Iliakis Ioannis, Anagnostouli Maria, Chrousos George
Medical School, University of Athens, National and Kapodistrian University of Athens, Athens, Greece.
Multiple Sclerosis and Demyelinating Diseases Unit, First Department of Neurology, Medical School, Aeginition University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
JMIR Form Res. 2024 Jul 25;8:e55408. doi: 10.2196/55408.
Multiple sclerosis (MS) is a chronic inflammatory disease affecting the central nervous system, often leading to poor sleep quality and diminished quality of life (QoL) for affected patients. Sleep disturbances in MS do not always correlate linearly with other symptoms such as anxiety, depression, fatigue, or pain. Various approaches, including stress reduction techniques such as mindfulness-based interventions, have been proposed to manage MS-related sleep issues.
The aim of this study was to evaluate the effects of the mindfulness-based body scan technique on sleep quality and QoL in patients with MS using both subjective (questionnaires) and objective (electronic portable device) measures.
A single-case study was performed involving a 31-year-old woman diagnosed with relapsing-remitting MS. The patient practiced the mindfulness-based body scan technique daily before bedtime and outcomes were compared to measures evaluated at baseline.
The mindfulness-based body scan intervention demonstrated positive effects on both sleep quality and overall QoL. Biometric data revealed a notable dissociation between daily stress levels and sleep quality during the intervention period. Although self-report instruments indicated significant improvement, potential biases were noted.
While this study is limited to a single patient, the promising outcomes suggest the need for further investigation on a larger scale. These findings underscore the potential benefits of the mindfulness-based body scan technique in managing sleep disturbances and enhancing QoL among patients with MS.
多发性硬化症(MS)是一种影响中枢神经系统的慢性炎症性疾病,常常导致受影响患者的睡眠质量不佳和生活质量(QoL)下降。MS患者的睡眠障碍并不总是与焦虑、抑郁、疲劳或疼痛等其他症状呈线性相关。已经提出了各种方法,包括基于正念的干预等减压技术,来管理与MS相关的睡眠问题。
本研究的目的是使用主观(问卷调查)和客观(电子便携式设备)测量方法,评估基于正念的身体扫描技术对MS患者睡眠质量和生活质量的影响。
进行了一项单病例研究,涉及一名31岁被诊断为复发缓解型MS的女性。患者在每天睡前练习基于正念的身体扫描技术,并将结果与基线时评估的指标进行比较。
基于正念的身体扫描干预对睡眠质量和整体生活质量均显示出积极影响。生物特征数据显示,干预期间每日压力水平与睡眠质量之间存在明显的分离。虽然自我报告工具表明有显著改善,但也注意到了潜在的偏差。
虽然本研究仅限于一名患者,但有前景的结果表明需要进行更大规模的进一步研究。这些发现强调了基于正念的身体扫描技术在管理MS患者睡眠障碍和提高生活质量方面的潜在益处。