Effectiveness of Mindfulness Training in Enhancing Executive Function and Decreasing Symptoms of Depression and Anxiety in Patients with Multiple Sclerosis (MS) — Oak Academic Publishing
Research ArticleOpen AccessGoogle Scholar indexed
Effectiveness of Mindfulness Training in Enhancing Executive Function and Decreasing Symptoms of Depression and Anxiety in Patients with Multiple Sclerosis (MS)
Department of Clinical Psychology, Ghazvin Branch, Islamic Azad University, Ghazvin, Iran
,
Department of Clinical Psychology, Baqiyatallah University of Medical Sciences, Tehran, Iran
,
Department of Psychiatry, AJA University of Medical Science, Tehran, Iran
1 Department of Clinical Psychology, Ghazvin Branch, Islamic Azad University, Ghazvin, Iran
2 Department of Clinical Psychology, Baqiyatallah University of Medical Sciences, Tehran, Iran
3 Department of Psychiatry, AJA University of Medical Science, Tehran, Iran
The purpose of the present study was to evaluate the effectiveness of mindfulness training in enhancing executive function and decreasing symptoms of depression and anxiety in multiple sclerosis patients. The population in this study consisted of people with MS who referred to Karaj city MS society in 1394. These people didn’t experience medicinal changes during the study period and their expanded disability status score (EDSS) was between 0 and 5.5. 40 of them were randomly selected and placed into two experimental and control groups (20 for the experimental and the other for the control group). The treatment of mindfulness training was held in 8 sessions of group training, once a week and for 2 hours. The statistical method of multivariate analysis of covariance was used. The measurement tools were the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory-II (BDI-II) and the Wisconsin Card Sorting Test (WCST). After all, the results in both groups were compared and evaluated by the use of analysis of covariance. The results showed significant differences in symptoms of anxiety and depression between the two groups (p < 0.05); however, no significant difference was observed in executive function between trained and untrained patients (p > 0.05). Generally, the results of this research showed positive effects of mindfulness training on reducing anxiety and depression among patients with MS and ineffectiveness of mindfulness training on their executive function. Therefore, considering that there is no certain treatment for MS plus results of this study, the application of mindfulness training can be quite useful to reduce levels of anxiety and depression in patients with MS.
Hauser, S.L. and Josephson, S.A. (2010) Harrison Neurology in Clinical Medicine. New York, Chicago, San Francisco, Lisbon, London, Madrid, Mexico City, Milan, New Delhi, San Juan, Seoul, Singapore, Sydney, Toronto, 259-269.
Mitchell, A., Beni-to-Leon, J., Morales Ganzalez, M.J. and Rivera-Navarro, J. (2005) Quality of Life and Its Assessment in Multiple Sclerosis: Integrating Physical and Psychological Components of Wellbeing. The Lancet Neurology, 4, 556-660. http://dx.doi.org/10.1016/S1474-4422(05)70166-6
Buljevac, D., Hop, W.C.J., Reedeker, W., Janssens, A.C.J.W., van der Meche, F.G.A., van Doorn, P.A., et al. (2003) Selfreported Stressful Life Events and Exacerbations in Multiple Sclerosis: Prospective Study. BMJ, 327, 646. http://dx.doi.org/10.1136/bmj.327.7416.646
Nigg, J.T. (2000) On Inhibition/Disinhibition in Developmental Psychopathology: Views from Cognitive and Personality Psychology and a Working Inhibition Taxonomy. Psychological Bulletin, 126, 220-246. http://dx.doi.org/10.1037/0033-2909.126.2.220
Pennington, B.F. and Ozonoff, S. (1996) Executive Functions and Developmental Sychopathology. Journal of Clinical Psychology, 37, 51-58.
Segal, Z.V., Williams, J.M.G. and Teasdale, J.D. (2002) Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. Guilford Press, New York.
Ma, S.H. and Teasdale, J.D. (2004) Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Journal of Consulting and Clinical Psychology, 72, 31-40. http://dx.doi.org/10.1037/0022-006X.72.1.31
Ryan, R.M. and Brown, K.W. (2003) Why We Don’t Need Self-Esteem: on Fundamental Need, Contingent Love, and Mindfulness. Psychological Inquiry, 14, 27-82.
Brown, K.W., Ryan, R.M. and Creswell, J.D. (2007) Addressing Fundamental Questions about Mindfulness. Psychological Inquiry ,18, 272-281. http://dx.doi.org/10.1080/10478400701703344
Astin, J.A. (1997) Stress Reduction through Mindfulness Meditation. Psychotherapy and Psychosomatics, 66, 97-106. http://dx.doi.org/10.1159/000289116
Siegel, R.D., Germer, C.K. and Olendzki, A. (2008) Mindfulness: What Is It? Where Does It Come From? Clinical Handbook of Mindfulness. Springer, New York.
