Volume 3, Issue 11 (Autumn 2017)                   Caspian.J.Neurol.Sci 2017, 3(11): 175-184 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Amir F, Ahadi H, Nikkhah K, Seirafi M. The Effectiveness of Acceptance and Commitment Group Therapy and Group Logotherapy in Reducing Perceived Stress among MS Patients. Caspian.J.Neurol.Sci. 2017; 3 (11) :175-184
URL: http://cjns.gums.ac.ir/article-1-193-en.html
1- Department of Psychology, Islamic Azad University, Kish Branch, Kish, Iran
2- Professor of Psychology, Department of Psychology, Islamic Azad University, Karaj Branch, Karaj, Iran; drhahadi5@gmail.com
3- Professor of Neurology, Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4- Assistant Professor of Psychology, Department of Psychology, Islamic Azad University, Karaj Branch, Karaj, Iran
Abstract:   (451 Views)
Background: Previous studies suggest that group therapies, including acceptance and commitment therapy (ACT) and logotherapy, successfully reduce stress in patients.
Objectives: The present study aimed to compare the effectiveness of acceptance and commitment group therapy and group logotherapy in reducing perceived stress among multiple sclerosis (MS) patients.
Materials and Methods: This research was a pretest-posttest controlled quasi-experimental study. Research population was comprised of all (n=3000) MS patients who were members of Mashhad MS Society, Iran. From among 198 patients, 33 who met the inclusion criteria and scored above 45 on the Perceived Stress Scale (PSS) were selected through convenience sampling, homogenized based on their scores on PSS as well as demographic characteristics, and then assigned to three groups of 11. The first group received 12 ACT sessions and the second group received 8 sessions of group logotherapy, while no intervention was provided for the control group. Afterwards, the PSS was re-administered to all the groups. Data were analyzed using one-way ANCOVA in SPSS software version 20.
Results: The results demonstrated that both group therapies reduced perceived stress among patients (p=0.001). However, ACT had a higher effect than logotherapy in reducing perceived stress (p=0.04).
Conclusion: Acceptance and commitment group therapy and group logotherapy are effective in reducing perceived stress among MS patients. 
Full-Text [PDF 546 kb]   (299 Downloads) |   |   Full-Text (HTML)  (13 Views)  
Type of Study: Research | Subject: Special
Received: 2017/10/16 | Accepted: 2017/10/16 | Published: 2017/10/16

1. Halper J, Holland NJ. Multiple Sclerosis: A Self-Care Guide to Wellness. Demos Medical Publishing; 2005.
2. Mitchell AJ, Benito-León J, González JM, Rivera-Navarro J. Quality of Life and Its Assessment in Multiple Sclerosis: Integrating Physical and Psychological Components of Wellbeing. Lancet Neurol 2005;4(9):556-66. [DOI:10.1016/S1474-4422(05)70166-6]
3. Aleyasin H, Sarai A, Alaeddini F,Ansarian E, Lotfi J, Sanati MH. Multiple Sclerosis: a Study of 318 Cases. Arch Tran Med 2012; 5:249.
4. MCcabe MP. Mood and Self-esteem of Persons with Multiple Sclerosis Following an Exacerbation. J Psychosom Res 2005;59(3):161-6. [DOI:10.1016/j.jpsychores.2005.04.010] [PMID]
5. Ghafari S, Ahmadi F, Nabavi SM, Memarian R. Effect of Progressive Muscle Relaxation on Depression, Anxiety and Stress in Patients with MS. Res Med J Shahid Beheshti Uni Med Sci Health 2008;32: 45-53. [Text in Persian].
