Emanuela Calandri1, Federica Graziano2, Martina Borghi2,3, Silvia Bonino1,2. 1. a Department of Psychology , University of Torino , Torino , Italy. 2. b Cosso Foundation , Pinerolo, Torino , Italy. 3. c CRESM (Regional Referral Multiple Sclerosis Centre) - "San Luigi Gonzaga" Hospital - Orbassano , Torino , Italy.
Abstract
PURPOSE: The study evaluated a group-based cognitive behavioral intervention aimed at promoting the quality of life and the psychological well-being of recently diagnosed multiple sclerosis (MS) patients (up to 3 years since the diagnosis). METHOD: The study involved 85 patients [59% women; mean age 37, SD = 12.3; 94% with relapsing-remitting MS; Expanded Disability Status Scale (EDSS) between 1 and 4]. A quasi-experimental study design was applied; 54 patients (intervention group) participated in five group sessions, a 6-month post-intervention and a 1-year follow-up; 31 patients (comparison group) participated in activities routinely provided to recently diagnosed MS patients. Measures of Quality of Life (SF-12), Depression (CESD-10), Affectivewell-being (PANAS) and Optimism (LOT-R) were assessed. RESULTS: At the 6-month post-intervention, mental health increased in the intervention group and decreased in the comparison group, whereas negative affect decreased in the intervention group and increased in the comparison group. At the 1-year follow-up, mental health and optimism increased in the intervention group and decreased in the comparison group. CONCLUSIONS: Preliminary evidence suggests that the proposed intervention fosters the quality of life and the psychological well-being of recently diagnosed MS patients by reducing negative affect and promoting mental health and optimism, particularly in the long term. Implications for Rehabilitation Preliminary evidence suggests that a group-based cognitive behavioral intervention focused on identity redefinition, sense of coherence and self-efficacy promotes the quality of life (increased mental health) and psychological well-being (decreased negative affect and increased optimism) of recently diagnosed MS patients (up to 3 years since the diagnosis). The first years following the MS diagnosis should be considered a good time for a psychological intervention aimed at promoting the patient's adjustment to the illness. Strategies should be found to increase the participation of recently diagnosed MS patients in psychological interventions.
RCT Entities:
PURPOSE: The study evaluated a group-based cognitive behavioral intervention aimed at promoting the quality of life and the psychological well-being of recently diagnosed multiple sclerosis (MS) patients (up to 3 years since the diagnosis). METHOD: The study involved 85 patients [59% women; mean age 37, SD = 12.3; 94% with relapsing-remitting MS; Expanded Disability Status Scale (EDSS) between 1 and 4]. A quasi-experimental study design was applied; 54 patients (intervention group) participated in five group sessions, a 6-month post-intervention and a 1-year follow-up; 31 patients (comparison group) participated in activities routinely provided to recently diagnosed MSpatients. Measures of Quality of Life (SF-12), Depression (CESD-10), Affective well-being (PANAS) and Optimism (LOT-R) were assessed. RESULTS: At the 6-month post-intervention, mental health increased in the intervention group and decreased in the comparison group, whereas negative affect decreased in the intervention group and increased in the comparison group. At the 1-year follow-up, mental health and optimism increased in the intervention group and decreased in the comparison group. CONCLUSIONS: Preliminary evidence suggests that the proposed intervention fosters the quality of life and the psychological well-being of recently diagnosed MSpatients by reducing negative affect and promoting mental health and optimism, particularly in the long term. Implications for Rehabilitation Preliminary evidence suggests that a group-based cognitive behavioral intervention focused on identity redefinition, sense of coherence and self-efficacy promotes the quality of life (increased mental health) and psychological well-being (decreased negative affect and increased optimism) of recently diagnosed MSpatients (up to 3 years since the diagnosis). The first years following the MS diagnosis should be considered a good time for a psychological intervention aimed at promoting the patient's adjustment to the illness. Strategies should be found to increase the participation of recently diagnosed MSpatients in psychological interventions.
Authors: Claudia H Marck; Alysha M De Livera; Chelsea R Brown; Sandra L Neate; Keryn L Taylor; Tracey J Weiland; Emily J Hadgkiss; George A Jelinek Journal: PLoS One Date: 2018-05-23 Impact factor: 3.240
Authors: Alberto Gajofatto; Valeria Donisi; Isolde Martina Busch; Francesca Gobbin; Elena Butturini; Massimiliano Calabrese; Alessandra Carcereri de Prati; Paola Cesari; Lidia Del Piccolo; Massimo Donadelli; Paolo Fabene; Stefania Fochi; Macarena Gomez-Lira; Roberta Magliozzi; Giovanni Malerba; Raffaella Mariotti; Sofia Mariotto; Chiara Milanese; Maria Grazia Romanelli; Andrea Sbarbati; Federico Schena; Maria Angela Mazzi; Michela Rimondini Journal: BMJ Open Date: 2019-08-02 Impact factor: 2.692