title: The potential of psychological interventions to improve quality of life and mood in muscle disorders.
abstract: Quality of life (QoL) and mood are reduced in many patients with muscle disorders. Psychological variables appear to be contributors to both QoL and mood, suggesting that psychological interventions could improve these outcomes, yet research in this area is sparse. We review the roles of psychological variables, plus context and disease severity, in explaining QoL. A cognitive-behavioral model of disease self-management, with acceptance as the central component, is discussed. This model is then used to describe how psychological interventions derived from cognitive behavioral therapy (CBT), in particular Acceptance and Commitment Therapy (ACT), might be applied to address the issues of distress, nonadherence to treatments, pain, and fatigue in people with muscle disorders.
authors.affiliation: NHS Lothian, Department of Clinical Neuropsychology, Astley Ainslie Hospital, Edinburgh, United Kingdom, EH9 2HL.|Department of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Teviot Place, Edinburgh, United Kingdom.
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Graham
authors.affiliation: Department of Neurology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Simmons
authors.affiliation: Department of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Teviot Place, Edinburgh, United Kingdom.
authors.forename: Simon R
authors.initials: SR
authors.lastname: Stuart
authors.affiliation: Department of Neurology, King's College Hospital, London, United Kingdom.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Rose
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D019964:Mood Disorders / Q000209:etiology / Q000534:rehabilitation*; D009135:Muscular Diseases / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D011788:Quality of Life / Q000523:psychology*; D012720:Severity of Illness Index
keywords: Acceptance and Commitment Therapy; Cognitive Behavioral Therapy; muscle disorders; muscular dystrophy; psychology