6. Beiske AG, Svensson E, Sandanger I, Czujko B, Pederson ED, Aarseth JH, et al. Depression and Anxiety amongst Multiple Sclerosis Patients. Eur J Neurol 2008; 15(3):239-45. [DOI:10.1111/j.1468-1331.2007.02041.x] [PMID]
7. Yamout B, Itani S, Hourany R, Sibaii AM, Yaghi S. The Effect of War Stress on Multiple Sclerosis Exacerbations and Radiological Disease Activity. J Neurol Sci 2010;288(1-2):42-4. [DOI:10.1016/j.jns.2009.10.012] [PMID]
8. Mohr DC, Goodkin DE, Bacchetti P, Boudewyn AC, Huang L, Marrietta P, et al. Psychological Stress and the Subsequent Appearance of New Brain MRI Lesions in MS. Neurology2000;55(1):55-61 [DOI:10.1212/WNL.55.1.55] [PMID]
9. Heesen C, Mohr DC, Huitinga I, Bergh FT, Gaab J, Otte C, et al. Stress Regulation in Multiple Sclerosis Current Issues and Concepts. Mult Scler 2007;13(2):143-8. [DOI:10.1177/1352458506070772] [PMID]
10. Gold SM, Mohr DC, Huitinga I, Flachenecker P, Sternberg EM, Heesen C. The Role of Stress-response Systems for the Pathogenesis and Progression of MS. Trends Immunol 2005;26(12):644-52. [DOI:10.1016/j.it.2005.09.010] [PMID]
11. Esmonde L, Long AF. Complementary Therapy Use by Persons with Multiple Sclerosis: Benefits and Research Priorities. Complement Ther Clin Pract 2008; 14(3): 176-84. [DOI:10.1016/j.ctcp.2008.03.001] [PMID]
12. Crawford JD, McIvor GP. Group Psychotherapy: Benefits in Multiple Sclerosis. Arch Phys Med Rehabil 1985; 66: 810-3. [PMID]
13. Prevedini AB, Presti G, Rabitti E, Miselli G, Moderato P. Acceptance and Commitment Therapy (ACT): the Foundation of the Therapeutic Model and an Overview of Its Contribution to the Treatment of Patients with Chronic Physical Diseases. G Ital Med Lav Ergon. 2011;33(1): A53-63. [PMID]
14. Villatte JL, Vilardaga R, Villatte M, Vilardaga JC, Atkins DC, Hayes SC. Acceptance and Commitment Therapy Modules: Differential Impact on Treatment Processes and Outcomes. Behav Res Ther 2016; 77:52-61. [DOI:10.1016/j.brat.2015.12.001] [PMID] [PMCID]
15. Hiratzka J, Rastegar F, Contag AG, Norvell DC, Anderson PA, Hart RA. Adverse Event Recording and Reporting in Clinical Trials Comparing Lumbar Disk Replacement with Lumbar Fusion: A Systematic Review. Global Spine J 2015;5(06):486-95. [DOI:10.1055/s-0035-1567835] [PMID] [PMCID]
16. Vowles KE, McCracken LM, O'Brien JZ. Acceptance and Values-based Action in Chronic Pain: a Three-year Follow-up Analysis of Treatment Effectiveness and Process. Behav Res Ter 2011;49(11):748-55. [DOI:10.1016/j.brat.2011.08.002] [PMID]
17. Yalom ID, Leszcz M. Theory and Practice of Group Psychotherapy. Basic books; 2005.
18. Kang K, Im J, Kim H, Kim S, Song M, Sim S. The Effect of Logotherapy on the Suffering, Finding Meaning, and Spiritual Well-being of Adolescents with Terminal Cancer. Child Health Nurs Res 2009;15(2):136-44. [DOI:10.4094/jkachn.2009.15.2.136]
19. Robatmili S, Sohrabi F, Shahrak MA, Talepasand S, Nokani M, Hasani M. The Effect of Group Logotherapy on Meaning in Life and Depression Levels of Iranian Students. Int J Adv Couns 2015;37(1):54-62. [DOI:10.1007/s10447-014-9225-0] [PMID] [PMCID]
20. Bruce JM, Lynch SG. Personality Traits in Multiple Sclerosis: Association with Mood and Anxiety Disorders. J Psychosom Res 2011;70(5):479-85. [DOI:10.1016/j.jpsychores.2010.12.010] [PMID]
21. Burns MN, Siddique J, Fokuo JK, Mohr DC. Comorbid Anxiety Disorders and Treatment of Depression in People with Multiple Sclerosis. Rehabil Psychol 2010;55(3):255-62. [DOI:10.1037/a0020492] [PMID] [PMCID]
22. Way SW, Popko B. Harnessing the Integrated Stress Response for the Treatment of Multiple Sclerosis. Lancet Neurol 2016;15(4):434-43. [DOI:10.1016/S1474-4422(15)00381-6]
