Symptom changes in multiple sclerosis following psychological interventions: a systematic review

BMC Neurol. 2014 Nov 30:14:222. doi: 10.1186/s12883-014-0222-z.

Abstract

Background: Multiple Sclerosis is a disease of the central nervous system involving a variety of debilitating physical, sensory, cognitive and emotional symptoms. This literature review evaluated the impact of psychological interventions on the physiological symptoms associated with the illness.

Methods: A systematic literature search was conducted using Medline, PsycINFO, Scopus, and the Cochrane Library databases, as well as reference lists. Relevant studies were selected and assessed according to a preset protocol.

Results: The search produced 220 articles, with 22 meeting inclusion criteria for the review. A total of 5,705 subjects with Multiple Sclerosis were analyzed. Results from the included studies indicate a general improvement in both psychological and physiological outcomes following psychological treatment. The most highly influenced physical symptoms include fatigue, sleep disturbances, pain, and physical vitality.

Conclusions: Findings from the review suggest a positive relationship between psychological interventions and physiological Multiple Sclerosis symptoms. Implications for future research are discussed.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Fatigue / etiology
  • Fatigue / therapy*
  • Humans
  • Multiple Sclerosis / psychology
  • Multiple Sclerosis / therapy*
  • Sleep Wake Disorders / etiology
  • Sleep Wake Disorders / therapy*