The effectiveness of acceptance and commitment-based education on anxiety, depression and rumination in 13- and 16-year-old adolescents with multiple sclerosis (Case study)

Background and Objectives: Multiple sclerosis is a common neurological disease that typically manifests itself in advanced and chronic stages. The unknown nature of the etiology of this disease is a big problem. The current study was carried out to evaluate the efficacy of acceptance and commitment based study on psychological issues like anxiety, depression and rumination in a 13 and a 16 year old adolescents with multiple sclerosis. Materials and Methods: The present study was a single case of multiple baseline type of treatment process. Participants in this study were patients who referred to the Hamadan Child and Adolescent Psychological Clinic in the summer of 1399 and in addition to MS suffered from significant psychological disorders such as anxiety, depression and rumination. The study sample consisted of 2 adolescents 13 and 16 years old with MS who volunteered to participate in this study. According to the ethical criteria after the study, members of the control group also received the independent variable (acceptance and commitment-based education) during 8 sessions. Beck Depression Inventory (2000) and Beck Anxiety Inventory (1988) and the Nolen-Hoxima (1991) Ruminant Response Scale were assessed in ten sessions before treatment, at the end of each treatment session, and after the last session. Results: The results showed that the rate of improvement in anxiety after 8 sessions of treatment for the first client was 42% and the rate of recovery for the second client was 47% and the overall recovery rate for both clients was 44.5%. The rate of recovery of depression for the first and second clients was 0.50, 0.50 and 0.6%, respectively, and the rate of overall recovery was 65.06%, the rate of recovery for the first client was 65%, and for the second client was 58%, and the overall recovery rate was 61.5% (P < 0.001). Conclusions: The results of the study of these two subjects indicated the clinical effectiveness of acceptance and commitment therapy on the subjects' anxiety, depression and rumination approaches. Finally, it can be said that this method of treatment is effective and to further evaluate its effectiveness, controlled evaluation studies are needed to achieve a definitive result.