ABSTRACT

Multiple sclerosis is a chronic, demyelinating disease of the central nervous system mainly affecting young adults. In addition to physical problems, the patients suffer from many psychological problems affecting their psychological well-being. The aim of the present study was to determine the effectiveness of group-based cognitive hypnotherapy on the psychological well-being of patients suffering from multiple sclerosis. This study was designed as a clinical trial with a pretest-posttest control group. From 60 patients diagnosed with multiple sclerosis referred to Beheshti hospital in Yasuj, Iran, 45 patients who met the inclusion criteria were selected by the convenience sampling method. The patients were randomly assigned to intervention (23 individuals) and control (22 individuals) groups through stratified random allocation. After completing the Ryff Scales of Psychological Well-Being, the intervention group attended eight sessions of group-based cognitive hypnotherapy on a weekly basis. The control group did not attend any intervention sessions. At the end of the eight intervention sessions, both groups completed the Ryff’s Scale of Psychological Well-being again. The collected data were analyzed using the SPSS software (Version 23). Analysis of Covariance (ANCOVA) and two-way Analysis of variance (ANOVA) tests were used in order to compare the groups. The results indicated that cognitive hypnotherapy had a significant effect on the total score of psychological well-being (F (45, 1) = 6.07, p = .018, η2 = 0.12) and the dimension of environmental mastery (p < .05). Therefore, it is recommended to use hypnotherapy to promote the psychological well-being of patients suffering from multiple sclerosis.

摘要

多发性硬化症是主要影响年轻人的中枢神经系统的慢性脱髓鞘疾病。除身体问题外，患者还遭受许多影响其心理健康的心理问题。本研究的目的是确定基于小组的认知催眠治疗对多发性硬化症患者心理健康的有效性。这项研究被设计为一项具有前测-后测对照组的临床试验。从伊朗Yasuj的Beheshti医院转诊的60名诊断为多发性硬化症的患者中，通过便利抽样方法选择了符合入选标准的45名患者。通过分层随机分配将患者随机分为干预组（23人）和对照组（22人）。在完成Ryff心理健康量表之后，干预小组每周参加八次基于小组的认知催眠治疗。对照组没有参加任何干预会议。在八次干预会议结束时，两个小组都再次完成了Ryff的心理健康量表。使用SPSS软件（版本23）分析收集的数据。为了比较各组，使用了协方差分析（ANCOVA）和双向方差分析（ANOVA）检验。结果表明，认知催眠治疗对心理健康总分有显着影响（F（45，1）= 6.07，对照组没有参加任何干预会议。在八次干预会议结束时，两个小组都再次完成了Ryff的心理健康量表。使用SPSS软件（版本23）分析收集的数据。为了比较各组，使用了协方差分析（ANCOVA）和双向方差分析（ANOVA）检验。结果表明，认知催眠治疗对心理健康总分有显着影响（F（45，1）= 6.07，对照组没有参加任何干预会议。在八次干预会议结束时，两个小组都再次完成了Ryff的心理健康量表。使用SPSS软件（版本23）分析收集的数据。为了比较各组，使用了协方差分析（ANCOVA）和双向方差分析（ANOVA）检验。结果表明，认知催眠治疗对心理健康总分有显着影响（F（45，1）= 6.07，p = .018，η2= 0.12）和环境掌控范围（p <.05）。因此，建议使用催眠疗法来促进多发性硬化症患者的心理健康。