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Can a stress management programme reduce stress and improve quality of life in people diagnosed with multiple sclerosis?

Susan Agland, Amanda Lydon, Sally Shaw, Rodney Lea, Sheila Mortimer-Jones, Jeannette Lechner-Scott

Multiple sclerosis journal - experimental, translational and clinical October 1, 2018 DOI: 10.1177/2055217318813179 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 100
Population People with multiple sclerosis
Interventions Mindfulness meditation progressive muscle relaxation
Duration 6 months
Topics Meditation
Keywords Multiple sclerosis Perceived stress Stress management Progressive muscle relaxation
Key findings The stress management programme did not significantly reduce perceived stress when mean scores were compared. In a secondary analysis using median scores, quality of life improved significantly in the intervention group relative to the wait list.

Abstract

Background: Despite evidence of perceived stress as a risk factor for multiple sclerosis activity, the evidence for managing stress is limited.Objective To evaluate a stress management programme on perceived stress and quality of life, over 6 months.

Methods: One hundred people with multiple sclerosis were randomly assigned to either a stress management programme of mindfulness, meditation and progressive muscle relaxation, or wait list. Perceived stress and quality of life were assessed at three intervals across 6 months. Salivary cortisol levels were assessed at two intervals: baseline and first follow-up.

Results: The stress management programme did not significantly reduce perceived stress, when comparing mean scores. Secondary analysis using median scores found a significant improvement for quality of life, favouring the intervention group.

Conclusion: Stress management had no significant effect on the primary outcome of perceived stress but did improve quality of life in a secondary analysis of median scores.

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