The Effect of Biofeedback as a Psychological Intervention in Multiple Sclerosis: A Randomized Controlled Study

Mackay, Alison M.; Buckingham, Robert; Schwartz, Raymond; Hodgkinson, S.; Beran, Roy G.; Cordato, Dennis

doi:10.7224/1537-2073.2014-006

Cited by 15 publications

(13 citation statements)

References 41 publications

(64 reference statements)

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“…Excluded studies with the main reasons for exclusion are shown in Table A2 in Appendix. The quality of studies ranged from weak to strong; 10 studies ( 40 – 46 , 49 , 52 , 53 ), 4 studies ( 35 , 47 , 48 , 50 , 55 ), and 6 studies ( 33 , 34 , 39 , 51 , 54 , 56 , 57 ) had a global rating of strong, moderate, and weak, respectively (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

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The Efficacy of Psychological Interventions for Managing Fatigue in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

et al. 2018

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BackgroundMultiple sclerosis (MS) is a complex, demyelinating disease of the central nervous system. Fatigue is commonly reported by people with MS (PwMS). MS-related fatigue severely affects daily activities, employment, socioeconomic status, and quality of life.ObjectiveWe conducted this systematic review and meta-analysis to determine whether psychological interventions are effective in managing fatigue in PwMS.Data sourcesWe performed systematic searches of Medline, EMBASE, PsycINFO, and CINAHL to identify relevant articles published from database inception to April 5, 2017. Reference lists from relevant reviews were also searched.Study selection and designTwo independent reviewers screened the papers, extracted data, and appraised the included studies. A clinical psychologist verified whether interventions were psychological approaches. A narrative synthesis was conducted for all included studies. For relevant randomized controlled trials that reported sufficient information to determine standardized mean differences (SMDs) and 95% confidence intervals (CIs), meta-analyses were conducted using a random-effects model.ResultsOf the 353 identified articles, 20 studies with 1,249 PwMS were included in this systematic review. Narrative synthesis revealed that psychological interventions reduced fatigue in PwMS. Meta-analyses revealed that cognitive behavioral therapy decreased levels of fatigue compared with non-active controls (SMD = −0.32; 95% CI: −0.63 to −0.01) and compared with active controls (relaxation or psychotherapy) (SMD = −0.71; 95% CI: −1.05 to −0.37). Meta-analyses further showed that both relaxation (SMD = −0.90; 95% CI: −1.30 to −0.51), and mindfulness interventions (SMD = −0.62; 95% CI: −1.12 to −0.12), compared with non-active control, decreased fatigue levels. The estimates of heterogeneity for the four meta-analyses varied between none and moderate.ConclusionThis study found that the use of psychological interventions for MS-related fatigue management reduced fatigue in PwMS. While psychological interventions are generally considered first-line therapy for MS-related fatigue, further studies are needed to explore the long-term effect of this therapy.

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Section: Resultsmentioning

confidence: 99%

“…Twelve studies (13 articles) ( 35 , 39 – 50 ) with sufficient data were included in our meta-analyses. Table A3 in Appendix outlines reasons why the remaining eight studies (nine articles) ( 33 , 34 , 51 – 57 ) were not included in the meta-analyses.…”

Section: Methodsmentioning

confidence: 99%

The Efficacy of Psychological Interventions for Managing Fatigue in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

et al. 2018

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“…Specifically, cognitive variables, such as symptom focusing and believing symptoms are a sign of damage, have been found to change significantly after CBT in patients with MS and high levels of fatigue (Knoop et al ., ). The other possibility is that the cognitive and physical tasks used here could be deployed as behavioural experiments, in which patients are provided feedback about actual impairment, similar to the use of actigraphy feedback in insomnia (Tang & Harvey, ), or use of biofeedback in fatigued patients with MS (Mackay et al ., ).…”

Section: Discussionmentioning

confidence: 97%

The impact of health anxiety in patients with relapsing remitting multiple sclerosis: Misperception, misattribution and quality of life

Hayter

Šalkovskis

Silber

et al. 2016

British J Clinic Psychol

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Clinical implications Health anxiety impacts on quality of life in patients with MS even when disability and other measures of psychological distress are taken into account. High levels of health anxiety distort perceptions of symptoms in patients with MS in line with the predictions made by the cognitive model of health anxiety. Limitations of study This study is limited to patients with RRMS within the relatively early stages of their disease and is based on a small sample size. Health anxiety is correlated with measures of generalized anxiety, depression, and worry, although it is found to have a unique impact on quality of life in patients with MS.

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“…A study that evaluated psychological interventions for patients with MS in which the experimental group carried out the Biofeedback technique with the RMP and Respiration technique and where the control group just practiced RMP and the Respiration technique, showed that improvements were made in perceived stress for both groups. It was suggested that this was the case due to, in part, the daily practice of RMP with the Respiration technique 24 .…”

Section: Discussionmentioning

confidence: 99%

The effects of progressive muscular relaxation as a nursing procedure used for those who suffer from stress due to multiple sclerosis

Novais

Batista

Grazziano

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the effect of progressive muscle relaxation as a nursing procedure on the levels of stress for sufferers of multiple sclerosis. Method: random clinical trials conducted at the Neurology outpatients unit at a University Hospital. The sample consisted of 40 patients who were being monitored as outpatients (20 in a control group and 20 in an experimental group). The Progressive Muscle Relaxation technique was used. The control variables were collected through interviews that were recorded on forms and on the Perceived Stress Scale that we used. Five meetings were held every fortnight covering a period of eight weeks. The experimental group was advised to carry out daily progressive muscle relaxation activities. After eight weeks of these activities, they were evaluated again to measure their levels of stress. In order to analyze the data used, the software package Statistics for Social Sciences version 19.0 was used. Results: the application of the t test showed a significant reduction in the Perceived Stress Scale scores in the experimental group (p<0.001), which in turn proved that there was a reduction in the levels of stress after the application of the relaxation practic-es. Conclusion: the progressive muscle relaxation activities contributed to the reduction in stress levels for multiple sclerosis suffers and thus can be used in nursing for patients. Clinical Trials Identifier: NCT 02673827.

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The Effect of Biofeedback as a Psychological Intervention in Multiple Sclerosis: A Randomized Controlled Study

Cited by 15 publications

References 41 publications

The Efficacy of Psychological Interventions for Managing Fatigue in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

The Efficacy of Psychological Interventions for Managing Fatigue in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

The impact of health anxiety in patients with relapsing remitting multiple sclerosis: Misperception, misattribution and quality of life

The effects of progressive muscular relaxation as a nursing procedure used for those who suffer from stress due to multiple sclerosis

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