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09:41
Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
12.1K
Telephone psychotherapy in multiple sclerosis: A systematic review and meta-analysis
Barnaby J Proctor1, Nima Moghaddam2, William Vogt2
1Division of Psychiatry and Applied Psychology, University of Nottingham.
Rehabilitation Psychology
|March 20, 2018
Summary
Telephone psychotherapy offers moderate short-term benefits for depression and other symptoms in multiple sclerosis (MS) patients. However, long-term effects are limited, and higher-quality studies are needed to confirm these findings.
Area of Science:
- Psychology
- Neurology
- Telehealth
Background:
- Multiple sclerosis (MS) significantly impacts patients' psychological well-being.
- Telephone psychotherapy is an accessible intervention that may address these psychological needs.
Purpose of the Study:
- To systematically review the evidence on the effectiveness of telephone psychotherapy for psychological outcomes in individuals with multiple sclerosis (MS).
Main Methods:
- A systematic search of multiple databases (EMBASE, PsycINFO, MEDLINE, etc.) was conducted to identify relevant randomized controlled trials (RCTs).
- Methodological quality was assessed, and data from 11 RCTs involving 1,104 participants were meta-analyzed.
Main Results:
- A moderate effect was observed for telephone psychotherapy on reducing depression (SMD 0.47).
- Small to moderate short-term benefits were found for fatigue, quality of life, MS symptoms, physical activity, and medication adherence.
- All included studies had at least one risk of bias, and study designs were heterogeneous.
Conclusions:
- Telephone psychotherapy demonstrates short-term efficacy for several psychological and health-related outcomes in MS patients.
- Sustained benefits were minimal, highlighting the need for higher-quality research to validate these findings and explore long-term effectiveness.
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