments for stress, anxiety, and depression in PwMS. However, low adherence and high attrition may limit effectiveness. Qualitative research can provide important insights into MBI acceptability, accessibility, and implementation. This systematic review and meta-aggregation evaluated qualitative research findings on the use of MBIs for PwMS. Methods: Systematic searches were undertaken in six major electronic databases. Studies using qualitative or mixed methods were included. Two reviewers screened, data extracted, and critically appraised studies. Meta-aggregation was performed following the Joanna Briggs Institute approach, extracting findings, developing categories, and synthesizing findings. Results: Six eligible papers, including 136 PwMS were included in meta-aggregation. 136 findings were extracted, grouped into 17 categories, with four synthesized findings: (1) "accessing mindfulness," (2) "a sense of belonging," (3) "experiencing mindfulness," and ( 4) "making mindfulness more relevant and sustainable for PwMS." Conclusions: MBIs for PwMS need to take into consideration disability which can limit accessibility. Online MBIs (synchronous and asynchronous) appear acceptable alternatives to traditional face-to-face courses. However, PwMS benefit from shared (mindful) experiencing and highlight MBI instructors as crucial in helping them understand and practice mindfulness. Involving PwMS in design, delivery, and iterative refinement would make MBIs more relevant to those taking part. ä IMPLICATIONS FOR REHABILITATION 1. Both face-to-face and online Mindfulness-based interventions (MBIs) appear acceptable to PwMS and, ideally, people should be offered a choice in training modality. 2. PwMS derive benefit from undertaking MBIs with their peers, where a sense of camaraderie and belonging develop through shared (mindful) experiences. 3. Instructors delivering MBIs for PwMS should be knowledgeable about the condition; participants describe how the instructor has a key role in helping them practice mindfulness effectively in the context of unpleasant experiences associated with MS. 4. MBIs tailored for PwMS should include a pre-course orientation session, clearly articulate how mindfulness practices can help with MS, provide well-organized course materials in large font size, and deliver individual mindfulness practices flexibly depending on participant need.

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Section: Strengths and Limitations Of The Primary Studiesmentioning

confidence: 99%

Mindfulness-based interventions for people with multiple sclerosis: a systematic review and meta-aggregation of qualitative research studies

Simpson

Wasilewski

et al. 2021

Disability and Rehabilitation

View full text Add to dashboard Cite

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“…CBT has been found to have moderate effects on depression and stress reduction for PwMS (Hind et al, 2014; Reynard et al, 2014). Mindfulness has been associated with improvements in well‐being (Campbell & Pakenham, 2022; Han, 2021; Simpson et al, 2019), depression (Miller et al, 2020), anxiety, fatigue and sleep disturbances (Pagnini et al, 2019), emotion dysregulation (Schirda et al, 2020) and physical and cognitive fatigue (De la Torre et al, 2020). Assessments of the effectiveness of acceptance and commitment therapy (Pakenham et al, 2018), psychoeducation and supportive therapy and counselling (Topcu et al, 2020), or an the integration of these approaches (Molton et al, 2019), concludes that slight but significant improvements in quality of life, adjustment and coping with MS are evident.…”

Section: Introductionmentioning

confidence: 99%

The experience of psychological therapies for people with multiple sclerosis: A mixed‐methods study towards a patient‐centred approach to exploring processes of change

Fragkiadaki

Anagnostopoulos

Triliva

2023

Couns and Psychother Res

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Psychological therapies are effective for managing multiple sclerosis (MS) symptoms such as depression, pain and fatigue. Cognitive behavioural therapy (CBT), mindfulness and other theory-led approaches have been applied and were found to have moderate effects. The present study adopts a patient-led approach to investigate people with MS' (PwMS) experiences of psychological therapies and the change processes they identify. In this naturalistic, mixed-methods design, semistructured interviews were conducted and three questionnaires were administered to 20 PwMS at two different times. Qualitative data collection and analysis followed the interpretative phenomenological analysis (IPA) guidelines, and quantitative data were analysed using paired t tests. Four superordinate themes described the participants' experiences of change as related to their psychological therapy: from despair to relief; from feeling their body as alien to becoming acquainted with an unpredictable new body; from helplessness to empowerment; and from punishment to forgiveness. Quantitative results showed that physical function and general health perception improved, and anxiety was significantly reduced. Despite seeking help from diverse psychological therapy modalities, the analysis revealed common themes that the participants found significant in their therapy stories. Following a patient-centred approach, the development of psychological therapies for PwMS should focus on their relationships, everyday lives, body perception, losses, shame and guilt. PwMS also need to be understood and acknowledged beyond their condition.

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“…The literature has mainly focused on theory-driven, generic models where Cognitive Behavioural Therapy (CBT) and Mindfulness have been the most prominent ones. Both approaches have been associated with improvement of wellbeing [11,12], reduction of stress, anxiety, depression, fatigue and sleep disturbances [13][14][15][16], cognitive fatigue and depression [17]. Mindfulness interventions have been proven efficient in reducing depressive symptoms and fatigue, increasing the quality of life as well as improving pain management for pwMS [18].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the feasibility and acceptability of an integrative group psychological intervention for people with Multiple Sclerosis: A study protocol

et al. 2023

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Multiple Sclerosis (MS) is characterised by significant symptom diversity and complexity. The unpredictability of the symptoms and the emotional and cognitive facets of the disease have a significant impact on the patients’ quality of life, relationships and other significant areas of living. Psychological interventions have been found to have moderate effects on quality of life, depression, stress reduction, improvement of wellbeing, anxiety, fatigue, sleep disturbances and emotion regulation. Most interventions so far are based on generic models of therapy which cannot always cover the complexity and unpredictability of MS. The present research project follows from an exploratory mixed method study on the experience of psychological interventions and the impact on the management of MS. The results of that study generated themes that led to the development of an integrative group psychological intervention named MyMS-Ally. The current study aims to explore the feasibility and acceptability of MyMS-Ally intervention and obtain preliminary data on the effects on quality of life, emotion regulation, depression and anxiety through the application of a convergent mixed methods design. People with MS will be recruited at the Bristol and Avon Multiple Sclerosis centre, North Bristol NHS Trust. They will participate in MyMS-Ally group intervention for 8 weeks. Individual semi-structured interviews drawing on Interpretative Phenomenological methodology will be conducted before and after the intervention and at three months follow up. Participants will complete quantitative measures on quality of life, emotion regulation, depression and anxiety before and after the intervention and at one and three months follow up. The aim is to explore the relevance, sustainability and adherence to the intervention and study processes (feasibility) as well as the appropriateness of the intervention based on the emotional and cognitive responses, satisfaction and perceived effectiveness (acceptability). It is aspired that this patient-centred psychological intervention will address needs and preferences of people with MS. The results of the present study will provide data for further development of the intervention and will lead to a big scale evaluation study.

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Neurocognitive and emotional status after one-year of mindfulness-based intervention in patients with relapsing-remitting multiple sclerosis

Cited by 11 publications

References 69 publications

Mindfulness-based interventions for people with multiple sclerosis: a systematic review and meta-aggregation of qualitative research studies

Mindfulness-based interventions for people with multiple sclerosis: a systematic review and meta-aggregation of qualitative research studies

The experience of psychological therapies for people with multiple sclerosis: A mixed‐methods study towards a patient‐centred approach to exploring processes of change

Evaluation of the feasibility and acceptability of an integrative group psychological intervention for people with Multiple Sclerosis: A study protocol

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