23. Hayes SC, Strosahl KD, Wilson KG. Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. Guilford Press; 1999.
24. Hutzell RR. A General Course of Group Analysis. Viktor Frankl Foundation of South Africa 2002;7:15-26.
25. Cohen S, Kamarck T. Mermelstein R. Global Measure of Perceived Stress. Journal of Health and Social Behavior 1983;24(4):385-96. [DOI:10.2307/2136404] [PMID]
26. Salehi Ghadri J. Efficacy of Multiplicity of Roles and Satisfaction with It on the Self Esteem and Stress in Female Teachers. MA Thesis, Tarbiat Modares University, 1994. [Text in Persian]
27. Sepahvand T, Gilani B, Zamani R. The Relationship between Explanatory Styles with Perceived Stress and General Health. Journal of Psychology and Education 2009; 38(4):27-43. [Text in Persian]
28. Nordin L, Rorsman I. Cognitive Behavioural Therapy in Multiple Sclerosis: a Randomized Controlled Pilot Study of Acceptance and Commitment Therapy. J Rehabil Med 2012;44(1):87-90. [DOI:10.2340/16501977-0898] [PMID]
29. Sheppard SC, Forsyth JP, Hickling EJ, Bianchi J. A Novel Application of Acceptance and Commitment Therapy for Psychosocial Problems Associated with Multiple Sclerosis: Results from a Half-day Workshop Intervention. Int J MS Care 2010;12(4):200-6. [DOI:10.7224/1537-2073-12.4.200]
30. Pakenham K, Ryan A, Mawdsley M, Brown F. Evaluation of an ACT Resilience Training Program (READY) for People with Diabetes or Multiple Sclerosis. Paper presented at ACBS Annual World Conference XIII, Minneapolis, MN; 2014.
31. Davis ML, Morina N, Powers MB, Smits JA, Emmelkamp PM. A Meta-analysis of the Efficacy of Acceptance and Commitment Therapy for Clinically Relevant Mental and Physical Health Problems. Psychother. Psychosom 2014;84(1):30-6. [PMID]
32. Lunde L, Nordhus I. Combining Acceptance and Commitment Therapy and Cognitive Behavioral Therapy for the Treatment of Chronic Pain in Older Adults. Clin Case Studi 2009;8(4):296-308. [DOI:10.1177/1534650109337527]
33. Hayes SC, Levin ME, Plumb-Vilardaga J, Villate JL, Pistorello J. Acceptance and Commitment Therapy and Contextual Behavioral Science: Examining the Progress of a Distinctive Model of Behavioral and Cognitive Therapy. Behav Ter 2013;44(2):180-98. [DOI:10.1016/j.beth.2009.08.002] [PMID] [PMCID]
34. van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Cuijpers P, Knipscheer-Kuipers K, et al. Effectiveness and Cost-effectiveness of Meaning-centered Group Psychotherapy in Cancer Survivors: Protocol of a Randomized Controlled Trial. BMC Psychiatry 2014;14(1):22. [DOI:10.1186/1471-244X-14-22] [PMID] [PMCID]
35. Gagnon P, Fillion L, Robitaille MA, Girard M, Tardif F, Cochrane JP, et al. A Cognitive–existential Intervention to Improve Existential and Global Quality of Life in Cancer Patients: a Pilot Study. Palliative and Supportive Care 2015;13(04):981-90. [DOI:10.1017/S147895151400073X] [PMID] [PMCID]
36. Dobríkova P, Pcolkova D, Al Turabi LK, West Jr DJ. The Effect of Social Support and Meaning of Life on the Quality of Life Care for Terminally Ill patients. Am. J. Hosp. Palliat. Med 2014,22:56- 85.
37. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning‐centered Group Psychotherapy for Patients with Advanced Cancer: a Pilot Randomized Controlled Trial. Psycho‐Oncology. 2010;19(1):21-8. [DOI:10.1002/pon.1556] [PMID] [PMCID]
38. Jamali F. The Relationship between Religious Attitudes, Signifying a Sense of Life and Mental Health in Students of Tehran University. Psychol J Tehran AlzahraUni 2002;32:152-63. [Text in Persian]
39. Kyung Sh, Jaeim I, Heesu K, Shinjeong K, Mikyung S, Songyong S. The Effect of logotherapy on the Suffering, Finding Meaning, and Spiritual Well-being of Adolescents with Terminal Cancer. J Korean Acad Chid Health Nurse 2009;15:136-44. [DOI:10.4094/jkachn.2009.15.2.136]
40. Pourebrahim T, Rasouli R. Effect of Group Logotherapy on Decreasing Depression and Increasing Meaning in Life on Older Adults Resident in Sanitarium. J Appl Psychol 2008;2:673-85. [Text in Persian]

Add your comments about this article : Your username or Email:
Write the security code in the box

© 2017 All Rights Reserved | Caspian Journal of Neurological Sciences

Designed & Developed by : Yektaweb