Abstract
BackgroundSelf-management interventions have become increasingly popular in the management of long-term health conditions; however, little is known about their impact on psychological well-being in people with Multiple Sclerosis (MS).PurposeTo examine the effectiveness of self-management interventions on improving depression, anxiety and health related quality of life in people with MS.MethodA structured literature search was conducted for the years 2000 to 2016. The review process followed the PRISMA guidelines, and is registered with PROSPERO (no. CRD42016033925).ResultsThe review identified 10 RCT trials that fulfilled selection criteria and quality appraisal. Self-management interventions improved health-related quality of life in 6 out of 7 studies, with some evidence of improvement in depression and anxiety symptoms.ConclusionAlthough the results are promising more robust evaluation is required in order to determine the effectiveness of self-management interventions on depression, anxiety and quality of life in people with MS. Evaluation of the data was impeded by a number of methodological issues including incomplete content and delivery information for the intervention and the exclusion of participants representing the disease spectrum. Recommendations are made for service development and research quality improvement.
Highlights
Multiple Sclerosis (MS) is a chronic, degenerative, autoimmune disease of the central nervous system that affects approximately 2 million people globally [1]
The results are promising more robust evaluation is required in order to determine the effectiveness of self-management interventions on depression, anxiety and quality of life in people with MS
The effect of Self-management interventions (SMI) on psychosocial well-being in people with multiple sclerosis
Summary
Multiple Sclerosis (MS) is a chronic, degenerative, autoimmune disease of the central nervous system that affects approximately 2 million people globally [1]. It is characterised by an early onset of disease, diagnosed in young adults typically between 20–40 years, and is associated with a relatively normal length of life expectancy [2]. Self-management interventions have become increasingly popular in the management of long-term health conditions; little is known about their impact on psychological well-being in people with Multiple Sclerosis (MS). To examine the effectiveness of self-management interventions on improving depression, anxiety and health related quality of life in people with MS
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