Stress Management for Multiple Sclerosis Patients
Abstract
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.
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The effect size of insight-oriented group therapy is less important than with CBT and the number of sessions needed would be higher.
“La taille de l'effet est toutefois moins importante qu'avec la thérapie cognitivocomportementale et le nombre de séances nécessaires serait plus élevé.”
From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [42]
Insight-oriented group therapy also has some efficacy on psychic disorders.
“La thérapie de groupe orientée vers l'insight possède également une certaine efficacité sur les troubles psychiques [42].”
From Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques (2004) · cites this paper as [42]
Cited by
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Psychological interventions for multiple sclerosis.
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Functional relationships of central and peripheral muscle alterations in multiple sclerosis
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Multiple sclerosis: Empirical literature for the clinical health psychologist
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The psychology of fatigue in patients with multiple sclerosis: A review
Bol, Y., Duits, A., Hupperts, R., Vlaeyen, J. W. S., & Verhey, F. R. J. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.05.003 · Cited by 131 · see citing works
Treatment of depression in multiple sclerosis: Review and meta-analysis.
Mohr, D. C., & Goodkin, D. E. (1999) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.6.1.1 · Cited by 155 · see citing works
Depression in Multiple Sclerosis: Epidemiology, Aetiology, Diagnosis and Treatment
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Exercise and rehabilitation for individuals with multiple sclerosis.
Brown, T., & Kraft, G. (2005) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2005.01.005 · Cited by 122 · see citing works
“Group therapy, stress management, computer-assisted retraining, and cognitive behavioral therapy, however, have been demonstrated to have substantial cognitive and emotional benefits for MS individuals [175–180].”
BackgroundSuicidal ideation in multiple sclerosis.
Turner, A., Williams, R. M., Bowen, J., Kivlahan, D., & Haselkorn, J. (2006) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2006.04.021 · Cited by 106 · see citing works
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Wallin, M. T., Wilken, J. A., Turner, A. P., Williams, R. M., & Kane, R. (2006) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2004.09.0117 · Cited by 101 · see citing works
“In another study of group-based CBT, Crawford and McIvor examined the efficacy of a 13-session stress management program in patients with MS [106].”
BackgroundDoes Tai Chi/Qi Gong help patients with Multiple Sclerosis?
Mills, N., Allen, J., & Carey-Morgan, S. (2000) · Journal of Bodywork and Movement Therapies · doi:10.1054/jbmt.1999.0139 · Cited by 96 · see citing works
“The POMS has been used in a prior study on stress management in Multiple Sclerosis by Crawford and McIvor (1987). (ii) Check-list of physical symptoms relevant to Multiple Sclerosis The check-list was derived from recent work by Gulick (1998) and Joyce and Richardson (1997).”
MethodInfluentialEnnis, M., Thain, J., Boggild, M., Baker, G., & Young, C. A. (2006) · Clinical Rehabilitation · doi:10.1177/0269215506070805 · Cited by 89 · see citing works
Sutherland, G., Andersen, M., & Morris, T. (2005) · Journal of behavioral medicine · doi:10.1007/s10865-005-4661-2 · Cited by 79 · see citing works
“Although few studies in MS have used relaxation techniques, the limited research has indicated that relaxation for people with MS can positively affect anxiety, psychological stress, ability to cope with stressors, and some aspects of mood, such as tension, vigor, and depressed affect (Crawford and McIvor, 1987; Foley…”
BackgroundResultInfluentialTesar, N., Baumhackl, U., Kopp, M., & Günther, V. (2003) · Acta Neurologica Scandinavica · doi:10.1034/j.1600-0404.2003.00077.x · Cited by 77 · see citing works
Baker, N. A., & Tickle-Degnen, L. (2001) · American Journal of Occupational Therapy · doi:10.5014/ajot.55.3.324 · Cited by 74 · see citing works
“A smaller effect size was seen for emotional and cognitive outcomes, such as stress management (Crawford & McIvor, 1987), skills training in socialization (Gordan et al., 1997), and attention training (Plohman et al., 1998).”
Jean, V. M., Beatty, W., Paul, R. H., & Mullins, L. (1997) · Multiple Sclerosis · doi:10.1177/135245859700300304 · Cited by 55 · see citing works
Rigby, S. A., Thornton, E. W., & Young, C. A. (2008) · British Journal of Health Psychology · doi:10.1348/135910707x241505 · Cited by 54 · see citing works
A systematic review of stress-management interventions for multiple sclerosis patients.
Reynard, A. K., Sullivan, A., & Rae-Grant, A. (2014) · International Journal of MS Care · doi:10.7224/1537-2073.2013-034 · Cited by 36 · see citing works
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“With regard to depression, our findings are in line with two available intervention studies that suggest that fatigue is caused by depression [48,49].”
