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Relaxation and Health-Related Quality of Life in Multiple Sclerosis: The Example of Autogenic Training

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Abstract

This study was a pilot project to explore the effect of an autogenic training program (AT; a relaxation intervention) on the health-related quality of life (HRQOL) and well-being for people with multiple sclerosis. Participants either met weekly for sessions in AT for 10 weeks (n = 11) or were assigned to the control group (n = 11). The AT group was also asked to practice the technique daily at home. Scales designed to measure HRQOL and aspects of well-being (mood and depressed affect) were taken preintervention and at week 8 of the 10-week program. ANCOVAs using a measure of social support and pretest scores as covariates revealed that at the posttest the AT group reported more energy and vigor than the control group and were less limited in their roles due to physical and emotional problems. Future research should involve studies conducted over an extended period, together with sufficiently sized samples to explore the effect of frequency of practice of relaxation training on HRQOL and well-being for people with multiple sclerosis.

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References

  • Antoni, M. H., Baggett, L., Ironson, G., LaPerriere, A., August, S., Klimas, N., Schneiderman, N., and Fletcher, M. A. (1991). Cognitive-behavioral stress management intervention buffers distress responses and immunologic changes following notification of HIV-1 seropositivity. J. Consult. Clin. Psychol. 59(6): 906–915.

    Google Scholar 

  • Barnes, R. H., Busse, E. W., and Dinken, H. (1954). The alleviation of emotional problems in multiple sclerosis by group psychotherapy. Group Psychother. 6: 193–201.

    Google Scholar 

  • Buljevac, D., Hop, W. C., Reedeker, W., Janssens, A. C., van der Meche, F. G., van Doorn, P. A., and Hintzen, R. Q. (2003). Self reported stressful life events and exacerbations in multiple sclerosis: prospective study. Br. Med. J. 327(7416): 646.

    Google Scholar 

  • Charcot, J. M. (1879). Lectures on the Diseases of the Nervous System, New Sydenham Society, London.

    Google Scholar 

  • Cohen, J. (1988). Statistical Power Analysis for the Behavioural Sciences, Erlbaum, Hillside, NJ.

    Google Scholar 

  • Crawford, J. D., and McIvor, G. P. (1987). Stress management for multiple sclerosis patients. Psychol. Rep. 61(2): 423–429.

    Google Scholar 

  • Dane, J. R. (1996). Hypnosis for pain and neuromuscular rehabilitation with multiple sclerosis: case summary, literature review and analysis of outcomes. Int. J. Clin. Exp. Hypnosis 44(3): 208–231.

    Google Scholar 

  • Day, M., Day, E., and Herrmann, R. (1953). Group therapy of patients with multiple sclerosis; a preliminary report. Arch. Neurol. Psychiatr. 69(2): 193–196.

    Google Scholar 

  • Dinges, D. F., Whitehouse, W. G., Orne, E. C., Bloom, P. B., Carlin, M. M., Bauer, N. K., Gillen, K. A., Shapiro, B. S., Ohene-Frempong, K., Dampier, C., and Orne, M. (1997). Self-hypnosis training as an adjunctive treatment in the management of pain associated with sickle cell disease. Int. J. Clin. Exp. Hypnosis 45(4): 417–432.

    Google Scholar 

  • Eller, L. S. (1999). Effects of cognitive-behavioral interventions on quality of life in persons with HIV. Int. J. Nurs. Studies 36(3): 223–233.

    Google Scholar 

  • Elsesser, K., van Berkel, M., Sartory, G., Biermann-Goeke, W., and Ohl, S. (1994). The effects of anxiety management training on psychological variables and immune parameters in cancer patients: A pilot study. Behav. Cognit. Psychother. 22: 13–23.

    Google Scholar 

  • Feinstein, A. (1995). Depression associated with multiple sclerosis: An etiological conundrum. Can. J. Psychiatr. 40(10): 573–576.

