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Patients with multiple sclerosis (MS) often suffer from psychological distress and cognitive dysfunctioning. These factors negatively impact the health-related quality of life. Only recently behavioral therapeutic approaches are being used to treat psychological distress in MS. The aim of the present pilot study was not only to investigate the effectiveness of mindfulness-based stress reduction (MBSR) on psychological distress but also to explore whether it can improve cognitive functioning among patients with MS. Outpatients of the MS Center of the Radboud University Medical Center (Radboudumc) were invited to participate in an MBSR training. Psychological and cognitive measures were administered pre- and post-intervention. Twenty-five MS patients completed the MBSR training and psychological measures, of which 16 patients completed the cognitive tests. Significant improvements were found in depressive symptoms, quality of life, fatigue, mindfulness skills, and self-compassion. Of the cognitive tests, performance on a visual spatial processing test significantly improved after the intervention. Overall, this pilot study showed promising results of the effects of MBSR on reducing psychological distress, and it suggests MBSR might improve cognitive functioning in MS patients. Future randomized controlled trials should be conducted to confirm the possible effectiveness of MBSR—and its long-term effects—on psychological and cognitive functioning in MS patients.
Baer, R. A. (2011). Measuring mindfulness. Contemporary Buddhism, 1(1), 241–261. CrossRef
Beck, A. T. (1995). Cognitive therapy: basics and beyond. New York: Guilford Press.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II: Beck depression Inventory manual. San Antonio: Texas.
Grossman, P., & van Dam, N. T. (2011). Mindfulness, by any other name…: trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(01), 219–239. CrossRef
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacorte.
Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment. Oxford: Oxford university press.
Muris, P., & Petrocchi, N. (2016). Protection or vulnerability? A meta‐analysis of the relations between the positive and negative components of self‐compassion and psychopathology. Clinical Psychology & Psychotherapy. doi: 10.1002/cpp.2005.
Nederlandse Vereniging voor Neurologie (2011). Conceptrichtlijn Diagnostiek, Behandeling en Functioneren bij Multiple Sclerose [Concept Guidelines Diagnostics, Treatment and Functioning in Multiple Sclerosis].
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. CrossRef
Neff, K. D. (2016). Does self-compassion entail reduced self-judgment, isolation and over-identification? A response to Muris, Otgaar, and Petrocchi (2016). Mindfulness. doi: 10.1007/s12671-016-0531-y.
Thomas, P. W., Thomas, S., Hillier, C., Galvin, K., & Baker, R. (2006). Psychological interventions for multiple sclerosis. The Cochrane Database for Systematic Reviews. doi: 10.1002/14651858.CD004431.
Van Der Elst, W., Van Boxtel, M. P. J., Van Breukelen, G. J. P., & Jolles, J. (2005). Rey’s verbal learning test: normative data for 1855 healthy participants aged 24–81 years and the influence of age, sex, education, and mode of presentation. Journal of the International Neuropsychological Society, 11(03), 290–302. CrossRefPubMed
Verhage, F. (1964). Intelligence and age in adults. Assen: Van Gorcum.
Winkelmann, A., Engel, C., Apel, A., & Zettl, U. K. (2007). Cognitive impairment in multiple sclerosis. Journal of Neurology, 254(2), II35–II42. PubMed
- The Effectiveness of Mindfulness-Based Stress Reduction on Psychological Distress and Cognitive Functioning in Patients with Multiple Sclerosis: a Pilot Study
Roos J. Blankespoor
Melanie P.J. Schellekens
Sandra H. Vos
Anne E.M. Speckens
Brigit A. de Jong
- Springer US