ResultPsychosocial interventions in people with multiple sclerosis
Malcomson, K., Dunwoody, L., & Lowe-Strong, A. (2007) · Journal of Neurology · doi:10.1007/s00415-006-0349-y · Cited by 28 · see citing works
“In these two studies, however, the quality of reporting is poor, with insufficient details provided regarding the participants [6], the main findings of the study [6] and the characteristics of those lost to follow-up [16].”
BackgroundMethodInfluentialCoping with Multiple Sclerosis: Considerations and Interventions
McNulty, K. (2007) · Springer eBooks · doi:10.1007/978-0-387-48670-3_14 · Cited by 27 · see citing works
Efficacy of Rehabilitation in Multiple Sclerosis
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Nursing Assessment of Positive Adjustment for Individuals with Multiple Sclerosis
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Anderson, J. K., Turner, A., & Clyne, W. (2017) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1181211 · Cited by 21 · see citing works
“…showing that MS self-management interventions underpinned by cognitive-behavioural approaches are effective in reducing depression [7, 12-15], stress [5, 16-19], perceived severity and impact of MS symptoms including fatigue and pain [20-22], and improving quality of life in people with MS [23].”
BackgroundO'Brien, M. T. (1993) · Clinical Nursing Research · doi:10.1177/105477389300200107 · Cited by 19 · see citing works
Thompson, S. (1996) · Disability and Rehabilitation · doi:10.3109/09638289609165893 · Cited by 10 · see citing works
Understanding fatigue in multiple sclerosis
Chatterton, H. J., & Spearing, R. (2006) · Physical Therapy Reviews · doi:10.1179/108331906x144154 · Cited by 7 · see citing works
The role of psychologists in the treatment of multiple sclerosis
Allen, D., Landis, R., & Schramke, C. (1995) · International Journal of Rehabilitation and Health · doi:10.1007/bf02213890 · Cited by 5 · see citing works
Psychosocial, Affective, and Behavioral Consequences of Multiple Sclerosis
Larocca, N. G., Kalb, R. C., Foley, F. W., & McGann, C. M. (1993) · NeuroRehabilitation (Reading, MA) · doi:10.3233/nre-1993-3406 · Cited by 4
Psychiatric Disorders, Stress, and Their Treatment Among People with Multiple Sclerosis
Mohr, D. C. (2011) · Springer eBooks · doi:10.1007/978-1-4419-0029-6_8 · Cited by 6 · see citing works
Psychotherapy in the Medically Ill: A Commentary
Vamos, M. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01795.x · Cited by 3 · see citing works
Assessment and Treatment of Multiple Sclerosis
Allen, D., & Goreczny, A. (1995) · Plenum series in rehabilitation and health · doi:10.1007/978-1-4899-1028-8_20 · Cited by 3 · see citing works
Prise en charge des troubles anxieux dans le cadre d'atteintes neurologiques
(2004) · Schweizer Archiv fur Neurologie und Psychiatrie · doi:10.4414/sanp.2004.01536 · Cited by 1 · see citing works
Sullivan, A., Tworek, G., Kane, A., Fredieu, J., & Harvey, T. (2026) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2026.106967 · Cited by 1 · see citing works
Dumont, C., Gervais, M.-H., Pépin, M., Fougeyrollas, P., & Loranger, M. (2001) · Canadian Journal of Occupational Therapy · doi:10.1177/000841740106800505 · Cited by 1 · see citing works
“…générale, chez les personnes qui ont des déficiences physiques suite à un accident vasculaire cérébral (Castillo et al., 1993), un traumatisme cranio-cérébral (Fordyce et al., 1983 ; Kuch et al., 1985) ou une maladie neuromusculaire dégénérative (Crawford & McIvor, 1987 ; Wells et al., 1988).”
BackgroundKrankheitsbewältigungstraining bei Multipler Sklerose
Twork, S., Schwermer, K. H., & Kugler, J. (2007) · Der Nervenarzt · doi:10.1007/s00115-006-2253-1
Evaluation of stress management.
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“Most reported interventions in stress management have not included specific objectives for the programme, especially in respect of self-reported stress (Cullen and Sandberg, 1987).”
Background
- Authors
- Crawford, J. D., & McIvor, G. P.
- Affiliations
- NYU Langone Health (US)
- Venue
- Psychological Reports
- Publisher
- SAGE Publications
- Published
- 1987-10
- Volume
- 61
- Issue
- 2
- Pages
- 423-429
- ISSN
- 0033-2941 (ISSN-L)
- 1558-691X
- OpenAlex
- W1991312028
- Cited by
- 44
- References
- 0
- Citations by year
- 2026: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2016: 1 · 2014: 1
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- multiple sclerosis, stress management, stress reduction techniques, hospitalized patients, psychological distress, depression, anxiety, mood, relaxation training, cognitive strategies, behavioral strategies, Profile of Mood States, group intervention
- MeSH terms
- Adult, Arousal, Behavior Therapy, Combined Modality Therapy, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Relaxation Therapy, Stress, Psychological
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