In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 PhD candidate of health psychology, Karaj Branch, Islamic Azad University , , Karaj, Iran

2 Departament of Health Psychology, Karaj Branch, Islamic Azad university, Karaj,Iran

3 Department of haelth psychology, Karaj Branch. Islamic Azad University, Karaj.Iran

4 MD, neurologist,, fellowship of MS


Objective: Multiple sclerosis is a chronic and disabling disease. The purpose of the present research was to examine the effectiveness of cognitive-behavioral stress management training on the resilience of patients with multiple sclerosis.
Method: This research was a quasi-experimental design with pre-test, post-test and follow-up, and a control group. The statistical population included female patients with MS referred to the Dr. Shahbigi Neurology Clinic in Tehran. The participants were 30 patients who were selected through purposeful sampling and randomly assigned to the two experimental and control groups. The experimental group underwent ten sessions of stress management training based on the Cognitive Behavioral Model. Data were collected using the Connor Davidson Resilience Scale. Research data were analyzed using Mixed Repeated Measures ANOVA.
Results: The results revealed that cognitive-behavioral stress management training could significantly enhance the resilience of patients with MS.
Conclusion: Therefore, the use of cognitive-behavioral stress management training could be effective in improving the resilience of patients with MS.


Article Title [Persian]

اثربخشی آموزش مدیریت استرس مبتنی بر مدل شناختی‌رفتاری بر تاب‌آوری بیماران مبتلا به مولتیپل اسکلروزیس

Authors [Persian]

  • مریم حاجی لو 1
  • حسن احدی 2
  • محمدرضا صیرفی 3
  • سعید شاه بیگی 4

1 دانشجوی دکتری ، گروه روانشناسی سلامت ،واحدکرج دانشگاه آزاد اسلامی، کرج، ایران

2 گروه روانشناسی سلامت،واحدکرج،دانشگاه آزاد اسلامی، کرج، ایران

3 گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران

4 پزشک، متخصص مغز واعصاب، فلوشیپ بیماریهای التهابی مغز

Abstract [Persian]

هدف: مولتیپل اسکلروزیس یک بیماری مزمن و ناتوان کننده است. هدف از پژوهش حاضر ، بررسی اثربخشی مدیریت استرس مبتنی بر روش شناختی- رفتاری بر تاب آوری بیماران مبتلا به مولتیپل اسکلروزیس بود.
روش: پژوهش حاضر از نوع نیمه تجربی با طرح پیش آزمون، پس آزمون و پیگیری بود. جامعه آماری شامل زنان مبتلا به MS بود که به کلینیک مغز و اعصاب دکتر شاه بیگی در تهران مراجعه کرده بودند که از این بین، به روش نمونه گیری هدفمند 30 بیمار انتخاب و به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش تحت 10 جلسه آموزش مدیریت استرس مبتنی بر روش شناختی- رفتاری قرار گرفت. داده ها با استفاده از مقیاس تاب آوری کانر دیویدسون جمع آوری شد و با استفاده از آزمون تحلیل واریانس آمیخته همراه با اندازه‌گیری مکرر تحلیل شد.
یافته‌ها: نتایج نشان داد که آموزش مدیریت استرس مبتنی بر روش شناختی- رفتاری می‌تواند به طور معناداری موجب افزایش سطح تاب آوری در بیماران مبتلا به MS شود.
نتیجه‌گیری: بنابراین، استفاده از مدیریت استرس مبتنی بر روش شناختی- رفتاری می‌تواند در ارتقاء تاب آوری بیماران مبتلا به MS موثر باشد.

Keywords [Persian]

