The effectiveness of mindfulness training program on the defense mechanisms of MS patients

Mahmoudfakhe, Heman; Sohrabi, Pariya; Amani, Arman

doi:10.22098/jrp.2022.9254.1035

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	The effectiveness of mindfulness training program on the defense mechanisms of MS patients
Journal of Research in Psychopathology
دوره 2، شماره 6، 2021، صفحه 1-9 اصل مقاله (832.53 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2022.9254.1035
نویسندگان
Heman mahmoudfakhe^* ¹؛ Pariya Sohrabi²؛ Arman Amani³
¹Assistant Professor of Psychology, Payame Noor University, Iran.
²Master of General Psychology, Payam-E-Noor University, Iran
³Nursing expert, Orumieh, Iran
چکیده
Multiple sclerosis is a progressive and degenerative disease of the myelin sheath of nerve cells in the central nervous system. MS patients have much higher levels of psychological disorders than healthy individuals that affect their quality of life. Defense mechanisms are strongly associated with the degree of stress tolerance in stressful situations, on the other hand, the experience of pain plays an important role in the mental health and quality of life of MS patients. The present study aimed at investigating the effectiveness of mindfulness on defense mechanisms in patients with MS. The population of the case group was people with MS in Urmia in 2019 who had medical and neurological records in hospitals. In this experimental study, the sample selected through availability sampling consisted of 40 MS patients who were randomly divided into two groups of experimental and control groups. Defense Mechanisms Questionnaire (DSQ) was used to collect data. The data were analyzed by multivariate analysis of variance. The results showed that the differences between the means of the groups were significant for immature mechanisms (F = 22.649), mature mechanisms (F = 25.99), and psychiatric mechanisms. Thus, mindfulness training had affected defense mechanisms effectively. It is suggested that implementing the necessary training to MS patients and their family can enhance their mindfulness.
کلیدواژه‌ها
Mindfulness؛ defense mechanisms؛ MS patients

مراجع
Abdulkhodai, Z., Shahidi, S., Mazaheri, M. A., Panaghi, L., & Nejati, V. (2018). Psychological Strategies for Dealing with Disease in Patients with Multiple Sclerosis (MS): Phenomenological Study, Journal of Health Psychology, 6 (4), 7-30. https://hpj.journals.pnu.ac.ir/article_4533_en.html Abolghasemi, A., & Najarian, b. (2009). Exam anxiety, causes, assessment and treatment. Psychological Research, 15(4,). 82-97. Afzali Mohammad, H., Fathi Ashtiani Ali, & Azad Fallah Parviz. (2008). Comparison of defense styles and mechanisms in patients with obsessive-compulsive disorder and healthy individuals. Journal of Behavioral Sciences, 2 (3), 252-243. doi: 10.22075/jcp.2017.1999 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th edition.). Arlington: American Psychiatric. doi: 10.1176/appi.books.9780890425596 Andrews, G., Singh, M., & Bond, M. (1993). The Defense Style Questionnaire. Journal of Nervous and Mental Disease, 181, 246-256. doi: 10.1097/00005053-199304000-00006 Asgharkhah, E., & Shareh, H. (2017). Effectiveness of group metacognitive therapy in self efficacy and defense styles in women with multiple sclerosis. Journal of Fundamentals of Mental Health, 19 (4). pp. 330-340. https://jfmh.mums.ac.ir/jufile?ar_sfile=280333 Baer, RA (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143. doi: 10.1093/clipsy.bpg015 Basaknejad, S., Rahimi, H., Zargar, Y., & Majdi Nasab, N, (2013). The effect of cognitive behavioral stress management training on chronic fatigue and coping styles in patients with multiple sclerosis. Journal of Birjand University of Medical Sciences, 10(3), 172-165. Berer, K., & Krishnamoorthy, G. (2014). Microbial view of central nervous system autoimmunity. FEBS Letters. 