Multiple Sclerosis Clinical Trial
Official title:
Mindfulness-based Stress Reduction in Multiple Sclerosis - a Randomised Controlled Trial
This application concerns a proposed randomised controlled trial evaluating the use of
Mindfulness-based stress reduction (MBSR) in people with Multiple Sclerosis (MS) in secondary
care.
MS is an inherently stressful condition, and stress is thought to exacerbate MS. Mental
health problems are common in MS, can impair quality of life, and lead to higher rates of
suicide.
Prior research has shown that cognitive behavioural therapy (CBT) can help mitigate stress
and diminish disease activity in MS, but effects are short-lived and there is thus a need to
explore whether other psychological approaches might be more beneficial in this regard.
MBSR is another psychological stress reduction technique that is thought to operate
differently to CBT, via cultivating a state of "meta-cognitive awareness" and has shown to be
helpful when used in other long term conditions, such as chronic pain and anxiety, whilst
Mindfulness-based cognitive therapy (MBCT - a derivative of MBSR) is effective in treating
recurrent depression. All of these conditions are common in MS. However, mindfulness based
interventions have not been well studied in MS.
The investigators propose to carry out a feasibility study to assess how acceptable and
accessible MBSR is as a stress reduction technique in people with MS. The investigators would
seek up to 50 participants who would then be randomly assigned to receive MBSR or their usual
care. The investigators would seek measurements of health and wellbeing before, immediately
following, and 3 months following the MBSR intervention. This would include basic demographic
information (age, gender, ethnicity), measures of mental health, and physical health, as well
as qualitative semi-structured interviews with selected participants. After this we would
offer MBSR to the control group.
n/a
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