Resilience in Women with Multiple Sclerosis: A Systematic Review | ||
| روانشناسی سلامت | ||
| Volume 13, Issue 52, March 2025, Pages 125-138 PDF (993.45 K) | ||
| Document Type: Review article | ||
| DOI: 10.30473/hpj.2025.70392.5999 | ||
| Authors | ||
| Ali Ghanbari Borzian1; Zahra Lotfi forushani* 2 | ||
| 1Assistant Professor, Department of Sociology, Faculty of Literature and Humanities, University of Esfahan, Iran. | ||
| 2M.A. Student in Gender Studies, Faculty of Literature and Humanities, University of Esfahan, Iran. | ||
| Abstract | ||
| Objective: Resilience in individuals with multiple sclerosis (MS) is generally at a low level. Recent years have witnessed increased attention to enhancing resilience as a complementary therapeutic approach, attracting numerous research studies. However, the lack of a comprehensive review and summarization of this research gap necessitated the current study, which aims to investigate factors influencing the resilience of women with MS. Method: This systematic review and systematic search were conducted between October and November 2023. All relevant articles related to the resilience of Iranian women with MS in the past decade were searched in six Persian databases using keywords such as resilience, women, MS, and multiple sclerosis. Following entry and exit criteria, 18 relevant articles were included in the research. Results: The geographical distribution of studies covered 9 provinces, with a concentration of research in 1399 and 1401, indicating the recent importance of the resilience topic. The predominant research method was quasi-experimental, while qualitative and in-depth studies received less attention. Through the analysis of articles, resilience factors were categorized into seven groups, including mind control strategies, acceptance and compassion, mental well-being, meaning therapy, Pilates exercise, spiritual therapy, and forgiveness. The strategies for mind control include cognitive-behavioral therapies, cognitive therapies, and mindfulness. The focus of these approaches is to manage negative thoughts related to the illness and foster a positive outlook. Acceptance and compassion involve accepting and committing, showing compassion to oneself, and integrating acceptance with compassion. This approach is centered on the individual's inner world, emphasizing self-awareness, self-acceptance, and kindness towards oneself.Psychological well-being encompasses positive psychology interventions, cognitive-behavioral stress management, and stress control skill development. This approach concentrates on enhancing resilience in the psychological dimension of the illness. Meaning-centered therapy involves creating interventions for life meaning. It addresses the sense of emptiness post-illness, employing methods to bring meaning into the individual's life.Pilates exercise contributes to the improvement of both physical and mental well-being in patients. Group spiritual therapy aims to establish purpose and meaning in life, fostering a sense of the divine presence in the individual's life. Forgiveness includes strategies for dealing with challenges and illness-related problems and improving social interactions. The positive impact of resilience includes improved quality of life, adaptability, patience, tolerance, and sometimes reduction in the severity of the disease. Conclusion: It is suggested that, due to the lack of research on resilience in patients in the growing Iranian society, future studies should employ diverse qualitative methods and various item analyses. One limitation of this study is the examination of resilience in women with MS. It is recommended to investigate resilience in men as well. | ||
| Keywords | ||
| "Multiple Sclerosis"; "Resilience"; " Women"; " Systematic Review" | ||
| References | ||
|
