Psychological interventions for improving quality of life in slowly progressive neuromuscular disorders

Pater, Ronne and Zaldua, Joana Garmendia and Gallais, Benjamin and Graham, Christopher Darryl and Voet, Nicole (2023) Psychological interventions for improving quality of life in slowly progressive neuromuscular disorders. Neuromuscular Disorders, 33 (7). pp. 562-569. ISSN 1873-2364 (https://doi.org/10.1016/j.nmd.2023.03.012)

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Abstract

This workshop aimed to develop recommendations for psychological interventions to support people living with slowly progressive neuromuscular disorders (NMD). The workshop comprised clinicians, researchers, people living with NMD and their relatives. First, participants considered the key psychological challenges presented by NMD and the impact of NMD on relationships and mental health. Later, several psychological approaches for enhancing well-being in NMD were described. The results of randomised controlled trials of Cognitive Behaviour Therapy and Acceptance and Commitment Therapy for improving fatigue, quality of life, and mood in adults with NMD were examined. Then the group considered ways to adapt therapies for cognitive impairments or neurodevelopmental differences that occur in some NMD, alongside ways to support children and adolescents with NMD and their family members. Based on the evidence from randomised controlled trials, carefully conducted observational studies, and the coherence of these data with the experience of those living with NMD, the group recommends that psychological interventions should be embedded in the routine clinical care offered to people living with NMD.

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