Effect of a short-term psychological intervention on the anxiety and depression of amyotrophic lateral sclerosis patients

Palencia, José Luis Díaz; Sancho, Jesús; Barreto, Pilar; Bañuls, Pilar; Renovell, Mercedes; Servera, Emilio

doi:10.1177/1359105314554819

Cited by 29 publications

(21 citation statements)

References 39 publications

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“…Our data are similar, for some aspects, to those recently described by Averill et al (2013); Díaz et al (2014); Pagnini et al (2014b), and their teams for treatments, respectively based on expressive disclosure approach, cognitive-behavioral therapy, and mindfulness meditation training. Still, to the best of our knowledge, this is the first report of a positive long-term effect on disease's progression associated to a psychological intervention in these patients.…”

Section: Discussionsupporting

confidence: 91%

“…Authors found their treatment to improve psychological well-being, but argued that their kind of intervention may only be helpful for ALS patients who were unable to express emotions or who had ambivalent attitude about expressing emotion to others. Díaz et al (2014) demonstrated the benefit, in terms of both anxiety and depression levels, of an integrated intervention based on counseling and cognitive behavioral therapy.…”

Section: Introductionmentioning

confidence: 99%

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Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers

et al. 2015

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Background: Evidence of psychological treatment efficacy is strongly needed in ALS, particularly regarding long-term effects.Methods: Fifteen patients participated in a hypnosis treatment and self-hypnosis training protocol after an in-depth psychological and neurological evaluation. Patients' primary caregivers and 15 one-by-one matched control patients were considered in the study. Measurements of anxiety, depression and quality of life (QoL) were collected at the baseline, post-treatment, and after 3 and 6 months from the intervention. Bayesian linear mixed-models were used to evaluate the impact of treatment and defense style on patients' anxiety, depression, QoL, and functional impairment (ALSFRS-r), as well as on caregivers' anxiety and depression.Results: The statistical analyses revealed an improvement in psychological variables' scores immediately after the treatment. Amelioration in patients' and caregivers' anxiety as well as caregivers' depression, were found to persist at 3 and 6 months follow-ups. The observed massive use of primitive defense mechanisms was found to have a reliable and constant buffer effect on psychopathological symptoms in both patients and caregivers. Notably, treated patients decline in ALSFRS-r score was observed to be slower than that of control group's patients.Discussion: Our brief psychodynamic hypnosis-based treatment showed efficacy both at psychological and physical levels in patients with ALS, and was indirectly associated to long-lasting benefits in caregivers. The implications of peculiar psychodynamic factors and mind-body techniques are discussed. Future directions should be oriented toward a convergence of our results and further psychological interventions, in order to delineate clinical best practices for ALS.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers

et al. 2015

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“…Promotion of adaptive coping is also beneficial in terms of resilience (Black and Dorstyn, 2015). Also, Diaz et al (2016) indicated that healthcare professionals should take coping strategies into account when working with people with serious illness.…”

Section: Discussionmentioning

confidence: 99%

Do coping styles mediate the relationship between disability status and psychosocial loss in people with relapsing remitting multiple sclerosis?

2015

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The main aim of this cross-sectional study was to analyse the degree to which coping may act as a mediator between disability and psychosocial loss in people with relapsing remitting multiple sclerosis. Participants ( N = 158) completed measures of psychosocial loss and ways of coping. Disability status was evaluated by attending neurologists. Coping partially mediated the relationship between disability and psychosocial loss. Disability leads to the experience of psychosocial loss but it is not the sole factor determining the formation of psychosocial loss. Coping is also associated with such losses in multiple sclerosis.

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“…Cognitive behavioural therapy (CBT) aims to reduce depression and anxiety by modifying illness perceptions. Although preliminary data from a non-randomised short-term CBT trial found a reduction in depressive and anxious symptoms following a 4-session intervention (Díaz et al, 2016), CBT has not been widely or rigorously evaluated in ALS. However, wider studies indicate that CBT achieves only modest treatment effects across physical health conditions (e.g., Wolfgang, 2013;Temple et al, 2020), and likely is also of limited utility in ALS given that cognitive appraisals are often accurate; for example: "I have no control over my ALS, " "I'm not going to get better, " or "I can't control my symptoms."…”

Section: Introductionmentioning

confidence: 99%

The Association Between Maladaptive Metacognitive Beliefs and Emotional Distress in People Living With Amyotrophic Lateral Sclerosis

et al. 2021

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ObjectiveApproximately half of all people living with amyotrophic lateral sclerosis (ALS) experience persistent or recurrent emotional distress, yet little is known about the psychological processes that maintain emotional distress in this population. The self-regulatory executive functioning (S-REF) model specifies that maladaptive metacognitive beliefs and processes are central to the development and maintenance of emotional distress. This study explored whether maladaptive metacognitive beliefs are associated with emotional distress after controlling for demographic factors, time since diagnosis, and current level of physical functioning.DesignIn a cross-sectional design, 75 adults with a diagnosis of ALS completed self-report questionnaires. Participants had a mean age of 60.40 years, mean duration of symptoms 63.92 months, and male:female gender ratio of 14:11.Main Outcome MeasuresQuestionnaires assessed emotional distress (HADS, adapted for ALS), physical functioning (ALSFRS-R), repetitive negative thinking (RTQ-10), metacognitive beliefs (MCQ-30), and demographic factors.ResultsMaladaptive metacognitive beliefs explained additional variance in emotional distress after controlling for age, gender, time since diagnosis, physical functioning, and repetitive negative thinking. Repetitive negative thinking partially mediated the relationships between positive and negative metacognitive beliefs and emotional distress.ConclusionsThese data support the utility of the metacognitive model in understanding emotional distress in people with ALS. Examination of the temporal relationship between maladaptive metacognitive beliefs and emotional distress in people living with ALS may help to guide the development of therapeutic approaches.

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Effect of a short-term psychological intervention on the anxiety and depression of amyotrophic lateral sclerosis patients

Cited by 29 publications

References 39 publications

Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers

Hypnosis-based psychodynamic treatment in ALS: a longitudinal study on patients and their caregivers

Do coping styles mediate the relationship between disability status and psychosocial loss in people with relapsing remitting multiple sclerosis?

The Association Between Maladaptive Metacognitive Beliefs and Emotional Distress in People Living With Amyotrophic Lateral Sclerosis

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