Mindfulness in Motion for People with Multiple Sclerosis: A Feasibility Study.
Open accessAbstract
Background: Mindfulness in Motion is an 8-week mindfulness-based intervention that uses yoga movement, mindfulness meditation, and relaxing music. This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS. Methods: Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention. Results: Pre/post comparison of four self-reported questionnaires--the Mental Health Inventory, 36-item Short Form Health Status Survey, Modified Fatigue Impact Scale, and Five Facet Mindfulness Questionnaire--showed significant improvement in physical functioning, vitality, and mental health. Specifically, improvements were seen in anxiety, depression, and positive affect; cognitive, psychosocial, and overall functioning regarding fatigue; and mindfulness in the areas of observing, acting with awareness, nonjudgment, and nonreactivity. Conclusions: Due to the uncertainty in disease progression associated with MS, and the multiplicity of mental and physical symptoms associated with it, programming that addresses anxiety, depression, and fatigue is a key area of future research in MS disease management. Mindfulness in Motion proved to be a feasible program yielding positive results, supporting the need for research to determine the extent to which the program can improve quality-of-life outcomes for people with MS.
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Claims the paper makes
6 of 13 cited sources checked · 2 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Mind-body therapies such as yoga and meditation may be helpful in promoting health by reducing psychological stress.
“mind-body therapies such as yoga and meditation may be helpful in promoting health by reducing psychological stress.4”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [4] Senders, 2012, Mind-body medicine for multiple sclerosis: a systematic review, Autoimmune Dis. source
- Premisecitation
In a recent survey of 1110 people with MS, 32% of those who had used mind-body therapies found them beneficial.
“in a recent survey of 1110 people with MS, 32% of those who had used mind-body therapies found them to be beneficial.4”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [4] Senders, 2012, Mind-body medicine for multiple sclerosis: a systematic review, Autoimmune Dis. source
The Introduction reports a survey of 1,110 people with MS and says that 32% of all respondents had used mind-body modalities and reported high perceived benefit. The citing sentence instead makes 32% the proportion among those who had used the therapies; the source does not give that proportion. (LLM, conf=0.90)
Experimental — accuracy not yet measured
- Findingown data
SF-36 physical functioning improved significantly after the 8-week Mindfulness in Motion program.
“Mindfulness in Motion participants demonstrated statistically significant changes on several of the SF-36 variables, specifically, physical functioning, role-physical, vitality, and mental health.”
Quote in the paperSubstantial claim - Findingnone given
Study participants were able to perform the gentle yoga movement included in Mindfulness in Motion.
“Study participants were able to perform the gentle yoga movement included in Mindfulness in Motion.”
Quote in the paperSubstantial claim - Findingown data
MHI total scores improved significantly after the 8-week Mindfulness in Motion program.
“the analysis of variance results of the MHI revealed statistically significant improvements after the 8-week program in the MHI total scores and in the subscales of anxiety, depression, and positive affect”
Quote in the paperSubstantial claim
- Findingown data
The MHI positive affect subscale improved significantly after the 8-week Mindfulness in Motion program.
“the analysis of variance results of the MHI revealed statistically significant improvements after the 8-week program in the MHI total scores and in the subscales of anxiety, depression, and positive affect”
Quote in the paperSubstantial claim - Findingown data
The FFMQ nonreactivity facet improved significantly after the 8-week Mindfulness in Motion program.
“Results of the FFMQ indicated statistically significant improvement in the categories of observing, acting with awareness, nonjudgment, and nonreactivity.”
Quote in the paperSubstantial claim - Findingown data
SF-36 role-physical improved significantly after the 8-week Mindfulness in Motion program.
“Mindfulness in Motion participants demonstrated statistically significant changes on several of the SF-36 variables, specifically, physical functioning, role-physical, vitality, and mental health.”
Quote in the paperSubstantial claim - Findingown data
The FFMQ nonjudgment facet improved significantly after the 8-week Mindfulness in Motion program.
