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Mindfulness-based cognitive therapy combined with repetitive transracial magnetic stimulation (rTMS) on information processing and working memory of patients with multiple sclerosis.

Majid Eydi-Baygi, Abdolaziz Aflakseir, Mehdi Imani, Mohammad Ali Goodarzi, Mohammad Hossein Harirchian

Caspian journal of internal medicine 2022 DOI: 10.22088/cjim.13.3.607 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Single-case experimental design (A-B-A with follow-up) Peer reviewed
Sample size 5
Population MS patients in Tehran who referred to Imam Khomeini Hospital in 2020
Intervention Mindfulness-based cognitive therapy
Dose 10 Hz
Measures Zahlen-Verbindongs test, n-back test (two-back position)
Topics Meditation
Keywords Information processing Ms patients Mindfulness-based cognitive therapy Working memory
Key findings Combining mindfulness-based cognitive therapy with 10 Hz rTMS was associated with improvements in information processing and working memory in five MS patients. Recovery percentages were 67.24% after intervention and 53.64% at follow-up for information processing, and 104.04% after intervention and 76.98% at follow-up for working memory. The authors conclude the combination has a beneficial effect on cognitive problems in MS.

Abstract

MS is a demyelinating disease that can result in significant disability. Along with physical complications, this disease is associated with significant psychological complications, including cognitive decline. Therefore, this study aimed to determine the efficacy of mindfulness-based cognitive therapy in combination with rTMS on information processing and working memory in patients with MS. The current study used a single-case experimental design and included a follow-up (A-B-A). The statistical population of the present study was all MS patients in Tehran who referred to Imam Khomeini Hospital in Tehran in 2020. The present study sample consisted of 5 MS patients selected by the sampling methods available. Subjects were assessed three times before, during, and after the intervention using the Zahlen-Verbindongs and n-back tests in the two-back position. Subjects received cognitive therapy based on mindfulness and rTMS at a frequency of 10 Hz. Visual and graphical recovery percentage and effect size methods were used to analyze the data. The current study's findings indicate that combining mindfulness with rTMS has a beneficial effect on the information processing and working memory of MS patients. Overall, 67.24% recovered following the intervention stage, 53.64% recovered following the follow-up for information processing, 104.04% recovered following the intervention stage, and 76.98% recovered following the follow-up for working memory. The study shows the effect of mindfulness combined with rTMS on cognitive problems in MS patients. Significant improvements in MS patients' information processing, working memory, and therapeutic outcomes were observed throughout the follow-up period.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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