Volume 20, Issue 7 (October 2022)
Nursing and Midwifery Journal 2022, 20(7): 529-537 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
hoseinzad A, khademi A, tasbihsazan R, khalilzadeh R. THE EFFECTIVENESS OF EMOTION REGULATION INTERVENTION ON THE INTENSITY OF FATIGUE AND EXISTENTIAL ANXIETY OF WOMEN WITH MULTIPLE SCLEROSIS (MS). Nursing and Midwifery Journal 2022; 20 (7) :529-537
URL: http://unmf.umsu.ac.ir/article-1-4737-en.html
URL: http://unmf.umsu.ac.ir/article-1-4737-en.html
1- Department of psychology, Urmia Branch, Islamic Azad university, Urmia, Iran
2- Department of psychology, Urmia Branch, Islamic Azad university, Urmia, Iran (Corresponding Author)
3- Nervous and mental diseases group, Urmia University of Medical Sciences, Urmia, Iran.
2- Department of psychology, Urmia Branch, Islamic Azad university, Urmia, Iran (Corresponding Author)
3- Nervous and mental diseases group, Urmia University of Medical Sciences, Urmia, Iran.
Abstract: (957 Views)
Background & Aim: This research aimed to determine the effectiveness of the emotion regulation intervention on the intensity of fatigue and existential anxiety of women with multiple sclerosis.
Materials & Methods: This study was a semi-experimental research with a pre-test and post-test design and follow-up with a control group. The statistical population included all female patients with MS in Urmia city in 2020. The sample size included 30 people (15 in the experimental and 15 people in the control groups) who were selected by convenience sampling method. For the experimental group, emotion regulation training was implemented, while the control group did not receive any training. The research tools included the fatigue intensity scale and the existential anxiety scale. Data were analyzed using descriptive statistics and analysis of variance tests with repeated measurements.
Results: The results showed that emotion regulation intervention significantly affected the intensity of fatigue and existential anxiety in the post-test stages (P<0.001). In contrast, the effect of intervention in the follow-up phase was insignificant and did not persist (P>0.05).
Conclusion: The findings of this research provide useful information regarding the emotion regulation program and counselors and psychologists can use this intervention to improve the intensity of fatigue and existential anxiety in MS patients.
Materials & Methods: This study was a semi-experimental research with a pre-test and post-test design and follow-up with a control group. The statistical population included all female patients with MS in Urmia city in 2020. The sample size included 30 people (15 in the experimental and 15 people in the control groups) who were selected by convenience sampling method. For the experimental group, emotion regulation training was implemented, while the control group did not receive any training. The research tools included the fatigue intensity scale and the existential anxiety scale. Data were analyzed using descriptive statistics and analysis of variance tests with repeated measurements.
Results: The results showed that emotion regulation intervention significantly affected the intensity of fatigue and existential anxiety in the post-test stages (P<0.001). In contrast, the effect of intervention in the follow-up phase was insignificant and did not persist (P>0.05).
Conclusion: The findings of this research provide useful information regarding the emotion regulation program and counselors and psychologists can use this intervention to improve the intensity of fatigue and existential anxiety in MS patients.
Type of Study: Research |
Subject:
روانپزشکی- روان شناسی
References
1. Gitman V, Stavropoulos A, Saenz V, Pasquarelli N, Zecevic D, Devonshire V. Pregnancy outcomes of women with multiple sclerosis treated with ocrelizumab in Canada: A descriptive analysis of real-world data. Mult Scler Relat Disord 2022; 62:103792. [DOI:10.1016/j.msard.2022.103792] [PMID]
2. Bove R, Anderson A, Rowles W, Rankin KA, Hills NK, Carleton M, Cooper J, Cree BA, Gelfand JM, Graves JS, Henry RG. A hormonal therapy for menopausal women with MS: A phase Ib/IIa randomized controlled trial. Mult Scler Relat Disord 2022; 61:103747. [DOI:10.1016/j.msard.2022.103747] [PMID]
