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The potential of psychological interventions to improve quality of life and mood in muscle disorders
Authors:Christopher D. Graham PhD  Zachary Simmons MD  Simon R. Stuart MSc  Michael R. Rose MD
Affiliation:1. NHS Lothian, Department of Clinical Neuropsychology, Astley Ainslie Hospital, Edinburgh, United Kingdom;2. Department of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Edinburgh, United Kingdom;3. Department of Neurology, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA;4. Department of Neurology, King's College Hospital, London, United Kingdom
Abstract:Quality of life (QoL) and mood are reduced in many patients with muscle disorders. Psychological variables appear to be contributors to both QoL and mood, suggesting that psychological interventions could improve these outcomes, yet research in this area is sparse. We review the roles of psychological variables, plus context and disease severity, in explaining QoL. A cognitive‐behavioral model of disease self‐management, with acceptance as the central component, is discussed. This model is then used to describe how psychological interventions derived from cognitive behavioral therapy (CBT), in particular Acceptance and Commitment Therapy (ACT), might be applied to address the issues of distress, nonadherence to treatments, pain, and fatigue in people with muscle disorders. Muscle Nerve 52 : 131–136, 2015
Keywords:Acceptance and Commitment Therapy  Cognitive Behavioral Therapy  muscle disorders  muscular dystrophy  psychology
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