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

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 lar...

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Main Authors: Mina Beitollahi, Mansooreh Azizzadeh Forouzi, Batool Tirgari, Yunes Jahani
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Neurology
Subjects:
Online Access:https://doi.org/10.1186/s12883-022-02677-3
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author Mina Beitollahi
Mansooreh Azizzadeh Forouzi
Batool Tirgari
Yunes Jahani
author_facet Mina Beitollahi
Mansooreh Azizzadeh Forouzi
Batool Tirgari
Yunes Jahani
author_sort Mina Beitollahi
collection DOAJ
description 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.
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spelling doaj.art-8e89bf3ac2014dd98aa8954d4058fdf52022-12-22T01:54:36ZengBMCBMC Neurology1471-23772022-04-012211910.1186/s12883-022-02677-3Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imageryMina Beitollahi0Mansooreh Azizzadeh Forouzi1Batool Tirgari2Yunes Jahani3Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical SciencesNursing Research Center, Kerman University of Medical SciencesNursing Research Center, Kerman University of Medical SciencesModelling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesAbstract 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.https://doi.org/10.1186/s12883-022-02677-3Multiple sclerosisGuided imageryFatigueStigmaMood
spellingShingle Mina Beitollahi
Mansooreh Azizzadeh Forouzi
Batool Tirgari
Yunes Jahani
Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
BMC Neurology
Multiple sclerosis
Guided imagery
Fatigue
Stigma
Mood
title Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
title_full Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
title_fullStr Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
title_full_unstemmed Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
title_short Fatigue, stigma, and mood in patients with multiple sclerosis: effectiveness of guided imagery
title_sort fatigue stigma and mood in patients with multiple sclerosis effectiveness of guided imagery
topic Multiple sclerosis
Guided imagery
Fatigue
Stigma
Mood
url https://doi.org/10.1186/s12883-022-02677-3
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