3. Van der Feen FE, De Haan GA, van der Lijn I, Heersema DJ, Meilof JF, Heutink J. Independent outdoor mobility of persons with multiple sclerosis-a systematic review. Mult Scler Relat Disord 2020; 37:101463. [DOI:10.1016/j.msard.2019.101463] [PMID]
4. Dobson R, Giovannoni G. Multiple sclerosis-a review. Eur Neurol 2019; 26(1):27-40. [DOI:10.1111/ene.13819] [PMID]
5. Zhou R, Li H, Yang H, Jiang F, Cai H, Li J, Chen S, Fang L, Yin J, Zeng Q. Serological markers exploration and real-world effectiveness and safety of teriflunomide in south Chinese patients with multiple sclerosis. Mult Scler Relat Disord 2022; 58:103446. [DOI:10.1016/j.msard.2021.103446] [PMID]
6. Hosseininezhad M, Saadat S, Bakhshipour H, Nasiri P. Prevalence and Incidence of Multiple Sclerosis (MS) in Guilan Province. J Shahid Sadoughi Univ Med Sci 2021; 29 (1):3438-3447. (persian) [DOI:10.18502/ssu.v29i1.5887]
7. Huang WC, Lin HC, Yang YH, Hsu CW, Chen NC, Tsai WC, Cheng BC, Tsai NW. Neutrophil-to-lymphocyte ratio and monocyte-to-lymphocyte ratio are associated with a 2-year relapse in patients with multiple sclerosis. Mult Scler Relat Disord 2022; 58:103514. [DOI:10.1016/j.msard.2022.103514] [PMID]
8. Marchesi O, Vizzino C, Filippi M, Rocca MA. Current perspectives on the diagnosis and management of fatigue in multiple sclerosis. Expert Rev Neurother 2022; 22(8):681-93. [DOI:10.1080/14737175.2022.2106854] [PMID]
9. Wood B, Van Der Mei IA, Ponsonby AL, Pittas F, Quinn S, Dwyer T, Lucas RM, Taylor BV. Prevalence and concurrence of anxiety, depression and fatigue over time in multiple sclerosis. Mult Scler 2013; 19(2):217-24. [DOI:10.1177/1352458512450351] [PMID]
10. AlZahrani AS, Alshamrani FJ, Al-Khamis FA, Al-Sulaiman AA, Al Ghamdi WS, Al Ghamdi OA, Mohammad MY, Alshayea MS, Alhazmi RA, Alkhaja MA. Association of acute stress with multiple sclerosis onset and relapse in Saudi Arabia. Saudi Med J 2019;40(4):372. [DOI:10.15537/smj.2019.4.24010] [PMID] [PMCID]
11. Ayache SS, Chalah MA. Fatigue in multiple sclerosis-insights into evaluation and management. Neurophysiol Clin 2017; 47(2):139-71. [DOI:10.1016/j.neucli.2017.02.004] [PMID]
12. AlSaeed S, Aljouee T, Alkhawajah NM, Alarieh R, AlGarni H, Aljarallah S, Ayyash M, Abu-Shaheen A. Fatigue, Depression, and Anxiety Among Ambulating Multiple Sclerosis Patients. Front Immunol 2022;13. [DOI:10.3389/fimmu.2022.844461] [PMID] [PMCID]
13. Butler E, Matcham F, Chalder T. A systematic review of anxiety amongst people with Multiple Sclerosis. Mult Scler Relat Disord 2016;10:145-68. [DOI:10.1016/j.msard.2016.10.003] [PMID]
14. Temple M, Gall TL. Working through existential anxiety toward authenticity: A spiritual journey of meaning making. J Humanist Psychol 2018;58(2):168-93. [DOI:10.1177/0022167816629968]
15. Nikoy Kouhpas E, Karimi Z, Rahmani B, Shoaee F. The Relationship Between Existential Anxiety and Demoralization Syndrome in Predicting Psychological Well-Being of Patient With Cancer. Pract Clin Psychol 2020;8(3):175-82. [DOI:10.32598/jpcp.8.3.515.1]
16. Lichtenthal WG, Nilsson M, Zhang B, Trice ED, Kissane DW, Breitbart W, et al. Do rates of mental disorders and existential distress among advanced stage cancer patients increase as death approaches?: Mental disorders and existential distress. Psychooncology 2009b;18(1):50-61. Available from: http://dx.doi.org/10.1002/pon.1371. [DOI:10.1002/pon.1371] [PMID] [PMCID]
17. Henry A, Tourbah A, Camus G, Deschamps R, Mailhan L, Castex C, Gout O, Montreuil M. Anxiety and depression in patients with multiple sclerosis: The mediating effects of perceived social support. Mult Scler Relat Disord 2019; 27:46-51. [DOI:10.1016/j.msard.2018.09.039] [PMID]
18. Sepas L, Shaker Dioulag A, Khademi A. Comparison of the effectiveness of acceptance-based therapy and reality therapy on reducing anxiety sensitivity in women with MS in Urmia. Counsel Cult Psychother 2022;13(51):85-113 (persian) [Google Scholar]
19. Dehghani Bidgoli T, Mahdian H, Shakiba A. The effectiveness of emotion regulation training and acceptance and commitment therapy (ACT) on psychological pain in patients with multiple sclerosis (MS). J Res Psychopath 2022;3(7):35-46. [URL]
20. Gross JJ. Emotion regulation: Current status and future prospects. Psychol Inq 2015; 26(1):1-26. [DOI:10.1080/1047840X.2014.940781]