Abdolahi, SH., Zarani, F., Fath abadi, J. (2018). The role of social support and resilience in predicting quality of life of adolescents with chronic kidney disease, Health Psychology,6(4), 31-52. Almasi-Hashiani, A., Sahraian, M. A., Eskandarieh, S(2020) Evidence of an increased prevalence of multiple sclerosis: a population-based study of Tehran registry during 1999–2018, BMC neurology, 20, 1-7. Atadokht A, Hashemi J, Habibi Y, Fallahi V, Rahimi F.( 2018) the role of illness perception and perceived social support in predicting psychological distress in patients with multiple sclerosis.Nursing and Midwifery Journal, 15 (11) :863-873[in Persian] Bagheri-Sheykhangafshe, F., Tajbakhsh, K., Savabi Niri, V., Bourbour, Z., & Otadi, S. (2023). The Effectiveness of Compassion-Focused Therapy on Pain Catastrophizing, Sexual Function, and Resilience in Women with Multiple Sclerosis (MS). International Journal of Behavioral Sciences, 17(3), 133-140. Clarke J. (2011).What is a systematic review?. Evid Based Nurs.14(3): 64. Collins JA,.(2005). Fauser BC. Balancing the strengths of systematic and narrative, reviews. Hum Reprod Update.11(2): 103-4 Cook DJ, Mulrow CD, Haynes RB.(1997). Systematic reviews: synthesis of best evidence for clinical decisions.Ann Intern Med,126(5): 376-80. Dehghani, A., Khoramkish, M., & Isfahani, S. S. (2019)Challenges in the daily living activities of patients with multiple sclerosis: a qualitative content analysis, International journal of community based nursing and midwifery, 7(3), 201. Dehghani, A., Khoramkish, M., & Isfahani, S. S. (2019)Challenges in the daily living activities of patients with multiple sclerosis: a qualitative content analysis, International journal of community based nursing and midwifery, 7(3), 201. Eghbali, B., Saadat, S., Hasanzadeh, K., Pourramzani, A., Khatami, S., Saberi, A., & Jafroudi, M. (2022). Relationship between self-compassion and psychological well-being with the mediating role of resilience in people with multiple sclerosis. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 31(1). Ferrari R.( 2015). Writing narrative style literature reviews. Medical Writing, 24(4), 230-5. Ghator, Z,. Pouryahya, S,. Davarniya, R., Salimi, A., Shakarami, M.(2018). The Effect of Compassion-Focused Therapy (CFT) on Resiliency of Women with Multiple Sclerosis (MS). Armaghanj, 23 (3) :350-363. [in Persian]. Gheshlagh, R. G., Sayehmiri, K., Ebadi, A., Dalvandi, A., Dalvand, S., & Tabrizi, K. N. (2016)Resilience of patients with chronic physical diseases: A systematic review and meta-analysis, Iranian Red Crescent Medical Journal, 18(7). Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199-208. hajilou, M., Ahadi, H., Seirafi, M., Shahbeigi, S. (2020). The Effectiveness of Cognitive-Behavioral Stress Management Training on the Resilience of Patients with Multiple Sclerosis, Health Psychology, 3(2), 119-126. [in Persian]. Hosni Taher Tizdast, S.F., Zarbakhsh, M. R.(2020). Presenting a structural model of psychological well-being based on resilience and social support with the mediation of self-compassion and hope in women with MS, Sociological Researches, 14(4). [in Persian]. Hughes, Stella E. and Macaron, Gabrielle (2021) Fast Facts, Multiple Sclerosis, Fifth Edition-S. Jamilian, H., Ghafouri-Asar, S., Bayat,A.(2021) Effectiveness of Cognitive-Behavior Stress Management on Reducing Clinical Symptoms in Patients with Breast Cancer, Iranian Institute for Health Sciences Research, 20 (2): 201-212 [in Persian]. Jesson J, Matheson L, Lacey FM.(2011) Doing Your Literature Review:Traditional and Systematic Techniques.Thousand Oaks, California : SAGE Publications. Kaviani, Z,. BakhtiarPoor, S., Heidarie, A., Askary, P. (2020).The Effect of Treatment Based on Acceptance and Commitment (ACT), on Resiliency and Dysfunctional Attitudes of MS Female Patients in Tehran, Knowledge & Research in Applied Psychology, 21(1) , 84-92. [in Persian]. Kim, G. M., Lim, J. Y., Kim, E. J., & Park, S. M. (2019)Resilience of patients with chronic diseases: A systematic review, Health & social care in the community, 27(4), 797-807. Lee, B., Rumrill, P., & Tansey, T. N. (2022). Examining the role of resilience and hope in grit in multiple sclerosis. Frontiers in Neurology, 13, 875133. Lindsay, E. K., Young, S., Smyth, J. M., Brown, K. W., & Creswell, J. D. (2018). Acceptance lowers stress reactivity: Dismantling mindfulness training in a randomized controlled trial. Psychoneuroendocrinology, 87, 63-73. Manafi1, f., Dehshiri, GH. (2016). Fear of disease progression in patients with cancer and multiple sclerosis and its relation to emotional problems, Health Psychology, 6(2), 115-130. Mansouri Koryani, R., Bassak Nejad, S., Mehrabizadeh Honarmand, M., & Majdinasab, N. (2022). Effectiveness of Compassion Focused Acceptance and Commitment Therapy on Psychological Flexibility and Psychological Distress in Patients With Multiple Sclerosis. Iranian Journal of Psychiatry and Clinical Psychology, 28(2), 222-235. Martin, S., & Kasser, S. L. (2021). The role of resilience: Physical activity continuation after falling in adults with multiple sclerosis. Disability and health journal, 14(2), 101046. Masoudnia, E (2021). Medical Sociology, University of Tehran Press[in Persian]. MirMoeini, P., Hosseini Bayazi, M., Khlatbari, J.