| 1. Citation: |
Malcomson, K. S., Dunwoody, L., & Lowe-Strong, A. S. (2007). Psychosocial interventions in people with multiple sclerosis. Journal of Neurology, 245(1), 1-13. |
| Abstract: |
Background: Individuals with multiple sclerosis (MS) encounter many health, psychosocial, and employment related needs. Psychosocial interventions are intended to help individuals with MS cope with psychological, emotional, and social challenges.
Objectives: To review the effectiveness and methodological quality of research on psychosocial interventions in people with MS.
Search strategy: A computerized literature search of the following databases was conducted: AMED, ASSIA, BNID, CAB, CareData, CINAHL, MEDLINE, EMBASE, Cochrane Controlled Trail register, Pubmed, IBSS, Proquest, PsycINFO, The Cochrane Multiple Sclerosis Group Specialized register, Web of Science, and Zetoc. The authors also searched the reference lists of published articles and conducted a hand search of relevant journals.
Selection criteria: The authors identified studies investigating the effectiveness of psychosocial interventions on quality of life in adults with MS. The primary outcome measure was emotional well-being and/or quality of life. Studies written in English and published prior to January 2006 were considered for inclusion. Non-experimental designs and conference proceedings were excluded from the review.
Data collection and analysis: The authors assessed the methodological quality of each study using the Downs and Black checklist. Main findings, research design, statistical data, and underlying theories were extracted for analysis. There were few high quality studies identified.
Main results: Thirty-three studies were included in the final review. The authors describe six categories of interventions: 1) cognitive behavioral therapy for depression, 2) group psychotherapy, 3) wellness and support, 4) exercise and movement, 5) relaxation, and 6) stress management. Some evidence of benefit was found for education, goal setting, exercise, discussion forums and multidisciplinary teams.
Conclusions: The authors report some evidence for psychosocial intervention strategies. However, the methodological quality of the majority of studies was poor.
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