Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Therapy on Anxiety and Depression Symptoms in Patients with Multiple Sclerosis (MS), Bojnurd, Iran

Namvar, Malihe; Khorrami, Mohammad; Noorollahi, Atefe; Pournemat, Mina

doi:10.22054/jpe.2021.45321.2037

Document Type : Research Paper

Authors

¹ Islamic Azad University, Bojnourd Branch, Iran.

² Phd of General psychology, Islamic Azad University, Tehran Science & Research Branch (Isfahan), Isfahan, Iran.

³ Master of clinical psychology,save Azad university

⁴ ph.D. Of general psychology,save Azad university

https://doi.org/10.22054/jpe.2021.45321.2037

Abstract

Objective: The aim of this study was to investigate the effectiveness of mindfulness group therapy based on stress reduction on anxiety and depression in patients with MS in Bojnourd
Methods: Samples were selected by simple random sampling (n = 22) and then randomly divided into an experimental group (11 subjects in the stress awareness-based mindfulness group) and a control group (n = 11). Beck Anxiety Inventory and Beck Depression Inventory were used in the pre-test. In the next step, mindfulness based on stress reduction was administered to the experimental group for 8 sessions once a week for two hours and the control group did not receive any intervention. Then the post-test was completed for both groups and the necessary data were collected and analyzed using covariance analysis.
Results: The findings showed that there was a significant difference between the group of mindfulness-based stress therapy and the control group in the variables of anxiety and depression.
Conclusion: Considering the findings, more attention should be paid to stress-reduction mindfulness intervention in order to reduce the level of anxiety and depression in MS patients.

Keywords

References

تقی زاده م؛ عاصمی ذ؛ محلوجی م (1385). ارزیابی وضعیت تغذیه‌ای بیماران مبتلا به ام اس. خلاصه مقالات سومین کنگره بین‌المللی ‌ام اس ایران. 152.

دهستانی، مهدی، (1394)، آموزش اثربخشی مبتنی بر ذهن آگاهی بر افسردگی و اضطراب دانش آموزان دختر، فصلنامه اندیشه و رفتار، دوره 9، شماره 37.

فرگوسن، ج.، و تاکانه، ی. (1395). تحلیل آماری در روانشناسی و علوم تربیتی. ترجمه دلاور، ع.، و نقشبندی، س. تهران: ارسباران.

مولوی، ح. (1393). راهنمای عملی SPSS و Amos در علوم رفتاری. اصفهان: پویش اندیشه.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol.;56(6):893-7. DOI: 10.1037//0022-006x.56.6.893

Beck, A. T., Steer, R. A. (1990). Beck Anxiety Inventory Manual. San Anto: Psychological Corporation..

Beck., AT. (1988). Anxiety and depression: An information processing perspective. J Anxiety Res, 1: 23-36.

Becker RE, Heimberg RG, Bellack AS. (2010). Social Behavior Therapy in Patients with Anxiety Biochimica et Biophysica Acta (BBA). Molecular Basis of disease 2010; 1802 (1):66-79

Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84: 822-848. 31. Roth B, Robbins D. Mindfulness-based stress reduction and health-related quality of life: findings from a bilingual inner-city patient population. Psychosom Med. 2004; 66: 113-123

Dehgani A, Mohammad khan S, Memariyan R. Prevalence of stress, anxiety and depression in patients with multiple sclerosis. Alborz university of medical sciences J 2013; 2 (2): 82- 88.

Dehgani A, Mohammad Khan S, Memariyan R. Prevalence of stress, anxiety and depression in patients with Multiple sclerosis. Alborz University of Medical Sciences J 2013; 2 (2): 82-88. (Persian).

Dimidjian, S. Beck, A. Felder, J.N. Boggs, J.M. Gallop, R & Segal, and Z. (2014).Web-based Mindfulness-based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls. Behavior Research and Therapy, 63, 83-89.

Eid M, Larsen RJ. The science of subjective well- being: Guilford press; 2008.

