title: Psychotherapeutic and psychosocial interventions for managing stress in multiple sclerosis: the contribution of mindfulness-based interventions.
abstract: Depression or anxiety in multiple sclerosis (MS) has been linked to a more severe course of the disease and higher numbers of relapses, in addition to poorer treatment adherence and exacerbated immune system dysregulation. Recent investigations indicate that psychotherapeutic interventions for stress management, such as mindfulness-based interventions (MBIs), could improve quality of life, depression, anxiety, and fatigue in MS patients. Mindfulness fosters the ability to slow down and observe experiences as they truly are, which improves affect regulation. Mindfulness is acquired through training; its advantage over other psychotherapeutic interventions is that effects may remain over time, since cultivating mindfulness depends on regular practising of abilities learned during training. The objective of this article is to review the current evidence of psychotherapeutic and psychosocial interventions, including MBIs for stress management, and their beneficial effects on MS patients.
authors.affiliation: Servicio de Psiquiatría, Hospital Universitario La Paz, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Muñoz San José
authors.affiliation: Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: Oreja-Guevara
authors.affiliation: Servicio de Psiquiatría, Hospital Universitario La Paz, Madrid, España.
authors.forename: S
authors.initials: S
authors.lastname: Cebolla Lorenzo
authors.affiliation: Servicio de Psiquiatría, Hospital Universitario La Paz, Madrid, España.
authors.forename: L
authors.initials: L
authors.lastname: Carrillo Notario
authors.affiliation: Servicio de Psiquiatría, Hospital Universitario La Paz, Madrid, España.
authors.forename: B
authors.initials: B
authors.lastname: Rodríguez Vega
authors.affiliation: Servicio de Psiquiatría, Hospital Universitario La Paz, Madrid, España. Electronic address: cbayon@salud.madrid.org.
authors.forename: C
authors.initials: C
authors.lastname: Bayón Pérez
mesh_terms: D001007:Anxiety / Q000209:etiology / Q000523:psychology / Q000628:therapy; D003863:Depression / Q000209:etiology / Q000523:psychology / Q000628:therapy; D006801:Humans; D064866:Mindfulness; D009103:Multiple Sclerosis / Q000150:complications* / Q000523:psychology; D000072858:Psychosocial Support Systems; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life; D013315:Stress, Psychological / Q000209:etiology* / Q000523:psychology / Q000628:therapy*
keywords: Cognitive-behavioural interventions; Esclerosis múltiple; Intervenciones basadas en mindfulness; Intervenciones cognitivo-conductuales; Intervenciones psicosociales; Mindfulness; Mindfulness-based interventions; Multiple sclerosis; Psicoterapia; Psychosocial interventions; Psychotherapy