    Google Scholar 

  • Foley, F. W., Bedell, J. R., LaRocca, N. G., Scheinberg, L. C., and Reznikoff, M. (1987). Efficacy of stress-inoculation training in coping with multiple sclerosis. J. Consult. Clin. Psychol. 55(6): 919–922.

    Google Scholar 

  • Kazarian, S. S., and McCabe, S. B. (1991). Dimensions of social support in the MSPSS: Factorial structure, reliability and theoretical implications. J. Commun. Psychol. 19: 150–160.

    Google Scholar 

  • Kerns, R. D., Kassirer, M., and Otis, J. (2002). Pain in multiple sclerosis: A biopsychosocial perspective. J. Rehabil. Res. Dev. 39(2): 225–232.

    Google Scholar 

  • Krupp, L. B. (2003). Fatigue in multiple sclerosis: Definition, pathophysiology and treatment. CNS Drugs 17(4): 225–234.

    Google Scholar 

  • Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status score (EDSS). Neurology 33: 1444–1452.

    Google Scholar 

  • Larcombe, N. A., and Wilson, P. H. (1984). An evaluation of cognitive-behaviour therapy for depression in patients with multiple sclerosis. Br. J. Psychiatr. 145: 366–371.

    Google Scholar 

  • LaRocca, N. G., Kalb, R. C., Foley, F. W., and Caruso, L. S. (1993). Assessment of psychosocial outcomes. J. Neurol. Rehabil. 7: 109–116.

    Google Scholar 

  • Lechtenberg, R. (1995). Multiple Sclerosis Fact Book, Davis, Philadelphia.

    Google Scholar 

  • Linden, W. (1994). Autogenic training: A narrative and quantative review of clinical outcome. Biofeedback Self-Regul. 19: 227–264.

    Google Scholar 

  • Lundgren, S., and Stenstrom, C. H. (1999). Muscle relaxation training and quality of life in rheumatoid arthritis. A randomized controlled clinical trial. Scand. J. Rheumatol. 28(1): 47–53.

    Google Scholar 

  • Maguire, B. L. (1996). The effects of imagery on attitudes and moods in multiple sclerosis patients. Altern. Ther. Health Med. 2(5): 75–79.

    Google Scholar 

  • Medd, D. Y. (1992). The use of hypnosis in multiple sclerosis. Four case studies. Contemp. Hypnosis 2: 62–65.

    Google Scholar 

  • Miller, C. M. (1997). The lived experience of relapsing multiple sclerosis: A phenomenological study. J. Neurosci. Nurs. 29(5): 294–304.

    Google Scholar 

  • Mohr, D. C., Goodkin, D. E., Likosky, W., Gatto, N., Baumann, K. A., and Rudick, R. A. (1997). Treatment of depression improves adherence to interferon beta-1b therapy for multiple sclerosis. Arch. Neurol. 54(5): 531–533.

    Google Scholar 

  • Mohr, D. C., Likosky, W., Bertagnolli, A., Goodkin, D. E., Van Der Wende, J., Dwyer, P., and Dick, L. P. (2000). Telephone-administered cognitive-behavioral therapy for the treatment of depressive symptoms in multiple sclerosis. J. Consult. Clin. Psychol. 68(2): 356–361.

    Google Scholar 

  • Murray, T. J. (1995). The psychosocial aspects of multiple sclerosis. Neurol. Clin. 13(1): 197–223.

    Google Scholar 

  • Nyak, S., Matheis, R. J., Schoenberger, N. E., and Shiflett, S. C. (2003). Use of unconventional therapies by individuals with multiple sclerosis. Clin. Rehabil. 17: 181–191.

    Google Scholar 

  • Paty, W. D., and Ebers, G. C. (1998). Clinical featues in multiple sclerosis. In Paty, W. D., and Ebers, G. C. (Eds.), Multiple Sclerosis, Davis, Philadelphia, pp. 135–191.

    Google Scholar 

  • Petajan, J. H., Gappmaier, E., White, A. T., Spencer, M. K., Mino, L., and Hicks, R. W. (1996). Impact of aerobic training on fitness and quality of life in multiple sclerosis. Ann. Neurol. 39(4): 432–441.

