مجله علوم روانشناختی (Aug 2023)
Comparison of efficacy of mindfulness-based cognitive therapy with brief solution-focused therapy on quality of life of patients with multiple sclerosis
Abstract
Background: Due to the unpredictable nature of MS and high levels of anxiety, depression, and fatigue, psychological interventions can help improve worry, rumination, stress, and anxiety. Mindfulness-Based Cognitive Therapy, which includes the development of awareness, a specific attitude framework, and a correct understanding of vulnerability, has led to the improvement of psychological symptoms and self-efficacy. It encourages clients to focus on their abilities and capabilities and seek solutions to their problems. However, comparative research on these two treatments has been neglected in the past. Aims: The present study was conducted to compare the efficacy of Mindfulness-Based Cognitive Therapy and solution-focused therapy on the quality of life of patients with multiple sclerosis. Methods: This was a quasi-experimental study with a pretest-posttest and a control group. The sample size was 60 patients with multiple sclerosis in the city of Mashhad who were selected by convenience sampling method and randomly divided into two experimental groups (n = 40) and a control group (n = 20). The first experimental group received 8 two-hour sessions of Mindfulness-Based Cognitive Therapy by Segal et al. (2002) and the second experimental group also received 7 two-hour sessions of short-term solution–focused therapy by Desharz et al. (1970). The quality of life questionnaire of Vickery Multiple Sclerosis patients (1995) was completed by the subjects of all groups before and after the intervention. Data were analyzed using Analysis of Covariance (ANCOVA) and Multivariate Analysis of Covariance (MANCOVA). Results: The results of the analysis of covariance showed that Mindfulness-Based Cognitive Therapy and short-term solution–focused therapy increased the mean score of quality of life and its subscales in patients with multiple sclerosis in the experimental group compared with the control group (p0.05). Conclusion: Mindfulness-Based Cognitive Therapy and solution-focused therapy have both been effective in improving physical health, reducing pain, and improving social functioning, as well as increasing psychological health, such as reducing depression and anxiety in MS patients.
