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A Systematic Review of the Effectiveness of Self-Management Interventions in People with Multiple Sclerosis at Improving Depression, Anxiety and Quality of Life.

Kidd, Tara, Carey, Nicola, Mold, Freda Elizabeth, Westwood, Susan, Miklaucich, Maria, Konstantara, Emmanouela, Sterr, Annette and Cooke, Deborah (2017) A Systematic Review of the Effectiveness of Self-Management Interventions in People with Multiple Sclerosis at Improving Depression, Anxiety and Quality of Life. PLoS ONE, 12 (10), e0185931.

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Abstract

Background

Self-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).

Purpose

To examine the effectiveness of self-management interventions on improving depression, anxiety and health related quality of life in people with MS.

Method

A 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).

Results

The 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.

Conclusion

Although 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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Kidd, Taratara.kidd@surrey.ac.ukUNSPECIFIED
Carey, NicolaN.Carey@surrey.ac.ukUNSPECIFIED
Mold, Freda ElizabethFreda.mold@surrey.ac.ukUNSPECIFIED
Westwood, Susansue.westwood@surrey.ac.ukUNSPECIFIED
Miklaucich, MariaM.Miklaucich@surrey.ac.ukUNSPECIFIED
Konstantara, Emmanouelae.konstantara@surrey.ac.ukUNSPECIFIED
Sterr, AnnetteA.Sterr@surrey.ac.ukUNSPECIFIED
Cooke, Deborahd.cooke@surrey.ac.ukUNSPECIFIED
Date : 11 October 2017
Identification Number : 10.1371/journal.pone.0185931
Copyright Disclaimer : Copyright 2017 Kidd et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Uncontrolled Keywords : Multiple sclerosis; self-management; depression; anxiety; quality of life
Related URLs :
Depositing User : Melanie Hughes
Date Deposited : 18 Oct 2017 08:57
Last Modified : 18 Oct 2017 08:58
URI: http://epubs.surrey.ac.uk/id/eprint/842404

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