Abstract

Multiple Sclerosis (MS) is a progressive neurological condition commonly associated with high rates of emotional distress. Whilst the evidence-base for psychological intervention for individuals with MS is increasing, few existing studies have explored the effectiveness of narrative therapy approaches. This paper evaluates the impact of a ‘Tree of Life’ group intervention on a range of outcome measures evaluating the psychological and physical sequelae of MS and uses the Reliable Change Index (RCI) to calculate clinically significant change. It was found that 78.95 per cent of participants (N= 15) achieved a clinically reliable improvement on at least one outcome measure. The greatest frequency of reliable improvements was observed on measures of depression and self-efficacy. Whilst follow-up data was poor, findings suggest that for a number of individuals, improvements were sustained at three-month follow-up. This paper is the first to evaluate a Tree of Life group intervention for individuals with MS and findings support existing literature and offer preliminary evidence to support the use of group psychological interventions for individuals with MS.

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