    Google Scholar 

  • Payne, R. A. (2004). Relaxation techniques. In Kolt, G. S., and Andersen, M. B. (Eds.), Psychology in Physical and Manual Therapies. Churchill Livingstone, Edinburgh, pp. 111–124.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Appl. Psychol. Measure. 1: 385–401.

    Google Scholar 

  • Rudick, R. A., Miller, D., Clough, J. D., Gragg, L. A., and Farmer, R. G. (1992). Quality of life in multiple sclerosis. Comparison with inflammatory bowel disease and rheumatoid arthritis. Arch. Neurol. 49(12): 1237–1242.

    Google Scholar 

  • Sachs, B. C. (1986). Stress and self-hypnosis. Psychiatr. Ann. 16: 110–114.

    Google Scholar 

  • Schapiro, R. T. (1994). Symptom management in multiple sclerosis. Ann. Neurol. 36(Suppl.): S123–S129.

    Google Scholar 

  • Schultz, J. H., and Luthe, W. (1959). Autogenic Training: A Psychophysiologic Approach to Psychotherapy. Grune and Stratton, New York.

    Google Scholar 

  • Schwartz, C. E., Coulthard-Morris, L., and Zeng, Q. (1996). Psychosocial correlates of fatigue in multiple sclerosis. Arch. Phys. Med. Rehabil. 77(2): 165–170.

    Google Scholar 

  • Shacham, S. (1983). A shortened version of the Profile of Mood States. J. Pers. Assess. 47(3): 305–306.

    Google Scholar 

  • Spinhoven, P., Linssen, A. C., Van Dyck, R., and Zitman, F. G. (1992). Autogenic training and self-hypnosis in the control of tension headache. Gen. Hospital Psychiatr. 14(6): 408–415.

    Google Scholar 

  • Sutherland, G., and Andersen, M. B. (2001). Exercise and multiple selerosis: Physiological, psychological, and quality of life issues. J. Sports Med. Phys. Fitness. 41(4): 421–432.

    Google Scholar 

  • Tabachnick, B. G., and Fidell, L. S. (1996). Using Multivariate Statistics, Harper Collins, New York.

    Google Scholar 

  • Tesar, N., Baumhackl, U., Kopp, M., and Gunther, V. (2003). Effects of psychological group therapy in patients with multiple sclerosis. Acta Neurol. Scand. 107(6): 394–399.

    Google Scholar 

  • Verdier-Taillefer, M. H., Gourlet, V., Fuhrer, R., and Alperovitch, A. (2001). Psychometric properties of the Center for Epidemiologic Studies-Depression scale in multiple sclerosis. Neuroepidemiology 20(4): 262–267.

    Google Scholar 

  • Vickrey, B. G., Hays, R. D., Harooni, R., Myers, L. W., and Ellison, G. W. (1995). A health-related quality of life measure for multiple sclerosis. Qual. Life Res. 4(3): 187–206.

    Google Scholar 

  • Westarp, M. E. (2000). Medical rehabilitation of chronic progressive disseminated encephalomyelitis (MS). J. Neurovirol. 6(Suppl. 2): S176–S178.

    Google Scholar 

  • Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J. Pers. Assess. 55(3/4): 610–617.

    Google Scholar 

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Authors and Affiliations

  1. Centre for Rehabilitation, Exercise and Sport Science, Victoria University, P.O Box 14428, Melbourne, Victoria, 8001, Australia

    Georgina Sutherland, Mark B. Andersen & Tony Morris

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  1. Georgina Sutherland
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  2. Mark B. Andersen
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Correspondence to Mark B. Andersen.

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Sutherland, G., Andersen, M.B. & Morris, T. Relaxation and Health-Related Quality of Life in Multiple Sclerosis: The Example of Autogenic Training. J Behav Med 28, 249–256 (2005). https://doi.org/10.1007/s10865-005-4661-2

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