588 (22), 4207–13. doi: 10.1016/j.febslet.2014.04.007 Besharat, M.A. (2013). Defense mechanisms in patients with major depression, anxiety disorders, and normal individuals: A comparative study, Clinical Rese, arch and Counseling, 3 (1),54-41. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=698240 Blaya, C., Dornelles, M., Blaya, R., Kipper, L., Heldt, E., Isolation, L., Bond, M, & Manfro, G. G. (2006). Do defense mechanisms vary according to the psychiatric disorder? Revista Brasileira de Psiquiatria, 28 (3),179-183. Bond, & Perry, J. C. (2004). Long-Term Changes in Defense Styles with Psychodynamic Psychotherapy for Depressive, Anxiety, and Personality Disorders. American Journal of Psychiatry, 161, 1665–71.doi: 10.1590/s1516-44462006000300007 Bond, M. (2004). Empirical studies of defense style: Relationships with psychopathology and change. Harvard Review of Psychiatry, 12, 263-278. doi: 10.1080/10673220490886167 Bond, M., Gardner, ST., Christian, J., & Sigal, JJ. (1983). An empirically validated hierarchy of defense mechanisms. Archives of General Psychiatry, 40, 333-338. doi: 10.1001/archpsyc.1983.01790030103013 Brantley. J. (2005). Mindfulness-Based Stress Reduction (MBSR). In S. M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: Conceptualization and treatment. New York: 131-5. Compstonm A, Coles, A. (2008). Multiple sclerosis. Lancet. 372 (9648): 1502–17. doi: 10.1016/s0140-6736(08)61620-7 Cramer, P. (2000). Defense 8- Mechanisms in Psychology Today. Journal of American Psychology, 55 (6), 637-646 doi: 10.1037//0003-066x.55.6.637 Crane R. (2009). Mindfulness-Based Cognitive Therapy: Distinctive Features. New York: Routledge/Taylor & Francis Group doi: 10.4324/9780203882344 Crane, R. (2009). Mindfulness-Based Cognitive Therapy. Distinctive Features (1^st Edition.). Dadashian P., Rajabi, M., & Jafari, H., (2021). Suicidal ideation in people with multiple sclerosis: A systematic review study. Clinical Excellence, 10 (4), 1-11 http://ce.mazums.ac.ir/article-1-556-en.html Dennison, L., Moss-Morris, R., & Chalder, T. (2009). A review of psychological correlates of adjustment in patients with multiple sclerosis. Clinical Psychology Review,29(2), 141-53.doi: 10.1016/j.cpr.2008.12.001 Eimecke, S., Remschmidt, H., & Mattejat, F. (2011). Utility of the child behavior checklist in screening depressive disorders within clinical samples. Journal of Affective Disorders, 129, 191–197. doi: 10.1016/j.jad.2010.08.011 Einy, S. & Narimany, M. (2019). Effectiveness of Metalization-based therapy on Ego-Strength and Defense Mechanisms in People with Borderline Personality Disorder, Journal of Shefaye Khatam, 7(3), 1-12. doi: 10.29252/shefa.7.3.1 Engel, RA., DeLuca, J., Gaudino, EA., Diamond, BJ., & Christodoulou, C. (1998). Acquisition and storage deficits in multiple sclerosis. Journal of Clinical and Experimental Neuropsychology (Neuropsychology, Development, and Cognition: Section A), 20(3), 376 90. doi: 10.1076/jcen.20.3.376.819 Evans S, Ferrando S, Findler M, Stowell C, Smart C, & Haglin D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorder. 22(4), 716-21.doi: 10.1016/j.janxdis.2007.07.005 Farran, N., Ammara, D. & Darwish, H. (2016). Quality of life and coping strategies in Lebanese Multiple Sclerosis patients: A pilot study. Multiple Sclerosis and Related Disorders, 6, 21 27. doi: 10.1016/j.msard.2015.12.003 Fernandez, O., Baumstarck – Barrau, K., & Simeoni, MC. (2011). Patient characteristics and determinants of quality of life in an international population with multiple sclerosis: Assessment using the MusiQol and SF-36 questionnaires with psoriasis. British Journal of Psychology, 5, 71 – 82. doi: 10.1177/1352458511407951 Flugel Colle, K. F., Vincent, N., Cha, S. S., Loehrer, L. L., Bauer, B. A., & Wahner_Roedler, L. (2010). Measurement of quality of life and participant experience with the mindfulness based stress reduction program. Complementary Therapies in Clinical Practice. 