Abstract
Background: Multiple sclerosis (MS) is a chronic disease that affects the central nervous
system. Depression, anxiety and stress are the most common psychiatric comorbidities in MS,
which can have adverse consequences. The aim of this study was to determine the effect of relaxation
(Jacobson and Benson) technique on depression, anxiety and stress in MS patients.
Methods: This clinical trial was conducted since December 2016 to March 2017 in the Multiple
Sclerosis Association and the Neurology Clinic of Farshchian Hospital (Sina) in Hamadan. Sixty
patients with multiple sclerosis were randomly assigned to two experimental (n=30) and control
(n=30) groups. The control group received routine care and experimental group received the relaxation
technique (Jacobson and Benson) in 8 sessions of 60-minute twice a week for 4 weeks in addition
to receiving routine care. The DASS-21 scale was completed by samples before and after the
intervention.
Results: Results of the study showed that in the intervention group, the scores of depression, anxiety
and stress after using relaxation (Jacobson and Benson) was decreased significantly (P<0.05), while
in the control group no significant decrease was observed (P<0.05).
Conclusion: The results of this study showed that relaxation (Jacobson and Benson) is effective in
reducing depression, anxiety and stress in patients with multiple sclerosis. Therefore, in addition
to prescribing medication, it is suggested that complementary therapies be performed for these
patients.
Keywords:
Depression, anxiety, stress, relaxation, multiple sclerosis, numbness.
Graphical Abstract
[2]
Govuzela M, Thsehla E, de Villiers A. Prevalence of chronic diseases in the population covered by medical schemes in South Africa. Res Montrg Unit 2018.
[11]
Reisi S, Masoudi R. The effect of Benson relaxation program and progressive muscle relaxation on emotional intelligence of nurses in intensive care units: a randomized clinical trial. J Clinical Nurs Midwifery 2019; 8(3): 414-22.
[12]
Fateme B, Fatemeh M K, Vahid M, Arezou N J, Manizhe N, Zahra M. The effect of Benson’s muscle relaxation technique on severity of pregnancy nauseaElec J Gen Med 2019; 16(2)
[15]
Ghafari S, Ahmadi F, Nabavi M, Memarian R. Effects of applying progressive muscle relaxation technique on depression, anxiety and stress of multiple sclerosis patients in Iran National MS Society. Resen Med 2008; 32(1): 45-53.
[17]
Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iranian Psychologists 2005; 4(1): 299-313.
[18]
Soheili M, Nazari F, Shaygannejad V, Valiani M. A comparison the effects of reflexology and relaxation on the psychological symptoms in women with multiple sclerosis. In: Journal of education and health Promotion 2017; 6(1): 11.
[19]
Barzegarghazi K, Fouladinadinlouei A, Bahramkhani M, Zamani N. The effectiveness of reducing muscular tension on decreasing the perceived stress in patients with multiple. J Am Sci 2012; 8: 9705-9.
[20]
Kouteh B, Yazdkhasti F, Etemadifar M. The effectiveness of mental-physical relaxation (Dohsa-hou) on depression, anxiety and stress in patients with multiple sclerosis (MS). Int J Human Soc Sci Inv 2013; 2(5): 4-11.
[22]
Payne RA. Relaxation techniques: A Practical Handbook for the Health Professional. London: Churchill Livingstone Elsevier 2005.