“Results of the FFMQ indicated statistically significant improvement in the categories of observing, acting with awareness, nonjudgment, and nonreactivity.”
Quote in the paperSubstantial claim - Findingown data
The SF-36 Physical Component Summary T-score increased significantly after the 8-week Mindfulness in Motion program.
“The Physical Component Summary scale T-score increase was statistically significant after the program”
Quote in the paperSubstantial claim - Findingown data
The FFMQ describing facet did not improve significantly after the 8-week Mindfulness in Motion program.
“The increase in the describing factor was not statistically significant (Table 4).”
Quote in the paperNot a substantial claim - Findingown data
The FFMQ acting with awareness facet improved significantly after the 8-week Mindfulness in Motion program.
“Results of the FFMQ indicated statistically significant improvement in the categories of observing, acting with awareness, nonjudgment, and nonreactivity.”
Quote in the paperSubstantial claim - Findingown data
The MFIS physical subscale did not improve significantly after the 8-week Mindfulness in Motion program.
“in contrast, improvement in the physical subscale was not statistically significant (Table 4).”
Quote in the paperSubstantial claim - Findingown data
The FFMQ observing facet improved significantly after the 8-week Mindfulness in Motion program.
“Results of the FFMQ indicated statistically significant improvement in the categories of observing, acting with awareness, nonjudgment, and nonreactivity.”
Quote in the paperSubstantial claim - Findingown data
The SF-36 Mental Component Summary T-score increase was not statistically significant after the 8-week Mindfulness in Motion program.
“but the increase in the Mental Component Summary scale T-score was not statistically significant.”
Quote in the paperNot a substantial claim - Findingown data
The MHI anxiety subscale improved significantly after the 8-week Mindfulness in Motion program.
“the analysis of variance results of the MHI revealed statistically significant improvements after the 8-week program in the MHI total scores and in the subscales of anxiety, depression, and positive affect”
Quote in the paperSubstantial claim - Findingown data
The MHI behavior control subscale did not improve significantly after the 8-week Mindfulness in Motion program.
“in contrast, the increase in behavioral control was not statistically significant.”
Quote in the paperNot a substantial claim - Findingown data
The MHI depression subscale improved significantly after the 8-week Mindfulness in Motion program.
“the analysis of variance results of the MHI revealed statistically significant improvements after the 8-week program in the MHI total scores and in the subscales of anxiety, depression, and positive affect”
Quote in the paperSubstantial claim - Study design and conductnone given
Participants attended the 8-week program at an overall rate of 75%.
“attended the 8-week program at an overall rate of 75%”
Quote in the paperSubstantial claim - Interpretationown data
The positive findings from the SF-36, MFIS, MHI, and FFMQ support various improvements to quality of life.
“Taken together, the positive findings from the SF-36, MFIS, MHI, and FFMQ support various improvements to QOL.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Because this was a feasibility study, a power analysis was not conducted before the study.
“Because this study was a feasibility study, attempting to explore the power needed to see an effect, a power analysis was not conducted before the feasibility study.”
Quote in the paperNot a substantial claim - Interpretationown data
The hypothesis that Mindfulness in Motion would be effective for people with MS was confirmed in this feasibility study.
“Our hypothesis was confirmed in this feasibility study, which yielded significant improvements in both physical and mental health for people with MS compared with studies using mindfulness interventions that were much more time-intensive.”
Quote in the paperSubstantial claim - Study design and conductown data
Eleven of 22 participants completed at least 4 of 7 days each week of the home practice logs (57.1%).
“Half of the participants (n = 11) attended at least five of the eight sessions (62.5%) and completed at least 4 of 7 days (57.1%) each week of the home practice logs.”
Quote in the paperSubstantial claim - Study design and conductown data
Eleven of 22 participants attended at least five of the eight sessions (62.5%).
“Half of the participants (n = 11) attended at least five of the eight sessions (62.5%) and completed at least 4 of 7 days (57.1%) each week of the home practice logs.”