  • "مولتیپل اسکلروزیس "."تاب‌آوری "."مدیریت استرس"."سلامت"
Alfredsson, L., & Olsson, T. (2019). Lifestyle and environmental factors in multiple sclerosis. Cold Spring Harbor perspectives in medicine9(4), a028944.
Anagnostouli, M., Babili, I., Chrousos, G., Artemiadis, A., & Darviri, C. (2019). A novel cognitive-behavioral stress management method for multiple sclerosis. A brief report of an observational study. Neurological research, 41(3), 223-226.
Black, R., & Dorstyn, D. (2015). A biopsychosocial model of resilience for multiple sclerosis. Journal of health psychology20(11), 1434-1444.
Blankespoor, R. J., Schellekens, M. P., Vos, S. H., Speckens, A. E., & de Jong, B. A. (2017). The effectiveness of mindfulness-based stress reduction on psychological distress and cognitive functioning in patients with multiple sclerosis: a pilot study. Mindfulness8(5), 1251-1258.
Blumenthal, J. A., Sherwood, A., Smith, P. J., Watkins, L., Mabe, S., Kraus, W. E., ... & Hinderliter, A. (2016). Enhancing cardiac rehabilitation with stress management training: a randomized, clinical efficacy trial. Circulation133(14), 1341-1350.
Campbell-Sills, L., Cohan, S. L., & Stein, M. B. (2006). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44(3), 585–599.
Clauss-Ehlers, C. S. (2008). Sociocultural factors, resilience and coping: Support for a culturally sensitive measure of resilience. Journal of Applied Developmental Psychology, 29(2), 197–212.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(9), 76–82.
Davydov, D. M., Stewart, R., Ritchie, K., & Chaudieu, I. (2010). Resilience and mental health. Clinical Psychology Review, 30(3), 479–495.
Denz-Penhey, H., & Murdoch, J. C. (2018). Personal resiliency: Serious diagnosis and prognosis with unexpected quality outcomes. Qualitative Health Research, 18(3), 391–404
 Etemadifar, M., Sajjadi, S., Nasr, Z., & Fereidan-Esfahani, M. (2013). Epidemiology of multiple sclerosis in Iran: a systematic review. European neurology70(5-6), 356-363. [Persian]
Firth, N. (2014). Effectiveness of psychologically focused group interventions for multiple sclerosis: A review of the experimental literature. Journal of health psychology, 19(6), 789-801.
Gajofatto, A., Donisi, V., Busch, I. M., Gobbin, F., Butturini, E., Calabrese, M., ... & Fabene, P. (2019). Biopsychosocial model of resilience in young adults with multiple sclerosis (BPS-ARMS): an observational study protocol exploring psychological reactions early after diagnosis. BMJ open9(8), 110-121.
Gloster, A. T., Klotsche, J., Aggeler, T., Geisser, N., Juillerat, G., & Gaab, J. (2019). Psychoneuroendocrine evaluation of an acceptance and commitment based stress management training. Psychotherapy Research, 29(4), 503-513.
Graham, J. R., Sorenson, S., & Hayes-Skelton, S. A. (2013). Enhancing the cultural sensitivity of cognitive behavioral interventions for anxiety in diverse populations. The Behavior therapist/AABT36(5), 101.
Harirchian, M. H., Fatehi, F., Sarraf, P., Honarvar, N. M., & Bitarafan, S. (2018). Worldwide prevalence of familial multiple sclerosis: A systematic review and meta-analysis. Multiple sclerosis and related disorders20(4), 43-47.
 Marrie, R. A., Garland, A., Schaffer, S. A., Fransoo, R., Leung, S., & Tremlett, H. (2019). Traditional risk factors may not explain increased incidence of myocardial infarction in MS. Neurology92(14), e1624-e1633.
Mehraban, S., Bahmani, B., Azimian, M., & Rezasoltani, P. (2015). 15The Effectiveness of Cognitive-Behavioral-Based Stress Management Training on Anxiety in Female MS Patients. Iranian Rehabilitation Journal, 13(3), 49-53. [Persian]
Moosazadeh, M., Esmaeili, R., Nasehi, M. M., Abedi, G., Afshari, M. (2017). Prevalence of familial multiple sclerosis in Iran: A systematic review and meta-analysis. Iranian journal of neurology16(2), 90-99. [Persian]
Rainone, N., Chiodi, A., Lanzillo, R., Magri, V., Napolitano, A., Morra, V. B., ... & Freda, M. F. (2017). Affective disorders and health-related quality of life (HRQoL) in adolescents and young adults with multiple sclerosis (MS): the moderating role of resilience. Quality of Life research26(3), 727-736.
Riley, K. E., Park, C. L., Wilson, A., Sabo, A. N., Antoni, M. H., & Cope, S. (2017). Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management. Journal of Workplace Behavioral Health32(1), 26-48.
Salehi, Z., Almasi-Hashiani, A., Sahraian, M. A., & Eskandarieh, S. (2020). Epidemiology of familial multiple sclerosis: A population-based study in Tehran during 1999–2018. Multiple Sclerosis and Related Disorders, 43(11), 112-118. [Persian]
 Senders, A., Sando, K., Wahbeh, H., Peterson Hiller, A., & Shinto, L. (2016). Managing psychological stress in the multiple sclerosis medical visit: Patient perspectives and unmet needs. Journal of health psychology21(8), 1676-1687.
Terp, U., Hjärthag, F., & Bisholt, B. (2019). Effects of a cognitive behavioral-based stress management program on stress management competency, self-efficacy and self-esteem experienced by nursing students. Nurse educator44(1), E1-E5.
Valizadeh, R., Sohrabnejad, S., Mehraban, S., & Ahmadboukani, S. (2015). Effectiveness of Cognitive-Behavioral Based Stress Management Training on Depression of MS Female Patients. scientific journal of ilam university of medical sciences23(5), 91-98. [Persian]