The Effectiveness of Acceptance and Commitment Therapy on Chronic Fatigue Syndrome and Pain Perception in People With Multiple Sclerosis
Open accessAbstract
Objectives The present study investigated the effectiveness of Acceptance and Commitment Therapy (ACT) on Chronic Fatigue Syndrome (CFS) and Pain Perception (PP) in people with Multiple Sclerosis (MS). Methods This was a quasi-experimental study with a pre-test, post-test and a control group design. The statistical population was all individuals with MS referring to the MS Society of Ahvaz, Iran, in 2018. Thirty patients with SFS were selected and randomly assigned into two groups of test and control (15 per group). Moreover, Multidimensional Fatigue Inventory (MFI) (was used to measure chronic fatigue symptoms) and Fatigue Severity Scale (FSS) and McGill Pain Questionnaire (MGPQ) were used for data collection. The achieved data were analyzed by Multivariate Analysis of Covariance (MANCOVA) in SPSS. Results The MANCOVA results revealed a significant difference between two groups in the following variables: perception of sensory pain (F=14. 70, P≤ 0. 001), perception of pain assessment (F=70. 50, P≤0. 01), perception of various pain (F=8. 13, P≤0. 001), PP (F=14. 68, P≤0. 001,) and CFS (F=4, P≤0. 05). Conclusion The study finding suggested that ACT was effective in reducing the severity of CFS and PP in the experimental group; this reduction has led to a relative improvement in MS condition. Therefore, clinicians working in health centers can use this treatment along with pharmacotherapy.
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ACT effectiveness has been confirmed for mitigating depression, anxiety, stress, fatigue, and pain in patients with multiple sclerosis.
“The effectiveness of ACT has been confirmed for mitigating the depression, anxiety, stress, fatigue, and pain in PwMS (21-23).”
From The Effectiveness of Cognitive-Behavioral, Mindfulness and Acceptance and Commitment Therapies to Improving the Psychological Symptoms of Patients with Multiple Sclerosis in Iran (Systematic Review and Meta-analysis) (2022) · cites this paper as [21]
The Discussion reports that ACT reduced fatigue and pain perception in people with multiple sclerosis. The paper does not report ACT reducing depression, anxiety, or stress; its Introduction instead mentions evidence for CBT in treating depression. (LLM, conf=0.90)
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- Authors
- Department of Psychology, F. O. L. A. H., Davoodi, M., Shameli, L., Department of Psychology, F. O. L. A. H., Hadianfard, H., & Department of Clinical Psychology, F. O. E. &. P.
- Affiliations
- Salman Farsi University of Kazerun (IR)
- Shiraz University (IR)
- Venue
- Iranian Journal of Psychiatry and Clinical Psychology
- Publisher
- Negah Scientific Publisher
- Published
- 2019-10-01
- Volume
- 25
- Issue
- 3
- Pages
- 250-265
- ISSN
- 1735-4315 (ISSN-L)
- 2228-7515
- OpenAlex
- W2993538138
- Cited by
- 16
- References
- 51
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 1
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Iranian Journal of Psychiatry and Clinical Psychology (publishedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- acceptance and commitment therapy, chronic fatigue syndrome, pain perception, multiple sclerosis, fatigue severity, psychological intervention, sensory pain
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