Quote in the paperSubstantial claim - Study design and conductown data
Stress was not assessed in this study.
“stress reduction is hypothesized to be an important mediator of the effects of mindfulness, yet stress was not assessed”
Quote in the paperSubstantial claim - Premisecitation
MS is thought to be exacerbated by stress.
“because MS is thought to be exacerbated by stress, 1”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [1] Mohr, 2004, Association between stressful life events and exacerbation in multiple sclerosis: a meta-analysis, BMJ. source
- Study design and conductreasoning
Without a control group, the improvements cannot be deemed to be the result of the intervention.
“Without a control group, improvements cannot be deemed to be the result of the intervention.”
Quote in the paperSubstantial claim - Study design and conductnone given
The level of MS-related disability of the participants was unknown.
“The level of MS-related disability of the participants was unknown”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 12
- May combine two claims. 8
- The quote only partly states this claim. 4
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe FFMQ has internal consistency scores ranging from 0.76 to 0.91 for the mindfulness subscales.
“The FFMQ has internal consistency scores that range from 0.76 to 0.91 for the mindfulness subscales.”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [46] Baer, 2006, Using self-report assessment methods to explore facets of mindfulness, Assessment. source
In “Deriving Mindfulness Facets” (p. 10), the paper reports adequate-to-good internal consistency for all five facet subscales, with alpha values up to .91. Its reported minimum is .75 for nonreactivity, however, not .76. (LLM, conf=0.90)
Experimental — accuracy not yet measured - cites [47] Baer, 2008, Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples, Assessment. source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMindfulness in Motion has effectively decreased biologic markers of sympathetic nervous system activation for health-care professionals working on a surgical intensive care unit.
“Mindfulness in Motion has also effectively decreased biologic markers of sympathetic nervous system activation for health-care professionals working on a surgical intensive care unit, 42”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [42] Duchemin, 2015, A small randomized feasibility study of a workplace mindfulness-based intervention for surgical intensive care unit personnel: effects on salivary α-amylase levels, J Occup Environ Med. source
Classified as probably not a substantial claim. May combine two claims.
PremisecitationMindfulness in Motion has been shown to be an effective low-cost stress-reduction intervention to improve quality of sleep and perceived stress in healthy adults.
“has been shown to be an effective lowcost stress-reduction intervention to improve quality of sleep and perceived stress in healthy adults.40,41”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [40] Klatt, 2015, Mindfulness in Motion (MIM): an onsite mindfulness based intervention (MBI) for chronically high stress work environments to increase resiliency and work engagement, J Vis Exp. source
The Abstract (page not provided) reports that Mindfulness in Motion was feasible in an ICU workplace and increased staff resilience and work engagement; the Representative Results also report reduced respiration rates during sessions. The paper does not report improved sleep quality or perceived-stress scores, establish that the intervention was low-cost, or test it in a general population of healthy adults. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites [41] Klatt, 2009, Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults, Health Educ Behav. source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMindfulness in Motion uniquely combines yoga and mindfulness, attempting to glean the benefits of both mind-body approaches.
“Mindfulness in Motion uniquely combines yoga and mindfulness, attempting to glean the benefits of both of these mind-body approaches.40”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [40] Klatt, 2015, Mindfulness in Motion (MIM): an onsite mindfulness based intervention (MBI) for chronically high stress work environments to increase resiliency and work engagement, J Vis Exp. source
The Introduction describes MIM as teaching mindful awareness and emphasizing gentle yoga stretches, so the combination is supported. But it also says traditional MBSR uses mindfulness meditation and yoga postures; the paper therefore does not support calling that combination unique to MIM. The passages supplied have section labels but no page numbers. (LLM, conf=0.87)
Experimental — accuracy not yet measured
The quote only partly states this claim.
Findingown dataSF-36 vitality improved significantly after the 8-week Mindfulness in Motion program.
“Mindfulness in Motion participants demonstrated statistically significant changes on several of the SF-36 variables, specifically, physical functioning, role-physical, vitality, and mental health.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataSF-36 mental health improved significantly after the 8-week Mindfulness in Motion program.
