بررسی اثر بخشی برنامه کاهش استرس مبتنی بر ذهن آگاهی (MBSR) بر خستگی مزمن، علائم روان تنی و تاب آوری در بیماران مبتلا به ام اس (MS) در مواجه با اخبار تروما

نویسندگان
نازیلا کاظمی جامع بزرگی
امینه جلالی
چکیده
پژوهش حاضر با هدف بررسی اثربخشی برنامه کاهش استرس مبتنی بر ذهن‌آگاهی (MBSR) بر خستگی مزمن، علائم روان‌تنی و تاب‌آوری در بیماران مبتلا به ام‌اس (MS) در مواجهه با اخبار تروما انجام شد.این پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعه آماری شامل تمامی بیماران مبتلا به ام‌اس عضو انجمن ام‌اس استان هرمزگان بود که جهت تزریق هفتگی دارو به بخش ام‌اس مرکز امید بندرعباس مراجعه می‌کردند. از میان این جامعه، ۳۰ بیمار به روش نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش (۱۵ نفر) و کنترل (۱۵ نفر) جایگزین شدند. گروه آزمایش تحت ۸ جلسه مداخله کاهش استرس مبتنی بر ذهن‌آگاهی قرار گرفت، در حالی که گروه کنترل هیچ مداخله‌ای دریافت نکرد. ابزارهای پژوهش شامل مقیاس شدت خستگی (FSS)، پرسشنامه علائم روان‌تنی و مقیاس تاب‌آوری (CD-RISC) بود. داده‌ها با استفاده از تحلیل واریانس با اندازه گیری مکرر تجزیه و تحلیل شد.نتایج نشان داد که آموزش کاهش استرس مبتنی بر ذهن‌آگاهی به طور معنی‌داری منجر به کاهش خستگی مزمن و علائم روان‌تنی در بیماران مبتلا به ام‌اس شده است(001/0 < P). همچنین، این مداخله توانست سطح تاب‌آوری بیماران را در مواجهه با فشارهای روانی ناشی از اخبار تروما به طور چشمگیری افزایش دهد. برنامه کاهش استرس مبتنی بر ذهن‌آگاهی با تقویت مهارت‌های حضور در لحظه و پذیرش غیرقضاوت‌گرانه، ابزاری موثر برای مدیریت پیامدهای روان‌شناختی اخبار ناگوار و بهبود وضعیت جسمانی و روانی بیماران ام‌اس محسوب می‌شود و استفاده از آن در مراکز درمانی توصیه می‌گردد.
کلیدواژه‌ها
برنامه کاهش استرس مبتنی بر ذهن‌آگاهی
ام‌اس
خستگی مزمن
علائم روان‌تنی
تاب‌آوری
اخبار تروما

عنوان مقاله English

Investigating the effectiveness of mindfulness-based stress reduction (MBSR) on chronic fatigue, psychosomatic symptoms, and resilience in patients with multiple sclerosis (MS) when faced with traumatic news

نویسندگان English

nazila kazemi jame bozorgi
amine jalali
چکیده English

The present study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) on chronic fatigue, psychosomatic symptoms, and resilience in patients with multiple sclerosis (MS) in the face of traumatic news. This study was a quasi-experimental study with a pre-test-post-test design with a control group. The statistical population included all MS patients who were members of the Hormozgan Province MS Association and who were referred to the MS ward of Omid Center, Bandar Abbas for weekly drug injections. From this population, 30 patients were selected using convenience sampling and randomly assigned to two experimental groups (n=15) and control groups (n=15). The experimental group underwent 8 sessions of mindfulness-based stress reduction intervention, while the control group did not receive any intervention. The research instruments included the Fatigue Severity Scale (FSS), the Psychosomatic Symptoms Questionnaire, and the Resilience Scale (CD-RISC). Data were analyzed using repeated measures analysis of variance. The results showed that mindfulness-based stress reduction training significantly reduced chronic fatigue and psychosomatic symptoms in patients with MS (P < 0.001). Also, this intervention was able to significantly increase the level of resilience of patients in the face of psychological stress caused by traumatic news. By strengthening the skills of being present in the moment and accepting non-judgmental, the mindfulness-based stress reduction program is considered an effective tool for managing the psychological consequences of bad news and improving the physical and mental condition of MS patients, and its use in medical centers is recommended

