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Cited by 77Multiple Sclerosis Research StudiesCancer survivorship and careMindfulness and Compassion Interventions

Effects of psychological group therapy in patients with multiple sclerosis: Psychological therapy in patients with multiple sclerosis

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Tesar, N., Baumhackl, U., Kopp, M., Günther, V.·2003·Acta Neurologica Scandinavica
DOI 10.1034/j.1600-0404.2003.00077.x
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Abstract

OBJECTIVES: The aim of this pilot study was to evaluate a psychological therapy program used in the treatment of multiple sclerosis (MS) and including cognitive/behavioral strategies, relaxation training and physical exercise. MATERIAL AND METHODS: The participants were 29 patients with MS recruited from an outpatient unit; 14 patients were assigned to the 7-week psychological therapy group (one session per week), the remainder formed a control group. Before and immediately after the course of therapy and after a 2-month follow-up, the participants completed a series of questionnaires measuring factors such as depression, anxiety, coping and body image. RESULTS: Compared with the control group the therapy group showed long-term improvements in depressive stress coping style and a short-term improvement in "vitality and body dynamics". CONCLUSION: Further studies should investigate the differential effects of specific units of the therapy program and how the short-term improvements in "vitality and body dynamics" could be maintained for longer periods.

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Crossref · 10.1034/j.1600-0404.2003.00077.x

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  • In the acute phase, about 20 to 30% of stroke patients have an anxiety disorder, with or without associated depressive symptoms.

    “En phase aiguë, environ 20 à 30% des patients présentent un trouble anxieux, avec ou sans symptômes dépressifs associés [6].”

    From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [6]

    The introductory section reports a 19–34% prevalence of anxiety disorders in people with multiple sclerosis, broadly resembling the claimed percentage. It does not give a prevalence for stroke patients in the acute phase or say whether anxiety occurs with or without depressive symptoms; the Subjects section instead says patients hospitalized during an acute phase were excluded. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Group-based psychological CBT-based interventions for pwMS have been shown to reduce depression and anxiety, and also improve mental health, quality of life, self-efficacy and resiliency.

    “Group-based psychological CBT-based interventions for pwMS have been shown to reduce depression and anxiety, and also improve mental health, quality of life, selfefficacy and resiliency (Rigby et al., 2008;Calandri et al., 2017;Tesar et al., 2003).”

    From Neuropsychology intervention for managing invisible symptoms of MS (NIMIS-MS) group: A pilot effectiveness and acceptability study (2024) · cites this paper as Tesar et al., 2003

    In Psychological variables (Table 2) and the Discussion (pp. 394–399), the therapy group showed reduced depressive coping and lower depression scores within the group, but no significant between-group difference in depression scores. The Discussion explicitly says the therapy had no effect on state anxiety. The paper reports a short-term improvement in vitality and body dynamics, but does not establish improvements in quality of life, self-efficacy, or resiliency. (LLM, conf=0.90)

    Experimental — accuracy not yet measured

  • Controlled trials of behavioral interventions among patients with multiple sclerosis have focused upon treatment of depression, fatigue, or anxiety in patients selected for high symptom severity.

    “Controlled trials of behavioral interventions among patients with MS have focused upon treatment of depression, fatigue, or anxiety in patients selected for high symptom severity.16–18”

    From MS quality of life, depression, and fatigue improve after mindfulness training: A randomized trial (2010) · cites this paper as [18]

    The study describes a controlled psychological intervention for patients with MS and assesses depression and anxiety (opening summary; page not supplied). But the Subjects section says participants were recruited from an outpatient clinic based on MS diagnosis and other eligibility criteria, not selected for high symptom severity; it also excludes patients with psychiatric illnesses and describes many depressive symptoms as mild. The program additionally targeted coping and body image, so the cited study does not support the claim's characterization of its focus or patient selection in full. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Right lateralization for isolated anxiety symptoms has not always been confirmed.

    “Cette latéralisation droite n'a toutefois pas toujours été confirmée [6,13].”

    From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [6]

    The Discussion reports that group therapy did not change state-anxiety scores in patients with multiple sclerosis. It does not address whether isolated anxiety symptoms are lateralized to the right; searches for right lateralization and hemispheric asymmetry found no relevant passage in our copy. No page numbers were provided for the passages. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

  • Post-stroke anxiety is not necessarily linked to the severity of functional sequelae.

    “Elle est plus fréquente en cas d'antécédents d'alcoolisme [6,11], chez les femmes [8,12] et chez les jeunes patients [12], mais elle ne serait pas nécessairement liée à la gravité des séquelles fonctionnelles [6,11,13].”

    From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [6]

    The study overview describes patients with multiple sclerosis, not stroke survivors. The Discussion addresses therapy effects on anxiety, while the clinical-variables section reports disability scores; neither examines whether anxiety is related to the severity of functional sequelae. Searches for post-stroke anxiety and for an anxiety–disability relationship found no such finding in our copy. (LLM, conf=0.76)

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Cites

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Research works printed but not linked: 3

  1. [15]15. Kurtzke JF. Rating neurological impairments in multiple sclerosis: an expanded disability rating scale (EDSS). Neurology 1983;13:1444-52.
  2. [22]22. Stevens JO. Awareness: exploring, experimenting, experi- encing. Moab, UT: Real People Press, 1971.
  3. [27]27. Rothman KJ. No adjustments are need for multiple com- parisons. Epidemiology 1990;1:43-6.

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Authors
Tesar, N., Baumhackl, U., Kopp, M., & Günther, V.
Affiliations
  • Universitätsklinikum St. Pölten (AT)
  • Innsbruck Medical University (AT)
Corresponding author
Günther, V.
ORCID
Kopp, M.
Venue
Acta Neurologica Scandinavica
Publisher
Hindawi Limited
Published
2003-05-20
Volume
107
Issue
6
Pages
394-399
ISSN
0001-6314 (ISSN-L)
DOI
10.1034/j.1600-0404.2003.00077.x
OpenAlex
W2142837465
Semantic Scholar
79728eff13d9935b2888d82b466813a7fe9e8b80
Cited by
77
References
22
Citations by year
2025: 2 · 2024: 2 · 2023: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 6 · 2016: 6 · 2014: 4 · 2013: 4 · 2012: 6
FWCI
3.06
Type
journal article
Language
en
Open access
Licence
Locations
  • Acta Neurologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Keywords
multiple sclerosis, cognitive behavioral therapy, relaxation training, physical activity, depression, anxiety, coping styles, body image, vitality
MeSH terms
Adult, Anxiety, Body Image, Depression, Female, Humans, Male, Multiple Sclerosis, Neuropsychological Tests, Problem Solving, Psychotherapy, Group, Surveys and Questionnaires, Relaxation Therapy, Stress, Psychological, Exercise, Cognitive Behavioral Therapy

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