“Mindfulness in Motion participants demonstrated statistically significant changes on several of the SF-36 variables, specifically, physical functioning, role-physical, vitality, and mental health.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingreasoningDay of the week was a nonsignificant moderator on any scale.
“Day of the week was also a nonsignificant moderator on any scale because the protocol and trained instructor were the same in all sessions.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMindfulness in Motion showed changes in brain function in older adults compared with randomized controls.
“showed changes in brain function in older adults compared with randomized controls.44”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] Prakash, 2012, Mindfulness disposition and default-mode network connectivity in older adults, Soc Cogn Affect Neurosci. source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenParticipants were not screened for psychological or pharmacologic treatment for depression at the onset or during the study.
“Participants were not screened for psychological or pharmacologic treatment for depression at the onset or during the study.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe MHI, SF-36, and MFIS have been shown to be reliable and valid in MS populations.
“The MHI, SF-36, and MFIS have been shown to be reliable and valid in MS populations.15”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] Ritvo, 1997
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing), S4 (based). May combine two claims. The quote only partly states this claim.
Study design and conductnone givenThe analysis included 22 participants with MS after 3 were excluded because of missing pretest or posttest survey data.
“Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe outcome measures were appropriate for the MS population and indicated that the program lessened bothersome symptoms.
“Outcome measures were appropriate for the population and indicated that the program lessened bothersome symptoms for people with MS.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningThe trained instructor was also a researcher on the study, so participant responses may reflect a desire to please the researcher.
“The trained instructor was also a researcher on this study; therefore, participant responses may reflect a desire to please the researcher.”
Quote in the paperNot a substantial claimMay combine two claims. The quote only partly states this claim.
Interpretationown dataMindfulness in Motion proved to be a feasible program yielding positive results for people with MS.
“Mindfulness in Motion was found to be a feasible program for people with MS”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe FFMQ has adequate to good construct validity.
“This instrument has been found to have adequate to good construct validity.47”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [47] Baer, 2008, Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples, Assessment. source
May combine two claims.
Study design and conductreasoningRecruitment was based on self-selection, which may have affected study success because participants may have had an affinity for a mindfulness-based program.
“Recruitment was based on self-selection into the study, affecting study success because participants may have had an affinity for a mindfulness-based program.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMindfulness in Motion lowered elevated levels of inflammation (C-reactive protein) in nonobese people at risk for cardiovascular disease compared with randomized controls.
“lowered elevated levels of inflammation (C-reactive protein levels) in nonobese people at risk for cardiovascular disease compared with randomized controls, 43”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [43] Malarkey, 2013, Workplace based mindfulness practice and inflammation: a randomized trial, Brain Behav Immun. source
The paper relies on this without support.
Mindfulness in Motion had not previously been used in people with MS.
“To our knowledge, Mindfulness in Motion has not previously been used with this population.”
The paper relies on this without support.
This study is the first empirical research examining the feasibility of Mindfulness in Motion for people with MS.
“To our knowledge, this study is the first empirical research examining the feasibility of the Mindfulness in Motion program for people with MS”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Grossman trial is cited under the wrong reference number
MinorThe discussion identifies reference 8 as a trial by Grossman et al., but reference 8 is a case report by Hazlett-Stevens. The Grossman trial appears as reference 33.
“The present results corroborate those of the study by Grossman et al., 8 which found statistically significant improvements in QOL and reduced depression, anxiety, and fatigue with an 8-week mindfulness-based stress reduction program (n = 74) compared with usual care (n = 74) in people with MS.”
“8. Hazlett-Stevens H. Mindfulness-based stress reduction for comorbid anxiety and depression: case report and clinical considerations. J Nerv Ment Dis. 2012;200:999-1003.”
Oken study is cited under the wrong reference number
MinorThe discussion attributes the yoga and exercise study to Oken et al. at reference 24, but reference 24 is a study by Carletto et al. The Oken study appears as reference 48.
