The Effectiveness of Mindfulness-Based Stress Reduction Group Therapy in Rumination Among Multiple Sclerosis Patients

Abstract

Background: Multiple sclerosis (MS) is a disabling neurological disorder, which in addition to neuro-motor disorders, accompanies a variety of symptoms, such as anxiety, asthenia, and reduced levels of problem-solving, and leads to a number of physical and mental disorders. This is while rumination is among psychological problems that can negatively affect MS patients' mental health. Rumination is known as a permanent engagement in a thought or an issue and is categorized as a conscious thought focused on a specific topic. Objectives: This study aimed at investigating the effectiveness of mindfulness-based stress reduction group therapy in rumination among MS patients Methods: This quasi-experimental study was followed by a pretest, post-test, and follow-up design with a control group. The current study had a statistical population including all patients with MS, who referred to Sistan and Baluchestan MS Community from December 2016 to February 2017. Among them, 30 patients were selected as the sample using the convenience sampling method and were randomly assigned to a control group and an experimental group (each including 15 patients). Eight 60-minute sessions of mindfulness-based stress reduction group therapy were conducted on the experimental group. A post-test was carried out after completing all sessions and a follow-up was performed a month later. Yousefi rumination scale was used as the data collection tool. An analysis of covariance was applied to analyze the obtained data. Results: The results indicated that mindfulness-based stress reduction group therapy reduced rumination in patients with MS in the post-test and follow-up (P < 0.05). Conclusions: Authorities are recommended to apply the mindfulness-based stress reduction group therapy to improve rumination among patients with chronic diseases.

Does Mindfulness Training Affect Rumination in Women with Breast Cancer?

“…The between-group study indicated that there is a signi cant difference between the mean scores of rumination in both groups which means that immediately and one month after the intervention, the mean score of rumination in the control group was more than that of intervention group; although in within-groups comparison, the decrease caused in the intervention group was not signi cant, the between-group difference resulting from this decrease in the intervention group and an increase in mean score in control group show that patients in the intervention group are better than the control group in terms of rumination. The results of the present study are consistent with those of some studies ( Campbell et (16,17,23,31,35,36). These studies aimed to demonstrate the effectiveness of mindfulness and the results indicated the positive effect of mindfulness on decreasing rumination in patients with breast cancer.…”

Mind wandering in people with Multiple Sclerosis: A psychometric study

“…Since the ability to think about what is not happening is a cognitive achievement that comes at an emotional cost 7 , learning how to monitor and accept present moment experience, as in mindfulness interventions, could help to enhance attentional control and thus reduce MW and emotion dysregulation 38 . Accordingly, consistent evidence indicates that mindfulness based therapy could help PwMS by focusing on the present instead of the future and by increasing self-monitoring and awareness of their own body, which may lead to a significant reduction in psychological symptoms, including anxiety and depression, and improved self-care 5,12 .…”

“…Furthermore, the negative content of MW, known as rumination that is referred to as persistent and recurring thoughts associated with a common issue, can increase the likelihood and the intensity of depression and excessive rumination predisposes to the increased risk of depression 11 . Indeed, many people believe that when they become sick, they have to try to focus on their inner strengths because they think that such a concentration will give them the insight to find a solution to their problem 12 .…”

“…Symptoms may be ambiguous, with a variety of clinical manifestations, leading people to mind wander about their source and possible evolution, and thus affect work and social roles 5 . In most cases, this may upset their identities and self-confidence, generate psychological problems and thus lead to the continuation of involvement in rumination 12 . Given the relevance of the self in the experience of MW and its link with some personality traits and mood, validated tools able to evaluate MW in PwMS are somewhat required.…”

Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Group Therapy in Motivational Structure of Hepatitis B Patients

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