Psychological interventions for enhancing adherence to disease-modifying therapies (DMTs) in multiple sclerosis

Csillik, Antonia; Bruce, Jared M.; Catley, Delwyn; Goggin, Kathleen; Swaggart, Keri R; Thomas, Peter; Thomas, Sarah

doi:10.1002/14651858.cd012443

Cited by 2 publications

(2 citation statements)

References 51 publications

(14 reference statements)

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“…The unpredictability of symptom development along with the physical, emotional and cognitive facets of the illness have a significant impact on patients' quality of life, relationships, social status and other significant areas of living [7,8]. PwMS's appraisals of their condition, the healthy behaviors they exhibit, such as physical activity and exercise, quality sleep, a well-balanced diet, keeping positive relationships with their family as well as their sense of independence are amongst the variables related to higher quality of life [9,10].…”

Section: Original Articlementioning

confidence: 99%

Patients with Multiple Sclerosis in Psychotherapy: Processes of Meaning Making and Self Transformation

Evangelia¹,

Anagnostopoulos²,

Triliva³

et al. 2020

Int J Psychol Psychoanal

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Background: Recent empirical literature on autoimmune diseases has focused extensively on the implementation and evaluation of psychosocial interventions. Psychotherapy and counselling processes for multiple sclerosis (MS) have gained special attention given the cognitive and behavioral dimensions of the symptoms as well as their unpredictable course. The current study aims to gain a deeper understanding of the meaning making processes for persons with MS (PwMS) who are in psychotherapy treatment. Method: The sample of this study consisted of ten PwMS who described their experience of the illness and of psychotherapy of choice through semi-structured interviews. Data collection and analysis adhered to Interpretative Phenomenological Analysis guidelines. Results: The results revealed that PwMS struggled with understanding the initial symptoms, contemplated taking medication, and related symptom development to psychological factors such as depression. Participants were preoccupied with disability representations and questioned the trustworthiness of their bodies. They worked towards integrating the illness into their identity and described how psychotherapy encouraged psychological agency whilst feeling supported and "accepted". Conclusions: Psychotherapy contributes to the processes of shaping participants' life worlds, offering a space to self-organize and reflect within genuine therapeutic relationships.

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Section: Original Articlementioning

confidence: 99%

Patients with Multiple Sclerosis in Psychotherapy: Processes of Meaning Making and Self Transformation

Evangelia¹,

Anagnostopoulos²,

Triliva³

et al. 2020

Int J Psychol Psychoanal

View full text Add to dashboard Cite

show abstract

“…The cause of MS is unknown and this disease does not have a definite cure. The causes for its onset consist of a complex series of genetic and environmental factors ( 1 , 2 ). The course of the disease is also unpredictable and includes relapse and periods of remission, and at the end, many patients develop a progressive course, the characteristic of which is the gradual increase in disability ( 3 ).…”

mentioning

confidence: 99%

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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Psychological interventions for enhancing adherence to disease-modifying therapies (DMTs) in multiple sclerosis

Cited by 2 publications

References 51 publications

Patients with Multiple Sclerosis in Psychotherapy: Processes of Meaning Making and Self Transformation

Patients with Multiple Sclerosis in Psychotherapy: Processes of Meaning Making and Self Transformation

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

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