Stress Management for Multiple Sclerosis Patients

The purpose of the study was to explore the utility of stress-reduction techniques within a population of hospitalized multiple sclerosis patients. Four stress-management groups, each composed of 8 to 10 patients, were formed with each participant receiving a pre- and posttest battery focusing on emotional/mood factors (the Profile of Mood States). Group sessions were held once/weekly for 13 wk. Relaxation, cognitive, and behavioral strategies were incorporated into the program. The findings indicate that stress-management techniques were effective in the reduction of psychological distress. Significant decreases were noted in scores on depression and anxiety and significant increase on vigor.

Download Full-text

Does Prenatal Stress Management Enhance Maternal And Fetal Outcomes?

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n27p129 ◽

2016 ◽

Vol 12 (27) ◽

pp. 129

Author(s):

Ghada Mohammad Abu Shosha

Keyword(s):

Pregnant Women ◽

Stress Management ◽

Stress Reduction ◽

Maternal Stress ◽

Rapid Change ◽

Fetal Outcomes ◽

Reduction Techniques ◽

Antenatal Stress ◽

Fetal Organs ◽

The Impact

Background: Antenatal period is a time of rapid change during which fetal organs are vulnerable to various stressors. Studies have suggested that psychosocial stressors during pregnancy could adversely influence physical and behavioral outcomes of the infant. Aim: This paper aimed to discusses the importance of antenatal stress assessment and management on both mothers' and infants' health status. Method: This review aggregated evidence from various studies that examined the impact of maternal stress management and its outcomes on pregnant women and their infants. Results: Maternal stress is generally associated with unpleasant fetal outcomes. The use of stress reduction techniques was approved to reduce psychological stress in pregnant women. Conclusion: Ongoing assessment of antenatal stress using a standardized process promotes proper stress handling strategy.

Download Full-text

P.5.c.001 The importance of depression and anxiety level for the functioning and life quality of multiple sclerosis patients

European Neuropsychopharmacology ◽

10.1016/s0924-977x(12)70598-9 ◽

2012 ◽

Vol 22 ◽

pp. S385 ◽

Cited By ~ 1

Author(s):

P. Ionescu ◽

S. Petrescu ◽

N. Munjev ◽

R.O. Gheorghe ◽

M.R. Stoean ◽

...

Keyword(s):

Multiple Sclerosis ◽

Life Quality ◽

Anxiety Level ◽

Depression And Anxiety ◽

Multiple Sclerosis Patients

Download Full-text

The Influence of Depression and Anxiety on Neurological Disability in Multiple Sclerosis Patients

Behavioural Neurology ◽

10.1155/2020/6738645 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Vitalie Văcăraș ◽

Veronica Văcăraș ◽

Cristina Nistor ◽

Daniela Văcăraș ◽

Adrian Nicolae Opre ◽

...

Keyword(s):

Multiple Sclerosis ◽

Demyelinating Disease ◽

Neurological Impairment ◽

Automatic Thoughts ◽

Depression And Anxiety ◽

Neurological Disability ◽

Aged People ◽

Negative Thoughts ◽

Edss Score ◽

Multiple Sclerosis Patients

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system (CNS), affecting mostly young-aged people. As a chronic incurable disease, in most cases, it can lead to progressive neurological impairment and severe disability. Depression and anxiety are major distress factors for MS patients, being considerably aggravating elements for their functional capacity. In this study, we analysed the mood disorder distribution and the possible correlations between depression, anxiety, automatic negative thoughts, and MS disability. We took into consideration 146 MS patients, who completed a series of questionnaires: Beck Depression Inventory II (BDI-II), Endler Multidimensional Anxiety Scales-State (EMAS-S), and Automatic Thoughts Questionnaire (ATQ). The Expanded Disability Status Scale (EDSS) was used to measure the neurological disability. Of all patients, 30.1% had symptoms for depression and 11% presented suicidal thoughts. After analysing the correlation index between each variable, we found that there is a mild positive correlation between depression and the EDSS score and between anxiety and the EDSS score. A difference is found in the test scores according to the type of the MS disease. Also, automatic negative thoughts are strongly correlated with depression and anxiety, but do not mediate the path between psychological comorbidities and neurological impairment. Sociodemographic features and interferon-beta treatment were not related to the intensity of the mood disorders. The study suggests that depression and anxiety are frequently encountered among MS patients and these mental disfunctions have an impact on their disability. A proper identification of these risk factors may improve the quality of life for these patients.

