Effect of Expressive Writing on Promotion of Body Image in Women with Multiple Sclerosis: A Randomized Controlled Trial

Authors

  • Afshar, Bahare MSc Student in Midwifery Counseling, Student Research Committee, School of Nursing and Midwifery, Iran university of Medical Sciences, Tehran, Iran
  • Amini, Leila Nursing Care Research Center, Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
  • Hasani, Maryam PhD in Reproductive Health, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
  • Mohammadnouri, Mahsahd PhD in Psychology, Department of Education, Vancouver Career College, Registered Clinical Counsellor in British Columbia, Canada
  • Jahanfar, Shayesteh Assistant Professor, Department of Public Health, School of Health Professions, Central Michigan University, Michigan, USA
  • Nabavi, Seyed Massood Professor, Department of Brain and Cognitive sciences, Royan Institute for Stem Cell Biology and Technology, Academic Center for Education, Culture and Research, Tehran, Iran Professor, Regenerative Biomedicine Department, Neurology and MS group, Royan Institute for Stem Cell Biology and Technology, Academic Center for Education, Culture and Research, Tehran, Iran
Abstract:

 Background and purpose: Multiple sclerosis (MS) affects own physical function and body image. The aim of this study was to determine the effect of expressive writing on body image in women with MS. Materials and methods: In this randomized trial, the Solomon four-group design was employed. The study was carried out in 116 women attending an MS clinic in Tehran, Iran 2019. The participants were randomly assigned to two subgroups of control (A1 and A2) and two subgroups of intervention (B2 and B1). Pretest and posttest were done in A2 and B2 while for A1 and B1only posttest was performed. Expressive writing including morning pages, meeting the inner child, and creative assignments were carried out for six weeks. The control group received routine care. Fisher Body Focus Questionnaire was completed at pretest in A2 and B2 and at posttest in all groups (immediately after the intervention, and at weeks four and eight). Data analysis was done in SPSS V26. Results: The mean scores for body image in B2 were 145.65±19.89 at pretest, 156.89±9.54 immediately after the intervention, 158.16±8.92 at week four, and 153.96±8.27 at week eight. In A2, the mean score at these times were 144.96±7.17, 145.55±5.10, 145.28±7.84, 145.00±9.15, respectively. Expressive writing significantly improved body image in B2 at immediately and four weeks after the intervention compared to pretest (P˂0.001). There were significant differences between the control group and intervention group at immediately after (P=0.002) and four weeks (P=0.03) after the intervention. Conclusion: Expressive writing could be effective in improving body image in women with MS.   (Clinical Trials Registry Number: IRCT20110629006917N4)

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

The Effect of Expressive Writing on Psychological Distress in Patients with Vitiligo: A Randomized Clinical Trial

Objective: In this clinical trial, we examined whether or not expressive writing as a psychological intervention reduces psychological distress in vitiligo patients receiving phototherapy.  Method: A total of 139 adult vitiligo patients were asked to complete the GHQ-28 in order to identify their psychiatric disturbances. The GHQ-28 scores showed that 78 patients (56.5%) had psychiatric...

full text

Effect of Melatonin on Serum Levels of INF-1β and Vitamin B12 in Patients With Multiple Sclerosis: A Randomized Controlled Trial

Background: Multiple Sclerosis (MS) is a chronic autoimmune disease due to the demyelination of axons in the central nervous system. Melatonin, as a hormone with potential anti-inflammatory effects, can reduce the MS symptoms by altering the levels of inflammatory mediators. Methods: In this study, 50 MS patients referred to the MS Society in Markazi Province were randomly selected. Each patie...

full text

on translation of politeness strategies in dialogues involving female characters in translations and retranslations of novels translated before and after the islamic revolution of iran and their effects on the image of women: a polysystem theory approach

abstract reception environment has considerable effects on accepting a translation. as the expectations of a target culture and its values and needs change throughout history, its criteria for accepting a translation or rejecting it will change accordingly (gentzler, 2001). the expectations of iran, as the reception environment in the present study, have changed after the islamic revolution. i...

Effect of Treatment with Vitamin D on Maternal and Neonatal Indices in Pregnant Women with Hypocalcemia: A Randomized Controlled Trial

Background The impact of concomitant vitamin D deficiency and maternal hypocalcemia on fetal growth has is not clear. The aim of this study was to determine the effect of treatment with vitamin D on maternal and neonatal indices in pregnant women with hypocalcemia. Materials and Methods This clinical trial was conducted on 110 pregnant women (22-26 weeks of gestational age) with simultaneous m...

full text

Effects of Coenzyme Q10 Supplementation on Antioxidant Enzyme and Lipid peroxide Activities in Women with Multiple Sclerosis: a Randomized, Placebo-controlled Trial

Background and Objectives:Oxidative stress has been reported to provide neurodegeneration in multiple sclerosis (MS). Coenzyme Q10 is an endogenous lipid-soluble antioxidant. Up-to-date, no intervention studies have investigated coenzyme Q10 supplementation in MS. The purpose of this study was to investigate oxidative stress and antioxidant enzyme and lipid peroxide activities in women with MS...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 31  issue 192

pages  54- 67

publication date 2021-01

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

No Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023