“This finding supports the work of Oken et al., 24 who studied the effects of a weekly 90-minute Iyengar yoga session or an exercise class with stationary bicycles for people with MS.”
“24. Carletto S, Borghi M, Francone D, et al. The efficacy of a mindfulness based intervention for depressive symptoms in patients with multiple sclerosis and their caregivers: study protocol for a randomized con- trolled clinical trial. BMC Neurol. 2016;16:7.”
Abstract lists stress as an assessed outcome
MinorThe abstract says the study examined the program's effect on stress, but the limitations section says stress was not assessed.
“This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS.”
“Last, stress reduction is hypothesized to be an important mediator of the effects of mindfulness, yet stress was not assessed and needs to be assessed in future studies of the program in people with MS.”
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Carletto, S., Borghi, M., Francone, D., Scavelli, F., Bertino, G., Cavallo, M., Malucchi, S., Bertolotto, A., Oliva, F., & Ostacoli, L. (2016) · BMC Neurology · doi:10.1186/s12883-016-0528-0 · Cited by 27 · see citing works
Levin, A. B., Hadgkiss, E. J., Weiland, T. J., Marck, C. H., van der Meer, D. M., Pereira, N. G., & Jelinek, G. A. (2014) · Behavioural Neurology · doi:10.1155/2014/916519 · Cited by 23 · see citing works
Multiple Sclerosis: A Guide for the Newly Diagnosed
Holland, N. J., & Murray, T. J. (1996) · Cited by 17 · see citing works
Multiple Sclerosis A guide for the newly diagnosed
Champion, J. (1997) · Physiotherapy · doi:10.1016/s0031-9406(05)65648-9 · Cited by 10 · see citing works
Klatt, M. D., Steinberg, B. A., & Duchemin, A. (2015) · Journal of Visualized Experiments · doi:10.3791/52359-v · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
1 of the 48 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Ritvo, 1997, Multiple Sclerosis Quality of Life Inventory: A User's Manual
- Rahnama, 2011, Effects of yoga on depression in women with multiple sclerosis, J Isfahan Med School., 29, 483
Cited by
Sorted by citations
Senders, A., Hanes, D. A., BOURDETTE, D. N., Carson, K. M., Marshall, L. M., & Shinto, L. H. (2018) · Multiple Sclerosis Journal · doi:10.1177/1352458518786650 · Cited by 41 · see citing works
Third wave cognitive behavioural therapies for people with multiple sclerosis: a scoping review
Zarotti, N., Eccles, F., Broyd, A., Longinotti, C., Mobley, A., & Simpson, J. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2069292 · Cited by 40 · see citing works
Headache and Its Management in Patients With Multiple Sclerosis
Husain, F., Pardo, G., & Rabadi, M. H. (2018) · Current Treatment Options in Neurology · doi:10.1007/s11940-018-0495-4 · Cited by 36 · see citing works
Wright, K., Klatt, M. D., Adams, I. K. R., Nguyen, C. M., Mion, L. C., Tan, A., Monroe, T. B., Rose, K. M., & Scharre, D. W. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16947 · Cited by 34 · see citing works
Self-citationYoga as an intervention to manage multiple sclerosis symptoms
Thakur, P., Mohammad, A., Rastogi, Y. R., Saini, R. V., & Saini, A. K. (2019) · Journal of Ayurveda and Integrative Medicine · doi:10.1016/j.jaim.2019.04.005 · Cited by 26 · see citing works
“Another study done in USA by Cohen et al., showed that yoga philosophy, Pranayama, Asanas, deep relaxation, meditation for 8 weeks improved expiratory muscle strength, balance, walking ability and concentration among 14 people having moderate MS as measured by respiratory pressure meter (MicroRPM-Micro Direct Inc, Lew…”
BackgroundMethodResultInfluentialVinciguerra, C., Stefano, N. D., & Federico, A. (2019) · Neurological Sciences · doi:10.1007/s10072-019-04007-x · Cited by 25 · see citing works
Cara, M. D., Grezzo, D., Palmeri, R., Buono, V. L., Cartella, E., Micchìa, K., Formica, C., Rifici, C., Sessa, E., D’Aleo, G., et al. (2021) · Neurological Sciences · doi:10.1007/s10072-021-05686-1 · Cited by 25 · see citing works
“[25] using mindfulness in motion that include yoga movement, mental meditation, and relaxing music showed a decrease in psychiatric symptoms with significant changes in both physical and mental health in MS patients.”