21. Gratz KL, Weiss NH, Tull MT. Examining emotion regulation as an outcome, mechanism, or target of psychological treatments. Curr Opin Psychol 2015; 3:85-90. [DOI:10.1016/j.copsyc.2015.02.010] [PMID] [PMCID]
22. Ariapooran S, Rastgoo E, Abdollahzadeh Rafi M. Effectiveness of Emotion Regulation Training on Fatigue and Boredom in Caregiver's Mothers of Children with Severe and Profound Intellectual Disabilities in the COVID-19 Outbreak. Rooyesh 2022;10(11):99-108. (persian) [Google Scholar]
23. Lancaster K, Thomson SJ, Chiaravalloti ND, Genova HM. Improving mental health in Multiple Sclerosis with an interpersonal emotion regulation intervention: A prospective, randomized controlled trial. Mult Scler Relat Disord 2022;60:103643. [DOI:10.1016/j.msard.2022.103643] [PMID]
24. osseini S, Aghababaei Talkhouncheh H. Effectiveness of Emotion Regulation based Treatment on Anxiety of Women Applying for Driving License. J Police Med 2018; 7 (3):111-5. (persian) [Google Scholar]
25. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989;46(10):1121-3. [DOI:10.1001/archneur.1989.00520460115022] [PMID]
26. A'zimiyan M, Fallah-Pour M, Karimlou M. Fatigue severity scale (fss): evaluation of reliability of the Persian version among persons with multiple sclerosis. Arch Rehabilitation 2010;10(4): 46-51. (persian) [Google Scholar]
27. Good LR, Good KC. A preliminary measure of existential anxiety. Psychol Rep 1974; 34(1):72-4. [DOI:10.2466/pr0.1974.34.1.72] [PMID]
28. Hullett MA. A Validation study of the existential anxiety scale. Tennessee: Middle Tennessee Psychological Association Nashville; 1994. [Google Scholar]
29. Marashi, S., Naami, A., Beshlideh, K., Zargar, Y., Ghobari Bonab, B. The Impact of Spiritual Intelligence Training on Psychological Well-Being, Existential Anxiety, and Spiritual Quotient among the Students of Ahvaz Faculty of Petroleum. Psychol Ach 2012;19(1):63-80. (persian) [Google Scholar]
30. Ashori M, Najafi F. Cognitive Emotion Regulation Training on Cognitive Flexibility and Alexithymia in Hearing-Impaired Students. Empower Except Child 2020;10:50. (persian) [Google Scholar]
31. SAFAEINAEINI, K., Narimani, M., kazemi, R., mousazadeh, T. Effectiveness of Motivational Interview and Emotion Regulation Training on Reduction Bulling Behavior and Academic Burnout Juveniles User Virtal Social Networking. Educ Psychol 2019;15(51): 95-126. (persian) [Google Scholar]
32. Renna ME, Quintero JM, Fresco DM, Mennin DS. Emotion regulation therapy: a mechanism-targeted treatment for disorders of distress. Front Psychol. 2017; 8:98. [DOI:10.3389/fpsyg.2017.00098] [PMID] [PMCID]
33. Borna M, Hamid N, Hayati D. On the Predictive Role of Personality Traits, Cognitive Strategies of Emotion Regulation, Attachment Styles, and Brain-Behavioral Systems in Active & Non-Active Addiction and Impulsiveness Potential. Etiadpajohi 2016;10 (37):151-74. (persian) [Google Scholar]
34. Valencia, J., Sinambela, D.F.C. Effectiveness of Emotion Regulation Training on Stress, Anxiety, and Depression for Doctors in Emergency Department During Pandemic COVID-19. Proyeksi 2022;17(1):78-88. [Google Scholar]
35. Havaiy A, Kazemi H, Habibollahi A, Izadikhah Z. The effect of emotion regulation on the amount of tension tolerance and emotion regulation difficulties in women with tension-type headaches. J Shahid Sadoughi Univ Med Sci 2017;24(10):840-851. (persian) [URL]
36. yazdanfar M, Manshaee G, ghamarani A. The effectiveness of treatment based on the model of emotional regulation strategies on pain anxiety in patients with arthritic rheumatoid disease. J Anesthesiol Pain 2020;11(3):43-56. (persian) [Google Scholar]
37. Nesayan A, Hosseini B, Asadi Gandomani R. The effectiveness of emotion regulation skills training on anxiety and emotional regulation strategies in adolescent students. Pract Clin Psychol 2017;5(4):263-70. [DOI:10.29252/nirp.jpcp.5.4.263]
38. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. Guilford Publications; 2018. [URL]
39. ramezanloo, M., Abolmaali Alhosseini, K., Bagheri, F., robatmili, S. The effectiveness of stress-emotion management skills training on quality of life and cognitive emotion regulation of mothers' children with autism spectrum disorder. Psychol Except Indiv 2021;11(41):195-243. (persian) [URL]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir