Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Neurology
Published in: BMC Neurology 1/2022

Open Access 01-12-2022 | Multiple Sclerosis | Research

Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery

Authors: Mina Beitollahi, Mansooreh Azizzadeh Forouzi, Batool Tirgari, Yunes Jahani

Published in: BMC Neurology | Issue 1/2022

Login to get access

Abstract

Background and objectives

The present study aimed to assess the effectiveness of guided imagery on fatigue, stigma, and mood in patients with multiple sclerosis.

Methods

This clinical trial is a double-blind study that was conducted on 60 patients with multiple sclerosis referred to the largest center for special diseases in the southeast of Iran in 2020. The convenience sampling method was used to select the participants who were later divided into two groups of intervention (n = 30) and control (n = 30) using block randomization method. The intervention group listened to the guided imagery audio file at home for 25 min. The control group did not receive any intervention. Data were collected by demographic information questionnaires, Fatigue Severity Scale (FSS), Reece Stigma Scale for Multiple Sclerosis (RSS-MS), and the Profile of Mood States (POMS) before and one month after the intervention.

Results

According to the results, there was no significant difference between the two groups before the intervention in terms of the score of fatigue (P < 0.0 = 67), stigma (P < 0.64), and mood (P < 0.17). However, after the intervention, a significant differences was observed in this regard (P < 0.0001). In the intervention group, the mean score of fatigue decreased from 59.72 ± 18.32 to 35.8 ± 16.15, and the mean score of stigma decreased from 17.31 ± 15.62 to 5.09 ± 8.06, showing a significant reduction in the levels of fatigue (P < 0.0001) and stigma (P < 0.0001) compared to before intervention. Also, the mean score of mood decreased from 36.90 ± 12.21 to 28.55 ± 11.87, indicating an improvement in the mood of samples in the intervention group (P < 0.0001).

Conclusions

The results indicated that guided imagery, as a cost-effective method, can decrease the fatigue and stigma, and enhance the mood of patients with MS. Therefore, nursing staff can use this method to improve MS patients’ mood and decrease their fatigue and stigma.
Literature
1.
Moshtagh M, Sajjadi H, Mowzooni H, Zeynalzadeh GB. Authorized sclerosis and complementary care in Iran: A review study. J Rehabil Med. 2017;6(1):234–53.
2.
Ghazagh M, Zadhasan Z. The Effect of Group Mindfulness-Based Stress Reduction Program on the Quality of Life and Fatigue in Patients With Multiple Sclerosis. Avicenna J Nurs Midwifery Care. 2019;27(1):35–44.CrossRef
3.
Soleimani I, Taj al-Dini A. The effectiveness of cognitive-behavioral therapy based on fatigue on the dimensions of mental fatigue in patients with multiple sclerosis (MS): A case study. Clin Psychol. 2016;8(2):13–21.
4.
Motaharinezhad F, Parvaneh S, Ghahari S. Fatigue in people with multiple sclerosis: Cause, evaluation and treatment. J Paramed Sci Rehabil. 2016;5(1):73–80.
5.
Mohamadi M, Mohtashami J, Arab KZ. Stigma towards patients with mental disorders. Iran J Syst Rev Med Sci. 2017;1(1):61–72.
6.
Farzi S, Shamsaei F, Tapak L, Sadeghian E. Relationship Between the Stigma and the Family Performance of Psychiatric Patients. Iran J Nurs Res. 2020;14(6):1–8.
7.
Ahmadnia S, Sharafat S, Kiana TK, Tavakoli C. The experience of stigma and the distorted identity of mothers with children with autism. Investigating Iran’s Soc Issues. 2017;8(1):103–17.
8.
Tadayon Far Ma-R, Mohebbi M, Kooshan M, Rakhshani MH. The effect of guided visualization on the level of anxiety of patients under appendectomy surgery. J Sabzevar Univ Med Sci. 2014;20(5):681–688.
9.
Afshar M, Spinani P. The effect of guided visualization on overt anxiety in cancer patients. J Complement Med Arak School Nurs Midwifery. 2019;9(2):3718–29.
10.
Tadayon Far Ma-R, Fuji S, Mohsenpour M, Rakhshani MH. Investigating the effect of sedation on the anxiety of patients under coronary angiography in Sabzevar Vasei Hospital in 2013. J Sabzevar Univ Med Sci. 2014;20(5):689–695.
11.
Abedini E, Ghanbari Hashemabadi BA, Talebian Sharif J. Effectiveness of group therapy based on hope approach on hope and depression in women with multiple sclerosis. J Clin Psychol. 2016;8((2 (30))):1–11.
12.
Aghayi M, Gozal S, Zeinali M, Ahmadi N, Mirzaei S. The efficiency of problem-solving skills on quality of life and self-esteem of patients with multiple sclerosis. J Psychol New Ideas. 2017;1(1):29–38.
13.
Alavi MS, Jabalameli S. The Effectiveness of Cognitive-Behavioral Therapy on Emotional Control of MS Patients in the City of Isfahan. Jorjani Biomed J. 2018;6(1):44–54.CrossRef
14.
Ensari I, Sandroff BM, Motl RW. Effects of Single Bouts of Walking Exercise and Yoga on Acute Mood Symptoms in People with Multiple Sclerosis. Int J MS Care. 2016;18(1):1–8.CrossRef
15.
Nejati S, Rajezi Esfahani S, Rahmani S, Afrookhteh G, Hoveida S. The Effect of Group Mindfulness-based Stress Reduction and Consciousness Yoga Program on Quality of Life and Fatigue Severity in Patients with MS. J Caring Sci. 2016;5(4):325–35.CrossRef
16.
Moghadas Tabrizi Y, Rajabi R, Sabzi K, Nabavi M, Rostami R. The effects of neurofeedback training on balance, fatigue and quality of life in patients with multiple sclerosis. Appl Psychol Res Q. 2017;7(4):89–100.
17.
Shahrukh Farahani A, Azimian M, Fallahpour M, Crimlo M. Validity and Reliability of the Persian Version of Multiple Sclerosis Fatigue Severity Scale Questionnaire. Rehabil. 2013;13(4):84–91.
18.
Eldridge-Smith ED, Loew M, Stepleman LM. The adaptation and validation of a stigma measure for individuals with multiple sclerosis. Disability Rehabil. 2019:1–8.
19.
Shafie Z, Babai S, Nazary A. The relationship between mood and quality of life in patients undergoing coronary artery bypass graft surgery. Iran J Nurs Res. 2013;26(83):57–67.
20.
Elgit Ö, Bilge A, Bayrakçı A. Effect of guided imagery on the functionality of individuals diagnosed with schizophrenia in a community mental health center. J Psychiatr Nurs. 2020;11(3):165–72.
21.
Kaur J, Ghosh S, Sahani AK, Sinha JK. Mental imagery training for treatment of central neuropathic pain: a narrative review. Acta Neurol Belg. 2019;119(2):175–86.CrossRef
22.
Case LK, Jackson P, Kinkel R, Mills PJ. Guided Imagery Improves Mood, Fatigue, and Quality of Life in Individuals With Multiple Sclerosis: An Exploratory Efficacy Trial of Healing Light Guided Imagery. J Evid Based Integr Med. 2018;23:2515690X17748744.
23.
Sokolov AA, Grivaz P, Bove R. Cognitive Deficits in Multiple Sclerosis: Recent Advances in Treatment and Neurorehabilitation. Curr Treat Options Neurol. 2018;20(12):53.CrossRef
24.
Chamanzari H, Raghe S, Modarres Gharavi M, Ebrahimzadeh S. The effect of guided visualization on the pain of orthopedic surgery in trauma patients. Knowl Horizon Q. 2013;19(2):122–118.
25.
Brambila-Tapia AJL, Gutiérrez-García MM, Ruiz-Sandoval JL, et al. Using hypnoanalysis and guided imagery to identify and manage emotional aspects of multiple sclerosis{In press}. EXPLORE. 2020:1–8.
26.
Tagharrobi Z, Mohammadkhan Kermanshahi S, Mohammadi E. The Facilitators of Using Complementary Therapies in Clinical Nursing: A Qualitative Content Analysis. J Rafsanjan Univ Med Sci. 2016;15(8):691–714.
27.
Tagharobi Z, Mohammadkhan Kermanshahi S, Mohammadi E. The nurses’ perceptions of the reasons for using complementary therapies in clinical nursing practice. Med Surg Nurs J. 2016;5(1):1–11.
28.
Maryam A, Sedigheh G, Zinali M, Ahmadi N, Mirzaee S. The effectiveness of problem-solving skills on the quality of life and self-esteem of patients with MS. Q J Modern Psychol Ideas. 2017;1(1):29–38.
29.
khalil nejhad a, zahed nasab h, khodabande lo h, et al. Diagnostic Biomarkers in Multiple Sclerosis. J Ilam Univ Med Sci. 2014;21(7):288–311.
30.
Goldenberg MM. Multiple sclerosis review. Pharm Ther. 2012;37(3):175.
31.
Brownlee WJ, Hardy TA, Fazekas F, Miller DH. Diagnosis of multiple sclerosis: progress and challenges. Lancet. 2017;389(10076):1336–46.CrossRef
32.
Howard J, Trevick S, Younger DS. Epidemiology of multiple sclerosis. Neurol Clin. 2016;34(4):919–39.CrossRef
33.
Yaghoubi Nasr Abadi M, Atef Vahid MK, Ahmadzadeh GH. The effect of cognitive-behavioral group therapy on reducing depression and anxiety in patients with mood disorders. Iran J Psychiatry Clin Psychol. 2003;9(2):56–63.
34.
Beizaee Y, Rejeh N, Heravi Karimooi M, Tadrisi SD, Bahrami T. The Effect of Mind-guided Imagery on Decreasing Fatigue in Patients Undergoing Hemodialysis. Iran J Nurs Res. 2017;12(1):16–22.CrossRef
35.
Buyukbayram Z, Citlik SS. The effect of Reiki and guided imagery intervention on pain and fatigue in oncology patients: A non-randomized controlled study. Explore (NY). 2021;17(1):22–6.CrossRef
36.
Lee MH, Kim DH, Yu HS. The effect of guided imagery on stress and fatigue in patients with thyroid cancer undergoing radioactive iodine therapy. Evid Based Complement Alternat Med. 2013;2013:130324.
37.
Peters RM, Zweekhorst MB, Bunders JF, van Brakel WH. A cluster-randomized controlled intervention study to assess the effect of a contact intervention in reducing leprosy-related stigma in Indonesia. PLoS Negl Trop Dis. 2015;9(10):e0004003.
38.
Kolayiş H, İhsan S, Özge K. Takım sporlarıyla uğraşan kadın sporcuların imgeleme, güdülenme ve kaygı puanları arasındaki ilişkinin incelenmesi. Spormetre Beden Eğitimi Ve Spor Bilimleri Dergisi. 2015;13(2):129–36.
39.
Tsitsi T, Charalambous A, Papastavrou E, Raftopoulos V. Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: A randomized controlled trial in Republic of Cyprus and Greece. Eur J Oncol Nurs. 2017;26:9–18.CrossRef
40.
Shahabi A, Ehteshamzadeh P, Asgari P, Makvandi B. Comparison of the Effectiveness of Acceptance and Commitment Therapy and Guided Imagery on the Resilience of Cardiac Disease Patients Referring to the Heart Rehabilitation Department. Horizon Med Sci. 2020;26(3):276–97.CrossRef
Metadata
Title
Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
Authors
Mina Beitollahi
Mansooreh Azizzadeh Forouzi
Batool Tirgari
Yunes Jahani
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-022-02677-3

Other articles of this Issue 1/2022

BMC Neurology 1/2022 Go to the issue

Research

The congruency of neuropsychological and F18-FDG brain PET/CT diagnostics of Alzheimer’s Disease (AD) in routine clinical practice: insights from a mixed neurological patient cohort

Correction

Correction: A case of novel DYT6 dystonia variant with serious complications after deep brain stimulation therapy: a case report

Research

Barriers to quality of life in patients with multiple sclerosis: a qualitative study

Research

Real-world effectiveness and safety of fingolimod in patients with multiple sclerosis in the Czech Republic: results from core and extension parts of the GOLEMS study up to 48 months

Case report

Blastic plasmacytoid dendritic cell neoplasm and cerebral toxoplasmosis: a case report

Research

Development and validation of the Health Education Adherence Scale for Stroke Patients: a cross-sectional study