MethodDunne, J., Chih, H. J., Begley, A., Daly, A., Gerlach, R., Schütze, R., Castell, E., Byrne, J., & Black, L. J. (2021) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2020.102728 · Cited by 23 · see citing works
Ivanova, E., Panayotova, T., Grechenliev, I., Peshev, B., Kolchakova, P. Y., & Milanova, V. K. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.795344 · Cited by 17 · see citing works
Into the Moment: Does Mindfulness Affect Biological Pathways in Multiple Sclerosis?
Willekens, B. M. P., Perrotta, G., Cras, P. P., & Cools, N. (2018) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2018.00103 · Cited by 18 · see citing works
“…even telemedicine, Skype, and/or online training (Grossman et al., 2010; Senders et al., 2014; Bogosian et al., 2015; Kolahkaj and Zargar, 2015; Frontario et al., 2016; Nejati et al., 2016; Blankespoor et al., 2017; Gilbertson and Klatt, 2017; Hoogerwerf et al., 2017; Simpson et al., 2017).”
BackgroundTrait mindfulness, emotion dysregulation, and depression in individuals with multiple sclerosis
Duraney, E. J., Schirda, B., Nicholas, J. A., & Prakash, R. S. (2022) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2022.103651 · Cited by 12 · see citing works
Community qigong for People with Multiple Sclerosis: A Pragmatic Feasibility Study
Buttolph, L., Corn, J., Hanes, D. A., Bradley, R. D., & Senders, A. (2021) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2020.0481 · Cited by 12 · see citing works
“41 qigong classes may have been too advanced or complex for some participants.”
Minutillo, A., Panza, G., & Mauri, M. C. (2020) · Neurological Sciences · doi:10.1007/s10072-020-04715-9 · Cited by 11 · see citing works
RetractedCampbell, M., & Pakenham, K. I. (2021) · Applied Research in Quality of Life · doi:10.1007/s11482-021-09944-4 · Cited by 10 · see citing works
“In prior MBIs for PwMS, non-significant (Gilbertson & Klatt, 2017) and significant (Grossman et al., 2010) associations between higher home practice completion and greater improvement on psychosocial outcomes have been found.”
BackgroundSelfe, T. K., Wen, S., Sherman, K. J., Klatt, M. D., & Innes, K. E. (2019) · Trials · doi:10.1186/s13063-019-3217-7 · Cited by 9 · see citing works
Self-citationNahayati, M., Vagharseyyedin, S. A., Bahrami-Taghanaki, H., Rezaee, Z., Mehrpooya, N., & Rahimi, H. (2020) · Complementary Medicine Journal · doi:10.32598/cmja.10.3.1020.1 · Cited by 9 · see citing works
“Stress and anxiety aggravate the symptoms of MS and reduce the quality of life of these patients [15, 16, 19, 20].”
BackgroundPsychological interventions in multiple sclerosis: Improving cognition and quality of life
Harand, C., & Defer, G. L. (2018) · Annals of Physical and Rehabilitation Medicine · doi:10.1016/j.rehab.2018.10.002 · Cited by 9 · see citing works
Sessanna, L., Nisbet, P., Alanazi, N., Lorissaint, D., Auerbach, S. L., Chang, Y., & Lorenz, R. A. (2020) · Clinical Nursing Research · doi:10.1177/1054773820958125 · Cited by 8 · see citing works
“Furthermore, MBIs have improved depression, physical function, and HRQOL among adults with MS (Bogosian et al., 2016; Gilbertson & Klatt, 2017; Simpson et al., 2017), and is an effective treatment for primary insomnia (Gross et al., 2011).”
