Bock Lotte, Rana Madiha, Westemeyer Lara, Rana Majeed
Institute of Psychology in Education, Leuphana Universität Lüneburg, Universitätsallee 1, DE-21335 Lüneburg, Germany.
Department of Psychology, Europäische Fernhochschule Hamburg, University of Applied Sciences, Doberaner Weg 20, DE-22143 Hamburg, Germany.
Healthcare (Basel). 2024 Mar 9;12(6):620. doi: 10.3390/healthcare12060620.
The diagnosis of a chronic disease, such as multiple sclerosis, has both psychological and physical effects. Living with the disease and its uncertain consequences requires a great deal of psychological resilience in order to employ more comprehensive coping strategies in stressful situations. This study investigated the effect of a four-week online self-directed resilience training program on the perception of psychological resilience among multiple sclerosis patients. A total of 94 MS patients were recruited for a randomised controlled trial. The experimental group underwent a 28-day online self-directed training program consisting of daily exercises aimed at strengthening a resilient mindset. Psychological resilience was measured through self-assessment immediately before, immediately after, and three months after the training. A repeated measures ANOVA revealed a statistically significant improvement in the perception of four factors related to stress: perceived worries, tension, joy, and demands. Two resilience coping strategies were measured, of which one, a resilient orientation, improved significantly in the short and long term. The study suggests that online self-directed resilience training might provide an easily accessible, low-cost option for patients with MS to improve their psychological resilience. This is a pilot study to assess the general applicability to people with MS. Future studies should examine the transferability of results in relation to disease stage and co-morbidities.
慢性病(如多发性硬化症)的诊断会对心理和身体产生影响。与疾病及其不确定的后果共存需要很强的心理韧性,以便在压力情境中采用更全面的应对策略。本研究调查了为期四周的在线自我导向韧性训练计划对多发性硬化症患者心理韧性认知的影响。总共招募了94名多发性硬化症患者进行随机对照试验。实验组接受了为期28天的在线自我导向训练计划,该计划包括旨在强化韧性思维模式的每日练习。在训练前、训练后立即以及训练后三个月通过自我评估来测量心理韧性。重复测量方差分析显示,与压力相关的四个因素的认知有统计学上的显著改善:感知到的担忧、紧张、愉悦和需求。测量了两种韧性应对策略,其中一种,即韧性取向,在短期和长期内都有显著改善。该研究表明,在线自我导向韧性训练可能为多发性硬化症患者提供一种易于获得、低成本的选择,以提高他们的心理韧性。这是一项评估对多发性硬化症患者普遍适用性的试点研究。未来的研究应考察结果与疾病阶段和合并症相关的可转移性。