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Chang JHC, Bethoux F, Plow MA. Subjective Well-Being, Positive Affect, Life Satisfaction, and Happiness With Multiple Sclerosis: A Scoping Review of the Literature. Rehabil Nurs 2024; 49:156-168. [PMID: 39219021 DOI: 10.1097/rnj.0000000000000474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
PURPOSE People with multiple sclerosis (MS) may face challenges maintaining their subjective well-being, life satisfaction, happiness, and positive emotions. This scoping review's purpose was to summarize studies on these positive psychological constructs among people with MS. METHODS Observational and interventional studies that included measures of subjective well-being, life satisfaction, happiness, or positive affect were identified. Variables associated with these constructs were classified using the International Classification of Functioning, Disability and Health (ICF). RESULTS The review included 22 observational and 10 interventional studies. Variables were categorized into each of the ICF domains. Cognitive behavior therapy was the most common intervention, with content and dosing varying widely. CLINICAL RELEVANCE Subjective well-being, life satisfaction, happiness, and positive affect are crucial components of community and individual health. The findings of this scoping review highlight the complex interplay between function, personal factors, and environmental conditions in influencing positive psychological constructs. Given the limited evidence, rehabilitation nurses should leverage their skills in delivering holistic care and adopt data-driven approaches to integrate positive psychological strategies into care plans. CONCLUSION Further research is needed to measure and compare interventions aimed at improving these constructs and to examine the influence of personal and environmental factors among diverse MS populations.
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Affiliation(s)
- Julia H C Chang
- Department of Nursing, California State University Channel Islands, Camarillo, CA, USA
| | - Francois Bethoux
- Department of Physical Medicine and Rehabilitation, Neurological Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA
| | - Matthew A Plow
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA
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Sandroff BM, Weber E, Wylie GR, Wender CLA, Goverover Y, Lercher K, Tong TT, Robinson B, Moore N, Salter A, DeLuca J, Chiaravalloti ND. The effects of cognitive rehabilitation combined with aerobic exercise or stretching-and-toning on new learning and memory in persons with moderate-to-severe TBI: Protocol for a randomized controlled trial. Contemp Clin Trials 2023; 134:107331. [PMID: 37734538 DOI: 10.1016/j.cct.2023.107331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 09/14/2023] [Accepted: 09/15/2023] [Indexed: 09/23/2023]
Abstract
This paper describes the protocol for a Phase I/II, parallel-group, blinded randomized controlled trial that compares the effects of 12-weeks of combined learning and memory rehabilitation with either aerobic cycling exercise or stretching on cognitive, neuroimaging, and everyday life outcomes in 60 persons with moderate-to-severe traumatic brain injury (TBI) who demonstrate impairments in new learning. Briefly, participants will undergo baseline testing consisting of neuropsychological testing, neuroimaging, daily life measures, and cardiorespiratory fitness. Following baseline testing, participants will be randomized to one of 2 conditions (30 participants per condition) using concealed allocation. Participants will be masked as to the intent of the conditions. The conditions will both involve supervised administration of an enhanced, 8-week version of the Kessler Foundation modified Story Memory Technique, embedded within either 12-weeks of supervised and progressive aerobic cycling exercise training (experimental condition) or 12-weeks of supervised stretching-and-toning (active control condition). Following the 12-week intervention period, participants will complete the same measures as at baseline that will be administered by treatment-blinded assessors. The primary study outcome is new learning and memory impairment based on California Verbal Learning Test (CVLT)-III slope, the secondary outcomes include neuroimaging measures of hippocampal volume, activation, and connectivity, and the tertiary outcomes involve measures of daily living along with other cognitive outcomes. We further will collect baseline sociodemographic data for examining predictors of response heterogeneity. If successful, this trial will provide the first Class I evidence supporting combined memory rehabilitation and aerobic cycling exercise training for treating TBI-related new learning and memory impairment.