کلیدواژه‌ها English

Mindfulness-based stress reduction program
MS
chronic fatigue
psychosomatic symptoms
Resilience
trauma news
Al‑Worafi, Y. M. (2025). Evidence‑based complementary, alternative, and integrative medicine and efficacy and safety: Multiple sclerosis. In Handbook of Complementary, Alternative, and Integrative Medicine (pp. 645–664). CRC Press.
Azzellino, G., Vagnarelli, P., Mengoli, L., Aitella, E., Passamonti, M., Ginaldi, L., & De Martinis, M. (2026). Nurse‑led digital interventions for patients with multiple sclerosis: A scoping review. Medical Sciences, 14(2), 321.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor–Davidson Resilience Scale (CD‑RISC). Depression and Anxiety, 18(2), 76–82.
Dizaj, K. M., Makvand, H. S., & Sabahi, P. (2023). Effects of mindfulness‑based cognitive therapy on anxiety sensitivity in patients with multiple sclerosis.
Eftekhari, A. (2025). The effects of mindfulness‑based stress reduction therapy on psychopathology symptoms and stress response in patients with multiple sclerosis.
Eskandari, M., Raeisyan Zadeh, F., & Mehdikhani, M. (2022). Comparison of the effectiveness of mindfulness‑based stress reduction and relaxation on executive functions in people with multiple sclerosis (MS). Neuropsychology, 8(29), 83–92.
Falahati, F., Jaberi, M., Sharei, A., & Yahyapour, F. (2023). The Effect of Acceptance and Commitment Therapy on Cognitive Emotion Regulation and Emotional Inhibition in Girls with Non-Suicidal Self-injury. International Journal of Body, Mind & Culture (2345-5802), 10(4).
Freedman, D. E., Oh, J., & Feinstein, A. (2026). More questions than answers: Why is cognitive dysfunction associated with less use of evidence‑based psychotherapy in multiple sclerosis? Multiple Sclerosis and Related Disorders, 107161.
Girgenti, S. G., Dallasta, I., Lawrence, E., Merbach, D., Simon, J. Z., Llinas, R. H., ... & Marsh, E. B. (2025). Modified mindfulness‑based stress reduction as a treatment for cognitive recovery in patients with minor stroke: A randomized controlled pilot study. Frontiers in Neurology, 16, 1534480.
Glavå, G., Rönnbäck, L., & Johansson, B. (2025). A new mindfulness and psycho‑educative program for treatment of brain fatigue, evaluated after an acquired brain injury and multiple sclerosis. Health Psychology and Behavioral Medicine, 13(1), 2502039.
Golanbar, M. R., Bageri, S., & Akbarinejhad, H. S. (2025). Comparing the effects of mindfulness‑based cognitive therapy and acceptance and commitment therapy on quality of life and death anxiety in women with multiple sclerosis.
Kabat‑Zinn, J. (2023). Mindfulness for all: The wisdom to transform the world. Hachette Books.
Khoshnood, M., Agahheris, M., Rahmanian, M., Rafiepoor, A., & Ghodrati, M. M. (2026). Comparison of the effectiveness of progressive muscle relaxation training and mindfulness‑based stress reduction training on the modification of tinnitus symptoms and anxiety sensitivity in individuals with tinnitus.
Moeinfar, R., Kiani, F., & Ghazanfari, A. (2025). Modeling psychosomatic complaints based on mistreatment and psychological distress mediated by social support in child laborers. Iranian Journal of Rehabilitation Nursing, 11(4), 73–84.
Moeinzadeh, N., Souri, A., & Shamir, A. S. (2025). Comparison of the effectiveness of compassion‑based and mindfulness‑based therapies on dysfunctional communication beliefs in women with multiple sclerosis. Iranian Journal of Neurodevelopmental Disorders, 4(2), 1–10.
Mohsenzadeh, F., Sharei, A., & Salmani, A. (2026). The Effectiveness of Emotion-Focused Therapy on Emotion Regulation and Psychological Resilience in Suicidal Adolescents. Journal of Psychological Studies, 22(1), 143-159.
Pagliari, C., Cabinio, M., & Blasi, V. (2026). Telepsychotherapy for multiple sclerosis and other neurodegenerative diseases: Specificities and challenges. In Telepsychotherapy and Mental Health Services: Evidence‑Based Therapeutic Approaches (p. 313).
Ruotolo, I., Carenza, A., Sellitto, G., Simeon, R., Panuccio, F., Marini Padovani, A., ... & Galeoto, G. (2025). Exploring the psychometric properties of the fatigue severity scale: Results from a systematic review and reliability meta‑analysis. Expert Review of Pharmacoeconomics & Outcomes Research, 25(7), 1021–1036.
Sadeghi‑Bahmani, D., Esmaeili, L., Mokhtari, F., Bahmani, L. S., Afsharzadeh, M., Shaygannejad, V., ... & Gross, J. J. (2022). Effects of acceptance and commitment therapy (ACT) and mindfulness‑based stress reduction (MBSR) on symptoms and emotional competencies in individuals with multiple sclerosis. Multiple Sclerosis and Related Disorders, 67, 104029.
Sharei, A., Ebrahimi, M., Ahmadi Ochtapeh, P., Mahdavirad, H., & Jamshiddoust Miyanroudi, F. (2023). The Effectiveness of Strength-Based Therapy in Improving Self-Esteem and Reducing Suicidal Thoughts of Women Affected by Domestic Violence in Ardebil. Preventive Counseling, 4(1), 31-44.
Sharei, A., Kasaei, E. A., & Salmani, A. (2024). The Effect of Mindfulness Therapy on Emotion Regulation, Cognitive Self-Awareness, and Tendency to High-Risk Behaviors in Orphaned and Poorly Monitored Adolescents: A Quasi-Experimental Study.
Simpson, R., Posa, S., Langer, L., Bruno, T., Simpson, S., Lawrence, M., ... & Bayley, M. (2023). A systematic review and meta‑analysis exploring the efficacy of mindfulness‑based interventions on quality of life in people with multiple sclerosis. Journal of Neurology, 270(2), 726–745.
Sureshkumar, A., Luong, D., Munce, S., Bayley, M., Kastner, M., Scandiffio, J., ... & Simpson, R. (2025). Implementation considerations of key knowledge users for building online mindfulness‑based interventions for people with multiple sclerosis. Disability and Rehabilitation, 47(26), 6978–6990.
Takata, Y., & Sakata, Y. (2004). Development of a psychosomatic complaints scale for adolescents. Psychiatry and Clinical Neurosciences, 58(1), 3–7.
Zargar, F., Kolahkaj, B., Majdinasab, N., & Tarrahi, M. J. (2024). The effectiveness of mindfulness‑based stress reduction on sleep quality in patients with multiple sclerosis. Caspian Journal of Neurological Sciences, 10(3), 190–197.