BackgroundSaxby, S. M., Shemirani, F., Crippes, L., Ehlinger, M. A., Brooks, L., Bisht, B., Titcomb, T. J., Rubenstein, L. M., Eyck, P. T., Hoth, K. F., et al. (2024) · Degenerative Neurological and Neuromuscular Disease · doi:10.2147/dnnd.s441738 · Cited by 6 · see citing works
“14 Similarly, mindfulness practices, such as breathing exercises or meditative activities, have been shown to improve fatigue 15 and cognition, 16 as well as reduce self-reported emotion dysregulation.”
BackgroundPilipović, I., Stojić-Vukanić, Z., Prijić, I., & Leposavić, G. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00921 · Cited by 6 · see citing works
Motolese, F., Stelitano, D., Lanzone, J., Albergo, G., Cruciani, A., Masciulli, C., Musumeci, G., Pilato, F., Rossi, M., Ribolsi, M., et al. (2023) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2023.104931 · Cited by 5 · see citing works
Ensan, N., Rahimian Boogar, I., Talepasand, S., & Estilaee, F. (2019) · Journal of Arak University of Medical Sciences · doi:10.32598/jams.22.5.56 · Cited by 4 · see citing works
“I can't cry on cue”: Exploring distress experiences of persons with sickle cell
Childerhose, J. E., Emerson, B., Schamess, A., Caputo, J., Williams, M., & Klatt, M. D. (2024) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2024.100426 · Cited by 4 · see citing works
Self-citationMinutillo, A., Panza, G., & Mauri, M. C. (2021) · Neurological Sciences · doi:10.1007/s10072-021-05283-2 · Cited by 4 · see citing works
RetractedÖZTÜRK, D., & Turan, G. B. (2026) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2025.102607 · Cited by 3 · see citing works
Probst, Y., & Kinnane, E. (2024) · Brain and Behavior · doi:10.1002/brb3.3635 · Cited by 1 · see citing works
Motolese, F., Stelitano, D., Lanzone, J., Albergo, G., Cruciani, A., Masciulli, C., Musumeci, G., Pilato, F., Rossi, M., Ribolsi, M., et al. (2023) · doi:10.22541/au.168416824.49652226/v1 · Cited by 1 · see citing works
Fedeger, V. M., Pedri, E., Mello, R. G., & Laux, A. L. (2021) · International Journal of Scientific Research and Management (IJSRM) · doi:10.18535/ijsrm/v9i06.mp02
“(10) United States (USA) Quantitative study, case control 22 patients with any type of multiple sclerosis.”
BackgroundMethodInfluentialMindfulness and Multiple Sclerosis: A Patient Guide
Fenner, S., & Rider, J. V. (2023) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2022.11.023
Mohamadpour, F., & Askarian, M. (2025) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.70092
Integrating Motivational Interviewing and Mindfulness in Chronic Pain Management
Panchal, H. D. (2025) · Oxford University Press eBooks · doi:10.1093/med/9780197631010.003.0008
Rangaiah, U. R. M., Bhargav, H., Jasti, N., et al. (2026) · Advances in Integrative Medicine · doi:10.1016/j.aimed.2026.100666
- Authors
- Gilbertson, R. M., & Klatt, M. D.
- Affiliations
- University of Minnesota, Duluth (US)
- Venue
- International Journal of MS Care
- Published
- 2017-09-01
- Volume
- 19
- Issue
- 5
- Pages
- 225-231
- ISSN
- 1537-2073 (ISSN-L)
- PMC
- PMC5649345
- OpenAlex
- W2565286912
- Cited by
- 32
- References
- 48
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 4
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of MS Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- multiple sclerosis, mindfulness-based interventions, yoga, mindfulness meditation, relaxing music, feasibility, anxiety, depression
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-01.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-01.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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