Gall, M. D., Borg, W. R., & Gall, J. P. (1996). Educational research: An introduction (6^th Ed.). White Plains, NY, England: Longman Publishing.

Ghaem H, Haghighi AB. The impact of disability, fatigue and sleep quality on quality of life in multiple sclerosis. Ann Indian Acad Neurol 2008;11: 236-41.

Ghaffari S, Ahmadi F, Nabavi M, Memarian R. The effect of progressive muscle relaxation on depression, anxiety and stress in patients with multiple sclerosis, Shahid Beheshti univ J Research Med 2008; 32 (1): 45-53.

Gharai B. The evaluation of some of the Green,SM,&Bieling,P. J (2012). Expanding the scope of Mindfulness-Based cognitive Therapy. Evidence for Effectivenss in a heterogeneous psychiatric sample. Cognitive and Behavioral practice. 19 (1): 174-180

Herzog, W. (2010). Acceptance and mindfulness-based group intervention in Impact of aerobic training on immune endocrine parameters, neurotrophic Instituet of psychiatry; 1993. p. 50-60. [Persian].

Hosseinian S, pordelan N, heidari H, salimi S. Analysis of exhaustion vocational Nurses structure with Structural Analysis of Burnout among Nurses Considering Acceptance, Commitment, and Emotion Regulation. J Mazandaran Univ Med Sci. 2014; 24 (113):37-46

Kabat-Zinn J, Lipworth L, Burney R. The clinicaluse of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 1985; 8: 163-190.

Kabat-Zinn J. Coming to our senses: Healing ourselves and the world through Mindfulness. New York; Hyperion. 2005.

Kabat-Zinn, J. (2005). The clinical use of mindfulness meditation for the selfregulatio of chronic pain. J Behav Med 1985; 8: 163-190.

Khorrami M, Atashpour SH, Arefi M. Analyzing the Path between Positive Psychological Functions among Mothers of Cerebral Palsy. J North Khorasan Univ Med Sci. 2019;10(4):28-40. DOI: 10.21859/nkjmd-10045.

Kingwell E, Bajdik C, Philips N, Zhu F, Oger J, et al (2012) Cancer risk in multiple sclerosis: finding from British Columbia, Canada, Brain: 135(pt 10): 2973-9.

Masuda A, Tully EC. (2012). The role of mindfulness and psychological flexibility in somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. Evidence Based Complement Alternate Med; 17(1): 66-71. doi: 10.1177/2156587211423400.

Masuda A, Tully EC. (2012). The role of mindfulness and psychological flexibility in Parsaiian M, Najl Rahim A, Karimlou M, Mozafari M. (2006). [Comparison of short term memory in multiple sclerosis patients and normal people]. Journal Rehabil; 7(2): 60-65.

Maxwell, L., & Duff, E. (2016). Mindfulness: An effective prescription for depression and anxiety. The Journal for Nurse Practitioners, 12 (6), 403-409.

Mc Cabe PM. (2005). Mood and self esteem of persons with multiple sclerosis following an exacerbation, I Psychosomatic Res; 59: 161-66.

McCarney R. W., Schulz J. & Grey A. R. (2012). Effectiveness of mindfulness-based therapies in reducing symptoms of depression: A meta-analysis. European Journal of Psychotherapy & Counselling. 14 (3): 279-299

Michalak J., Burg J., & Heidenreich T. (2012). Don't Forget Your Body: Mindfulness, Embodiment, and the Treatment of Depression. Mindfulness. 3 (3): 190-19.

Nelson L. D., Elder JT, Tehrani P, Groot J. (2003). Measuring personality and emotional functioning in multiple sclerosis: a cautionary note. Arch Clinical Neuropsychology; 18: 419–429.

Peizhong M, Hemachandra Reddy P. Is multiple sclerosis a mitochondrial disease Biochimica et Biophysica Acta (BBA)_ Molecular Basis of disease 2010;1802 (1):66-79.