16, 36-40. doi: 10.1016/j.ctcp.2009.06.008 Fulton, P., Germer, C., & Siegel, R. (2005). Mindfulness and Psychotherapy. New York: Guilford Press. Goretti, B., Portaccio, E., Zippoli, V., Hakiki, B., Siracusa, G., & Sorbi, S., et al. (2010). Impact of cognitive impairment on coping strategies in multiple sclerosis. Clinical Neurology and Neuro Surgery, 112(4), 127-30. doi: 10.1016/j.clineuro.2009.10.019 Hadash, Y., Plonsker, R., Vago, D. R., & Bernstein, A. (2016). Experiential self-referential and selfless processing in mindfulness and mental health: a conceptual model and implicit measurement methodology. Psychological. Assessment, 28, 856–869. doi: 10.1037/pas0000300 Halper, J. (2000). The evolution of nursing care in multiple sclerosis. International Journal of MS Care, 2(1),14–22. doi: 10.7224/1537-2073-2.1.14 Heydari Nasab. L., & Poetry. M., (2011). Factor construction of Defense Styles Questionnaire (DSQ_40) in Iranian non-clinical samples. Quarterly Journal of New Research. 21 (6), 78 97. https://www.sid.ir/en/journal/ViewPaper.aspx?id=213019 Huntley, A. (2006). A review of the evidence of the or efficacy of complementary and alternative medicines in MS. International MS Journal. 13 (1), 5–12, 4. PMID 16420779. Hyphantis, T., Goulia, P. & Carvalho, A.F. (2013). Personality traits, defense mechanisms and hostility features associated with somatic symptom severity in both health and disease. Journal of Psychosomatic Research, 75, 362–369.doi: 10.1016/j.jpsychores.2013.08.014 Hyphantis, TN., Christou, K., Kontoudaki, S., Mantas, C., & Papamichael, Get al. (2008). Disability status, disease parameters, defense styles, and ego strength associated with psychiatric complications of multiple sclerosis. The International Journal Psychiatry in Medicine, 38(3), 307-27. doi: 10.2190/pm.38.3.g Baldwin, S., Bouns, K., & Maccoon, D. (2008). Beyond the individual: Group effects in mindfulness-based stress reduction. Psychotherapy Research, 18:735-2. doi: 10.1080/10503300802326038 Julian, L. J. (2011). Cognitive functioning in Multiple Sclerosis. Journal of Neurologic Clinics, 29, 507-525. doi: 10.1016/j.ncl.2010.12.003 Kabat-Zinn, J. (2002) Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology Science and Practice, 10(2), 144-156. doi: 10.1093/clipsy.bpg016 Kabat-Zinn, J. Mindfulness-based based intervention in context: Past, present, and future. Clinical Psychology Science and Practice, 10 (2), 144 -156. Kabat-Zinn, J. (2015). Mindfulness. Mindfulness, 6, 1481–1483. doi: 10.1007/s12671-015-0456-x Malone, J. C., Cohen, S. H., Liu, S. R., Vaillant, G. E. & Waldinger, R. J. (2013). Adaptive midlife defense mechanisms and late-life health. Personality and Individual Differences, 55, 85 89. doi: 10.1016/j.paid.2013.01.025 Manicavasgar, V., Parker, G., & Perich, T. (2011). Mindfulness-Based Cognitive Therapy Vs. Cognitive Behavior Therapy as a Treatment for Non-Melancholic Depression. Journal of Affective Disorders. 130 (1–2), 138–144. doi: 10.1016/j.jad.2010.09.027 Mitchell, AJ., Benito-León, J., González, JMM., & Rivera-Navarro, J. (2005). Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. Lancet Neurol. 4(9), 556-66.doi: 10.1016/s1474-4422(05)70166-6 Nakahara, J., Maeda, M., Aiso, S., & Suzuki, N. (2012). Current concepts in multiple sclerosis: autoimmunity versus oligodendrogliopathy. Clinical Reviews in Allergy & Immunology.42 (1), 26–34. doi: 10.1007/s12016-011-8287-6 Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity. 2(3), 223–250 doi: 10.1080/15298860309027 Offer, R., Lavie, R., Gothelf, D. & Apter, A. (2000). Defense Mechanisms, Negative Emotions, and Psychopathology in Adolescent Inpatients. Comprehensive Psychiatry, 41 (1), 35-41.doi: 10.1016/S0010-440X(00)90129-9 Olsen, SA. (2009). A review of complementary and alternative medicine (CAM) by people with multiple sclerosis. Occupational Therapy International. 