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Affiliation(s)
- Brian M Sandroff
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America.
| | - Erica Weber
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America
| | - Glenn R Wylie
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America
| | - Carly L A Wender
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America
| | - Yael Goverover
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Occupational Therapy, New York University, New York, NY, United States of America
| | - Kirk Lercher
- Kessler Institute for Rehabilitation, West Orange, NJ, United States of America
| | - Tien T Tong
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America
| | - Brionna Robinson
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America
| | - Nancy Moore
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America
| | - Amber Salter
- Department of Neurology, University of Texas Southwestern, Dallas, TX, United States of America
| | - John DeLuca
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America
| | - Nancy D Chiaravalloti
- Centers for Neuropsychology, Neuroscience, Traumatic Brain Injury Research, Kessler Foundation, East Hanover, NJ, United States of America; Department of Physical Medicine & Rehabilitation, Rutgers NJ Medical School, Newark, NJ, United States of America
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Cognitive Rehabilitation in Multiple Sclerosis in the Period from 2013 and 2021: A Narrative Review. Brain Sci 2021; 12:brainsci12010055. [PMID: 35053798 PMCID: PMC8773488 DOI: 10.3390/brainsci12010055] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 12/27/2021] [Accepted: 12/27/2021] [Indexed: 12/25/2022] Open
Abstract
Background: In recent years, several blinded randomized controlled trials (RCT) have been conducted on cognitive rehabilitation (CR) in adults with multiple sclerosis (MS). Objective: To review all blinded RCTs on CR in MS published since 2013. Methods: The National Library of Medicine database (Medline) and PSYCINFO were searched using the keywords MS and CR or cognitive training or NP rehabilitation or memory rehabilitation or attention rehabilitation. Results: After the exclusion of some papers not specifically focused on CR, a final list of 26 studies was established. The papers belong to three main categories: individual specific rehabilitation (8studies), group rehabilitation (4 studies), and computerized training (CT) (14 studies), while one study combined group rehabilitation and CT. Among the individual rehabilitation studies, 5 were devoted to memory, and most of the 19 other selected studies were about several cognitive domains. Most of the studies mainly concerned RRMS patients, except for 2 studies that were carried out exclusively in progressive forms. Despite the methodological limitations of some studies and the great heterogeneity of the protocols, the results are generally in favor of the efficacy of CR in neuropsychological tests. Conclusion: Recent blinded RCTs about CR in MS show promising results.
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Podda J, Tacchino A, Pedullà L, Monti Bragadin M, Battaglia MA, Brichetto G. Focus on neglected features of cognitive rehabilitation in MS: Setting and mode of the treatment. Mult Scler 2020; 28:1009-1019. [PMID: 33045916 PMCID: PMC9131413 DOI: 10.1177/1352458520966300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Cognitive rehabilitation in multiple sclerosis (MS) aims at reducing patients’
cognitive impairments, improving their awareness and ability to take cognitive
difficulties into account in their daily living. However, at this moment, more
high-quality randomized trials are needed to draw conclusion about the
effectiveness of cognitive interventions in MS. Although existing studies
provide clear descriptions of intervention key ingredients (e.g. targeted
cognitive domain as well as treatment frequency and duration) and the practical
details needed to manage these key elements (e.g. restorative approaches,
compensatory strategies, or environmental modifications), other crucial aspects
received less attention in rehabilitation research. The aim of this topical
review is to try to elucidate some critical issues that were only partly
addressed and analyzed by the scientific literature: setting (center-based vs
home-based) and mode (individual vs group) of the cognitive rehabilitation
treatment.
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Affiliation(s)
- Jessica Podda
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy
| | - Andrea Tacchino
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy
| | - Ludovico Pedullà
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy
| | - Margherita Monti Bragadin
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy/AISM Rehabilitation Center, Italian Multiple Sclerosis Society, Genoa, Italy
| | - Mario Alberto Battaglia
- Department of Physiopathology, Experimental Medicine and Public Health, University of Siena, Siena, Italy
| | - Giampaolo Brichetto
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy/AISM Rehabilitation Center, Italian Multiple Sclerosis Society, Genoa, Italy
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