Comparison of the Effectiveness of Mindfulness-Based Cognitive Therapy and Acceptance and Commitment Therapy on Self-Efficacy and Quality of Life in Patients with Multiple Sclerosis
Keywords:
Mindfulness-based cognitive therapy, Acceptance and Commitment Therapy, Quality of life, Self-efficacy, Multiple sclerosisAbstract
Methods and Materials: A quasi-experimental pretest-posttest design with a control group was used. The sample consisted of 30 women diagnosed with MS from Reza Oncology Center in Mashhad. Participants were randomly assigned into three groups: MBCT, ACT, and control. The MBCT and ACT groups received eight weekly intervention sessions. Measurement instruments included the Pain Self-Efficacy Questionnaire (Nicholas, 1998) and the SF-36 Quality of Life Scale (Ware & Sherbourne, 1992). Data were analyzed using multivariate analysis of variance (MANOVA) and Tukey post hoc test via SPSS 24.
Findings: Results showed significant differences among the three groups in both self-efficacy and quality of life (p<0.05). Both MBCT and ACT groups exhibited marked improvements in post-test scores compared to pre-test and control group scores. MBCT was particularly more effective in enhancing quality of life, while both therapies significantly improved pain self-efficacy.
Conclusion: Both MBCT and ACT were found effective in increasing self-efficacy and improving quality of life in women with MS. These therapies can be considered valuable complementary interventions alongside pharmacological treatments to enhance psychological outcomes in MS patients.
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