MS Multiple sclerosis
Conditions
Interventions
The therapists will use an 8-session group protocol of two hours, based on the
work of Jansen & Batink (2014) and Luoma & Hayes (2009).
Patients will receive a book with background information and e
Sponsors
Overige Ziekenhuizen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - age 18 to 60 years; - a clinically definite MS diagnosis (McDonald-criteria 2010) (Polman et al., 2010); - reduced activity engagement: two or more restrictions on the Utrecht Scale for Evaluation of Revalidation-Participation (User-P, Van der Zee, et al., 2010) ; - problems accepting the illness and - motivation for an 8-session psychological group intervention focusing on acceptance in chronic illness, based on clinical judgment of a psychologist
Exclusion criteria
Exclusion criteria: - MS relapse or corticosteroid use within the past 4 weeks - Severe psychiatric disorders (e.g. a current severe depressive episode, psychosis, social phobia, delirium, dementia or severe cognitive impairment) - Non-fluent in Dutch language - Intellectual disability or lack of verbal abstraction, based on educational history and clinical judgment - Earlier treatment based on ACT and/or MBCT.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Utrecht Scale for Evaluation of Revalidation-Participation (USER-P) will be used to measure the level of activity and participation in the areas vocational activity, leisure and social activity weekly. General QoL will also be measured with the USER-P. The last subscale of this questionnaire asks for satisfaction in the areas housekeeping, vocational activity, leisure and social activity. Health related QoL will be measured with the Multiple Sclerosis Quality of Life instrument (MS-QoL-54). The MS-QoL will be completed together with the secondary study parameters at start of the waiting list period, at start of the intervention, at the end of the intervention and one and three months after completing the intervention. Patients will be asked daily to score how content they are with their daily life on a visual analogue scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychological flexibility will be measured weakly with the Acceptance and Action Questionnaire (AAQ-II) and the Cognitive Fusion Questionnaire (CFQ-13), and with the Flexibility Index Test (FIT-60) together with the other secondary study parameters. Symptoms of depression and anxiety will be measured with the Hospital Anxiety and Depression Scale (HADS). Fatigue will be measured with the fatigue severity subscale of the Checklist Individual Strenght-20 (CIS-20). Coping styles will be measured with the Coping Inventory of Stressful Situations (CISS). Proactive coping will be measured with the Utrecht Proactive Coping Competence Scale (UPCC). | — |
Countries
Netherlands
Outcome results
None listed