Objective: The aim of this study is to assess the effect of applying Journaling on Anxiety,Depression and Stress in patients with Multiple Sclerosis.
Design: This study is a randomized clinical trial with Interventional and control groups.
Setting and Conduct: 80 multiple sclerosis patients coming to Association of multiple Sclerosis patients charity, in Tehran, Iran selected by inclusion criteria and assessed by Depression, Anxiety and Stress Scale (DASS-21) then study intervention was down for intervention group, and after intervention patients of two groups reassessed with DAS-21 and results compared within and between groups.
Participants and inclusion and exclusion criteria : 80 multiple sclerosis patients that divided two groups by random allocation. 40 patients for intervention group and 40 patients for control group. Inclusion criteria is diagnosis of Multiple Sclerosis, At least six months history of disease, age between 20 years to 40 years, moderate severity of disease. Exclusion criteria is relapse of disease, Hospitalization, increasing severity of disease to sever mode.
Intervention: participants must writes negative feelings and emotions about his/her disease and traumatic event, 30 minutes a day for 30 days (one month). After 1 month patients of two groups reassessed with DASS-21 questionnaire. No intervention was done in the control group.In end of study results was compared within and between groups by paired T-test, chi square, analysis of variance by SPPS software.
Main outcome: Level of Depression, Anxiety, Stress.