(2022) Comparing the Effectiveness of Acceptance and Commitment Therapy With Compassion-Focused Therapy on the Intensity of Resiliency and Worry in Patients With Multiple Sclerosis. J Arak Uni Med Sci, 25 (1) :88-103. [in Persian]. Najafi, E., Mosavipour, S., Sajadi nezhad, M. S(2023). The effectiveness of intervention program of meaning therapy on general well-being, resilience and quality of life of patients with multiple sclerosis. Rooyesh , 11 (12), 8. [in Persian] Nasirnejad, F,. Pouyamanesh, J., Fathi, A., Ghorban Jafari, A. (2020) The Effect of Mindfulness Integrated Behavior-Cognitive Therapy on psychological well-being and quality of life among multiple sclerosis patients, Feyz Medical Sciences, 24(5), 536-544. [in Persian] Panahande, A., Arefi, M. (2016). The relationship between resilience and the meaning of life in women with Multiple Sclerosis in Isfahan in 2015. Second International Congress on Empowerment of Society in the Fields of Counseling, Family, and Islamic Education, Tehran. [in Persian] Parnian, F,.Zaregham Hajebi, Majid. (2018). The effectiveness of forgiveness-based education on resilience and marital dissatisfaction in patients with Multiple Sclerosis. Social Psychology, 6(47), 1-10. [in Persian] Piri-Kamrani, M., Dehghan, F., Bashiri, H.(2016).The Effectiveness of Stress Management Skills Training on Perceived Stress and Resiliency of Women with Multiple Sclerosis, Health and Care, 17(4), 319-328. [in Persian] Rahimi, S., Borjali, A.(2015). Effectiveness of Positive Psychology Interventions on Resiliency of Female Patients with Multiple Sclerosis, Positive Psychology Research, 3(1), 1-10. [in Persian]. Sajjadipour, F. (2018) The Effectiveness of Cognitive-Behavioral Therapy on Resilience based on Islamic Spirituality and Social Health of Students,Islamic Life Style Centeredon Health, 2(3), 221-228. [in Persian]. Shareh, H., Asgharkhah, E. (2016) The Effectiveness of Group Metacognitive Therapy on Metacognitive Components and Resiliency of Women with Multiple Sclerosis, Psychiatry and Clinical Psychology, 22(1),3-16. [in Persian]. Simpson, R., Mair, F. S., & Mercer, S. W. (2017). Mindfulness-based stress reduction for people with multiple sclerosis–a feasibility randomised controlled trial. BMC neurology, 17(1), 1-12. Smkhani Akbarinejhad, H., Bayrampour, O., Faroughi, P.(2021). Comparison of the effectiveness of logotherapy and treatment based on acceptance and commitment on the death anxiety, resilience and hopelessness of women with multiple sclerosis, Medical Science Journal of Islamic Azad University, 31(1), 97-106. [in Persian]. Taghizadeh, M., Al-Sadat Miralai, M. (2012). Study of spiritual group therapy on increase of resiliency in female multiple sclerosis patients in Esfahan, Health Psychology, 2(7), 82-102. [in Persian] Tan-Kristanto, S., & Kiropoulos, L. A. (2015). Resilience, self-efficacy, coping styles and depressive and anxiety symptoms in those newly diagnosed with multiple sclerosis. Psychology, health & medicine, 20(6), 635-645. Tavakoli Saleh, S., Ebrahimi, M E.(2021). Effectivenes of Acceptance-Commitment Therapy on the Resillience and Psycological Well-being of Female Patients with Multiple Sclerosis in Hamadan, Iran. Avicenna J Clin Med, 28 (2) :126-133. [in Persian]. Vahdatpoor, H,. Askari, R., Shakarian, S., Marefati, H., Kashani, K () The Effect of Eight Weeks of Exposure to Sunlight and Home-Based Pilates Training on Vitamin D Levels, Resiliency and Sleep Quality in Women with Multiple Sclerosis, Isfahan Medical School, 40(685) 667-677. [in Persian]. Walton, C., King, R., Rechtman, L., Kaye, W., Leray, E., Marrie, R. A., ... & Baneke, P. (2020)Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS, Multiple Sclerosis Journal, 26(14), 1816-1821 Ye, Z. J. (2022)Resilience in Chronic Disease, Frontiers in Psychiatry. | ||
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