Pittock SJ, Rodriguez M (2008). "Benign multiple sclerosis: a distinct clinical entity with therapeutic implications". Curr. Top. Microbiol. Immunol. 318: 1-17. doi:10. 1007/978-3-540-73677-6_1. PMID 18219812.

Potagas C, Mitsonis C, Watier L, Dellatolas G, Retziou A, Mitropoulos PA, et al. Influence of anxiety and reported tressful life events on relapses in multiple sclersis: a prospective study. Int MS J 2008; 14 (9): 1262-1268.

Praissman, S. (2008). Mindfulness-based stress reduction: A literature review and clinician’s guide. Journal of the American Academy of Nurse Practitioners, 20, 212-216.

Praissman,s. (2008). Mindfulness-based stress reduction: A literature review and clinician guid. Journal of the American Academy of Nurse practitioners, 20 (4):212-221.

Roseen Zweig, s. Reibel, D. K., Greeson, J. M., Edman,J. s., & Mc meaty K. D (2007). Mindfulness-based stress reductionis associated with empowered glycemic controlling type 2 diabetes mellitus: a pilot study. Altern the Health med, 13 (14): 36-38.

Ryan, R. M. and Deci, E. L. (2000). “Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being”. J Am Psychol.; 55 (1): 68-78.-

Schulz KH, Gold MS, Witte J, Bartsch K, Lang EU, Hellweg R, et al. (2004). Impact of aerobic training on timmune enaocrine parameters, neurotropnic factors, quality of life and coordinative function in multiple sclerosis. Journal Neurol Sci;225:11-18.

Seligman, M. E. P. (1994). What you can change & what you cannot change. Psychology Today, 33-41, 70, 72-74, 84.

somatization, depression, anxiety, and general psychological distress in a nonclinical college sample. Evidence Based Complement Alternate Med; 17(1): 66-71. doi: 10.11772156587211423400.

Tanay, G., Lotan, G., & Bernstein, A. (2012). Salutary proximal processes and distal mood and anxiety vulnerability outcomes of mindfulness training: a pilot preventive intervention. BehavTher, 43 (3),492-505.

Teasdale J. Sega Z, Williams J, Ridgeway V. Soulsby J, Laum prevention of relapse / recurrence in major deression by maindfulness based cognitive therapy. J consultclin psychol. 2000; 68 (4): 615-23.

Toulgui E, Jemni S, Samia F, Lazreg N, Mtaouaa S, Khachnaoui F. Depression and anxiety in mothers of children with cerebral palsy: Comparative study. Ann Phys Rehabil Med. 2016;59:e9.

Tovote, A., Fleer, J., Snippe, E. Peeters,A., Emmelkamp, P. & Sander man, R. (2013). Jndividual mindfulness- based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patiens with diabetes. Diabetes care Journals, 1 (4): 233-251.

Vanson, J., Nyklicek, J. Pop,V. J., Blonk, M. C., Erdtsieck, R. J.,& Pouwer,F. (2014). Mindfulness-Based cognitive therapy for people with diabetes and emotional problems. Journal of psychosomatic research, 77 (1): 81-85.

Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behav Res Ther. 49(4):281-8. doi: 10.1016/j.brat.2011.01.007.

Psychology of Exceptional Individuals

Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Therapy on Anxiety and Depression Symptoms in Patients with Multiple Sclerosis (MS), Bojnurd, Iran

References

References

Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behav Res Ther. 49(4):281-8. doi: 10.1016/j.brat.2011.01.007.

Volume 10, Issue 39
September 2020
Pages 179-200

Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Therapy on Anxiety and Depression Symptoms in Patients with Multiple Sclerosis (MS), Bojnurd, Iran

References

References

Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behav Res Ther. 49(4):281-8. doi: 10.1016/j.brat.2011.01.007.

Volume 10, Issue 39September 2020Pages 179-200

Volume 10, Issue 39
September 2020
Pages 179-200