Download Full-text

A Systematic Review of Stress-Management Interventions for Multiple Sclerosis Patients

International Journal of MS Care ◽

10.7224/1537-2073.2013-034 ◽

2014 ◽

Vol 16 (3) ◽

pp. 140-144 ◽

Cited By ~ 13

Author(s):

Alison K. Reynard ◽

Amy Burleson Sullivan ◽

Alexander Rae-Grant

Keyword(s):

Multiple Sclerosis ◽

Stress Management ◽

Clinical Markers ◽

Class Iii ◽

Multicenter Studies ◽

Management Interventions ◽

Underlying Mechanisms ◽

Multiple Sclerosis Patients ◽

American Academy Of Neurology

Background: The objective of this study was to identify stress-management interventions used for people with multiple sclerosis (MS) and systematically evaluate the efficacy of these interventions. Methods: Several strategies were used to search for studies reported in articles published up to 2013. Results: Our initial search retrieved 117 publications, of which 8 met our criteria for review. Of the eight studies, one provided Class I evidence, five provided Class III evidence, and two provided Class IV evidence for the efficacy of stress-management interventions according to the evidence classification established by the American Academy of Neurology. Most studies showed positive changes in outcomes assessed; however, the range of methodological quality among the published studies made it difficult to draw conclusions. Conclusions: The promising findings for stress-management interventions highlight the need for future studies. Additional large, prospective, multicenter studies will help to define the role of stress-management interventions in the treatment and course of MS. Furthermore, including outcome measures based on biological and clinical markers of disease will prove useful in understanding potential underlying mechanisms.

Download Full-text

Stress Management in Service Sector

International Research Journal of Management IT and Social Sciences ◽

10.21744/irjmis.v2i11.77 ◽

2015 ◽

Vol 2 (11) ◽

pp. 1

Author(s):

D. Seethanaik

Keyword(s):

Stress Management ◽

Stress Reduction ◽

Service Sector ◽

Lower Stress ◽

Work Related ◽

Reduction Techniques ◽

Effects Of Stress

This paper describes the causes stress in the hospital. The paper examines the techniques or methods used to lower stress. The paper examines various stress reduction techniques to alleviate stress. This paper is to identify emotional, physical and mental effects of stress. Also this paper explores work related sources of stress.

Download Full-text

Using normalisation process theory to understand barriers and facilitators to implementing mindfulness-based stress reduction for people with multiple sclerosis

Chronic Illness ◽

10.1177/1742395318769354 ◽

2018 ◽

Vol 15 (4) ◽

pp. 306-318 ◽

Cited By ~ 2

Author(s):

Robert Simpson ◽

Sharon Simpson ◽

Karen Wood ◽

Stewart W Mercer ◽

Frances S Mair

Keyword(s):

Multiple Sclerosis ◽

Stress Reduction ◽

Qualitative Interviews ◽

Barriers And Facilitators ◽

Process Theory ◽

Normalisation Process Theory ◽

Orientation Session ◽

Mindfulness Based Stress Reduction ◽

Multiple Sclerosis Patients ◽

Care Facilitators

Objectives To study barriers and facilitators to implementation of mindfulness-based stress reduction for people with multiple sclerosis. Methods Qualitative interviews were used to explore barriers and facilitators to implementation of mindfulness-based stress reduction, including 33 people with multiple sclerosis, 6 multiple sclerosis clinicians and 2 course instructors. Normalisation process theory provided the underpinning conceptual framework. Data were analysed deductively using normalisation process theory constructs (coherence, cognitive participation, collective action and reflexive monitoring). Results Key barriers included mismatched stakeholder expectations, lack of knowledge about mindfulness-based stress reduction, high levels of comorbidity and disability and skepticism about embedding mindfulness-based stress reduction in routine multiple sclerosis care. Facilitators to implementation included introducing a pre-course orientation session; adaptations to mindfulness-based stress reduction to accommodate comorbidity and disability and participants suggested smaller, shorter classes, shortened practices, exclusion of mindful-walking and more time with peers. Post-mindfulness-based stress reduction booster sessions may be required, and objective and subjective reports of benefit would increase clinician confidence in mindfulness-based stress reduction. Discussion Multiple sclerosis patients and clinicians know little about mindfulness-based stress reduction. Mismatched expectations are a barrier to participation, as is rigid application of mindfulness-based stress reduction in the context of disability. Course adaptations in response to patient needs would facilitate uptake and utilisation. Rendering access to mindfulness-based stress reduction rapid and flexible could facilitate implementation. Embedded outcome assessment is desirable.

