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Psychotherapy with multiple-sclerosis patients.

A Langenmayr1, N Schöttes

  • 1Universität-Gesamthochschule Essen, Germany.

Psychological Reports
|June 7, 2000
PubMed
Summary
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Group psychotherapy positively impacted multiple sclerosis patients, improving physical mobility, optimism, and reducing fatigue. Psychoanalytic interpretation suggests resistance to anxiety release.

Area of Science:

  • Psychiatry
  • Neurology
  • Psychology

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease with significant physical and psychological impacts.
  • The role of psychotherapy in managing the physical and coping aspects of MS requires further investigation.

Purpose of the Study:

  • To determine if group psychotherapy influences the physical course of multiple sclerosis.
  • To assess the impact of psychotherapy on patients' coping processes.

Main Methods:

  • A 1-year group psychotherapy intervention was compared with a control group of 46 and 24 MS patients, respectively.
  • Psychometric assessments included the Giessen test, Achievement Capacities Questionnaire, intensive interviews, and Gottschalk & Gleser scales.
  • Data collection occurred at four time points with a 2-year follow-up.

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Main Results:

  • The psychotherapy group showed significant improvements in relationships and reduced aggression compared to the control group.
  • Physical symptoms improved in the therapy group, including increased mobility and decreased self-care, interpreted psychoanalytically.
  • Follow-up revealed greater optimism and physical improvements (e.g., reduced coldness, fatigue) in the therapy group.

Conclusions:

  • Group psychotherapy offers potential benefits for managing physical symptoms and enhancing coping in multiple sclerosis patients.
  • Psychoanalytic interpretation suggests therapy may facilitate the release of repressed anxiety.
  • Further research is warranted, acknowledging potential research participation effects on both groups.