Falkenstrom, F. (2010) Studying Mindfulness in Experienced Mediators: A Quasi-Experimental Approach. Personality and Individual Differences, 48, 305-310. http://dx.doi.org/10.1016/j.paid.2009.10.022
Brown, K.W. and Kasser, T. (2005) Are Psychological and Ecological Well-Being Compatible? The Role of Values, Mindfulness, and Lifestyle. Social Indicators Research, 74, 349-368. http://dx.doi.org/10.1007/s11205-004-8207-8
Kabat-Zinn, J. (2003) Mindfulness-Based Interventions in Context: Past, Personal, and Future. Clinical Psychology: Science and Practice, 10, 144-156. http://dx.doi.org/10.1093/clipsy.bpg016
Giluk, T.L. (2009) Mindfulness, Big Five Personality, and Affect: A Meta-Analysis. Personality and Individual Differences, 47, 805-811. http://dx.doi.org/10.1016/j.paid.2009.06.026
Kabat-Zinn, J., Massion, A.O., Kristeller, J., Peterson, L.G., Fletcher, K.E., Pbert, L., et al. (1992) Effectiveness of a Meditation-Based Stress Reduction Program in the Treatment of Anxiety Disorders. The American Journal of Psychiatry, 149, 936-943. http://dx.doi.org/10.1176/ajp.149.7.936
Brown, K.W. and Ryan, R.M. (2003) The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology, 84, 822-848. http://dx.doi.org/10.1037/0022-3514.84.4.822
Kieviet-Stijnen, A., Visser, A., Garssen, B. and Hudig, W. (2008) Mindfulness-Based Stress Reduction Training for Oncology Patients: Patients’ Appraisal and Changes in Well-Being. Patient Education and Counseling, 72, 436-442. http://dx.doi.org/10.1016/j.pec.2008.05.015
Godfrin, K.A. and van Heeringen, C. (2010) The Effects of Mindfulness-Based Cognitive Therapy on Recurrence of Depressive Episodes, Mental Health and Quality of Life: A Randomized Controlled Study. Behaviour Research and Therapy, 48, 738-746. http://dx.doi.org/10.1016/j.brat.2010.04.006
Bogosian, A., Chadwick, P., Windgassen, S., Norton, S., McCrone, P., Mosweu, I., Silber, E. and Moss-Morris, R. (2015) Distress Improves after Mindfulness Training for Progressive MS: A Pilot Randomised Trial. Multiple Sclerosis Journal, 21, 1184-1194. http://dx.doi.org/10.1177/1352458515576261
Simpson, R., Mair, R. and Mercer, S. (2015) Mindfulness-Based Interventions for People with Multiple Sclerosis. Multiple Sclerosis Journal, 10, 1177-1190.
Kurtzke, J.F. (1983) Rating Neurologic Impairment in Multiple Sclerosis: An Expanded Disability Status Scale (EDSS). Neurology, 33, 1444-1452. http://dx.doi.org/10.1212/WNL.33.11.1444
Spielberger, C.D., Gorsuch, R.L., Lushene, R., Vagg, P.R. and Jacobs, G.A. (1983) Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto.
Gros, D.F., Antony, M.M., Simms, L.J. and McCabe, R.E. (2007) Psychometric Properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19, 369-381. http://dx.doi.org/10.1037/1040-3590.19.4.369
Kühner, C., Bürger, C., Keller, F. and Hautzinger, M. (2007) Reliability and Validity of the Revised Beck Depression Inventory (BDI-II). Results from German Samples. Der Nervenarzt, 78, 651-656. http://dx.doi.org/10.1007/s00115-006-2098-7
Cavallaro, R., Cavedini, P., Mistertta, P., et al. (2003) Basal-Corticofrontal Circuits in Schizophrenia and Obsessive-Compulsives Disorder. Biological Psychiatry, 54, 437-443. http://dx.doi.org/10.1016/S0006-3223(02)01814-0
Goldberger, D.P. and Weinberger, D.R. (1998) Probing Prefrontal Function in Schizophrenia with Neuropsychological Paradigms. Schizophrenia Buellton, 14, 179-183. http://dx.doi.org/10.1093/schbul/14.2.179
Lezak, M. (2004) Neuropsychological Assessment. Oxford University Press, Oxford.
Ghadiri, F., Jazayeri, A., Ashayeri, H. and Ghazi Tabatabai, M. (2006) Executive Function Deficits in Schizo-Obsessive Patients. Advances in Cognitive Science, 8, 11-24.
Dennison, L., Moss-Moris, R. and Chalder, T. (2009) A Review of Psychological Correlates of Adjustment in Patients with Multiple Sclerosis. Clinical Psychology Review, 29, 141-153. http://dx.doi.org/10.1016/j.cpr.2008.12.001
Gilbertson, R.M. (2015) Effects of Mindfulness in Motion on Adults with Multiple Sclerosis. Master Thesis, College of Education and Human Service Professions, University of Minnesota, Duluth.