Download Full-text

Depression and Anxiety in Multiple Sclerosis Patients: the role of genetic variability of Interleukin 1β

Multiple Sclerosis and Related Disorders ◽

10.1016/j.msard.2021.102982 ◽

2021 ◽

pp. 102982

Author(s):

Ana Marta Ferreira ◽

Bárbara Leal ◽

Inês Ferreira ◽

Sandra Brás ◽

Inês Moreira ◽

...

Keyword(s):

Multiple Sclerosis ◽

Genetic Variability ◽

Interleukin 1Β ◽

Depression And Anxiety ◽

Multiple Sclerosis Patients

Download Full-text

Interleukin 1 Beta Is Associated With Depression in Multiple Sclerosis Patients

10.21203/rs.3.rs-173017/v1 ◽

2021 ◽

Author(s):

Hugo Aguilar-Talamantes ◽

Azul Islas-Hernandez ◽

Aleida Rodriguez-Castañeda ◽

Brenda Bertado-Cortes ◽

Irma Corlay-Noriega ◽

...

Keyword(s):

Multiple Sclerosis ◽

Inflammatory Diseases ◽

Interleukin 1 ◽

Depression Scale ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Cross Sectional ◽

Psychiatric Interview ◽

Mcdonald Criteria ◽

Multiple Sclerosis Patients

Abstract Depressive and anxiety symptoms occur more frequently in chronic encephalomyelitis. Inflammatory diseases are highly associated with psychiatric comorbidities, which has been well established in Multiple Sclerosis. However, no biomarkers have been found with the capacity to discern between MS and depression. Thirty-six individuals with a diagnosis of MS according to the revised McDonald criteria, were recruited from an outpatient Neurology and Psychiatry from the medical unit of high specialty in Mexico. We measured the association between BDNF, IL-1β, and TNFα in serum with the presence of depression and anxiety using the semi-structured psychiatric interview, the Beck Depression Inventory (IDB), and Hospital Anxiety and Depression Scale (HADS). This was a cross-sectional study. The Logistic Regression was used for the multivariate analysis adjusted by the Multiple Sclerosis Severity Score (MSSS). With a power of 0.75 in the final model, patients with multiple sclerosis, depression, and anxiety obtained the highest values of IL-1 β in our study.

Download Full-text

Environmental enrichment alleviates the deleterious effects of stress in experimental autoimmune encephalomyelitis

10.1101/2020.04.10.033662 ◽

2020 ◽

Author(s):

Antoine Philippe Fournier ◽

Erwan Baudron ◽

Isabelle Wagnon ◽

Philippe Aubert ◽

Denis Vivien ◽

...

Keyword(s):

Multiple Sclerosis ◽

Animal Model ◽

Experimental Autoimmune Encephalomyelitis ◽

Stress Reduction ◽

Environmental Enrichment ◽

Acute Stress ◽

Stressful Events ◽

Autoimmune Encephalomyelitis ◽

Multiple Sclerosis Patients ◽

Experimental Autoimmune

ABSTRACTClinical observations support the hypothesis that stressful events increase relapse occurrence in multiple sclerosis patients, while stress-reduction strategies can modulate this effect. However, a direct cause-effect relationship between stress level and relapse cannot be firmly established from these data. The purpose of this work was to address whether modulation of stress could interfere with symptom relapse in an animal model of multiple sclerosis with relapsing-remitting course. We report that repeated acute stress induced a twofold increase in relapse incidence in experimental autoimmune encephalomyelitis. On the other hand, environmental enrichment reduced relapse incidence and severity, and reversed the effects of repeated acute stress. These data provide the platform for further studies on the biological processes that link stress and multiple sclerosis relapses in a suitable animal model.

Download Full-text