16 (1), 57–70. doi: 10.1002/oti.266 Ost, L.G. (2008). Efficacy of the third wave of behavioral therapies: A systematic review andmeta analysis. Behavior Research and Therapy, 46(3), 296-321. doi: 10.1016/j.brat.2007.12.005 Pakenham, K. I., Mawdsley, M., Brown, F. L., & Burton, N. W. (2018). Pilot evaluation of a resilience training program for people with multiple sclerosis. Rehabilitation Psychology,63(1), 29–42. doi: 10.1037/rep0000167 Pakenham, KI., & Samios, CH. (2013). Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance, Journal of Behavioral Medicine,36, 389- 400 doi: 10.1007/s10865-012-9434-0 Pegoretti, V., Baron, W., Laman, JD., & Eisel, ULM. (2018). Selective Modulation of TNF TNFRs Signaling: Insights for Multiple Sclerosis Treatment. Frontiers in Immunology,9:925.doi: 10.3389/fimmu.2018.00925 Pervichko, E., & Zinchenko, Y. (2014). Ego defense mechanisms in patients with hypertension a at work and patients with essential hypertension: a comparative analysis. Procedia Social and behavioral Sciences, 127, 666 – 670.doi: 10.1016/j.sbspro.2014.03.332 Piryonesi, SM, Rostampou, S., & Piryonesi, SA. (2021). Predicting falls and injuries in peoplewith multiple sclerosis using machine learning algorithms. Multiple Sclerosis and Related Disorders. 49: 102740. doi: 10.1016/j.msard.2021.102740 Rae-Grant, A., Day, GS., Marrie, RA., Rabinstein, A., Cree. BA., & Gronseth GS., et al. (2018) Practice guideline recommendations summary: Disease-modifying therapies for adults with multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology. 90(17), 777–788.doi: 10.1212/wnl.0000000000005347 Raes. F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety: Personality and Individual Differences, 48, 757–761. doi: 10.1016/j.paid.2010.01.023 Saadat, S., Kalantrif M., Kajbaf, M., B., & Hosseini Nejad, M. (2019). Comparative study of the psychological syndrome in multiple sclerosis patients and normal individuals, Razi Journal of Medical Sciences, 26 (6), 73-83. http://rjms.iums.ac.ir/article-1-5636-en.html Sarraj Khorrami, A., Pasha, R., Hafez, F., Bakhtiarpour, S., & Eftekhar, Z. (2018). Mindfulness Based Cognitive Therapy on the amount of using Defense Mechanisms of patients with Major Depressive Disorder. Middle Eastern Journal of Disability Studies,8(106),1-10. https://www.sid.ir/en/Journal/ViewPaper.aspx?ID=704755 Sayao, A. L., Bueno, A.M. Devonshire, V., & Tremlett, H. (2011). The psychosocial and cognitive impact of longstanding benign multiple sclerosis. Multiple Sclerosis, 17(11), 1375–1383, England. doi: 10.1177/1352458511410343 SchirSchirra Nicholas, JA., & Prakash, RS. (2015). Examining trait mindfulness, emotion dysregulation, and quality of life in multiple sclerosis. Health Psychol. 34(11), 1107-15. doi: 10.1037/hea0000215 Segal, Z, V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford press. https://psycnet.apa.org/record/2001-05895-000 ZV., Williams. J MG., & Teasdale. JD. (2013). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse (2^nd edition.). New York: The Guildford Press. Simpsonpson, R., Booth, J., Lawrence. M., Byrne. S., Mair. F., & Mercer. S. (2014). Mindfulness based interventions in multiple sclerosis--a systematic review. BMC Neurology, 14: 15 doi: 10.1186/1471-2377-14-15 SLysa, C. K., & Wilcomb, C. J. (2015). Mindfulness, self-compassion, self-efficacy, and gender as predictors of depression, anxiety, stress, and well-being. Mindfulness, 6, 217–226 doi: 10.1007/S12671-013-0247-1 Stepanchuka, E., Zhirkova, A. & Yakovleva, A. (2013). Emotional Response to the Disease in Russian Patients with Chronic Leukemia. Procedia- Social and Behavioral Sciences, 86, 248 – 255. Tang, Y., Holzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16, 213–225. doi: 10.1038/nrn3916 Yavari, R., (2010). The effect of training coping skills with stress on the application of defense mechanisms of anxious female employees, thesis for a master's degree in general psychology, Payame Noor University, iran.
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The effectiveness of mindfulness training program on the defense mechanisms of MS patients