IRCCS Centro Neurolesi "Bonino-Pulejo", S.S, 113 Via Palermo, C.da Casazza, 98124, Messina, Italy.
Neurol Sci. 2022 Jan;43(1):211-217. doi: 10.1007/s10072-021-05686-1. Epub 2021 Oct 25.
Multiple sclerosis is a neuroinflammatory and neurodegenerative disease causing several psychosocial problems that significantly impairs quality of life. The most common physical and mental symptoms are anxiety, depression, stress, fatigue, and pain. Several studies investigated the effectiveness of non-pharmacological approaches in improving psychological well-being. This review focused on the impact of mindfulness interventions in patients with multiple sclerosis to reduce psychopathological symptoms and improve well-being. We searched on PubMed database and screening references of included studies and review articles for additional citations. From initial 107 studies, only 8 met search criteria. Our studies showed the efficacy of mindfulness treatment with a reduction in depressive symptoms, a better quality of life (both mental and physical), and a decreased level of fatigue. Findings demonstrated that mindfulness is useful for the improvement of psychological symptoms and pain management and this improvement has also been shown to have a positive impact on the quality of life and coping and adaptation strategies. However, according to the poor available clinics evidence, on cannot conclude that mindfulness interventions are superior to other active interventions in the treatment of psychological symptoms of SM.
多发性硬化症是一种神经炎症性和神经退行性疾病，会导致多种社会心理问题，严重影响生活质量。最常见的身心症状是焦虑、抑郁、压力、疲劳和疼痛。多项研究调查了非药物方法在改善心理健康方面的有效性。本综述重点关注正念干预对多发性硬化症患者的影响，以减轻精神病理症状并改善幸福感。我们在 PubMed 数据库中进行了搜索，并对纳入研究和综述文章的参考文献进行了筛选，以获取其他引文。最初有 107 项研究，只有 8 项符合搜索标准。我们的研究表明，正念疗法有效，可以减轻抑郁症状，提高生活质量（包括身体和精神方面），减轻疲劳感。研究结果表明，正念对于改善心理症状和疼痛管理非常有用，这种改善也对生活质量以及应对和适应策略产生了积极影响。然而，根据现有临床证据的不足，我们不能得出正念干预在治疗多发性硬化症患者的心理症状方面优于其他积极干预的结论。
