Journal
NEUROMUSCULAR DISORDERS
Volume 33, Issue 7, Pages 562-569Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.nmd.2023.03.012
Keywords
Neuromuscular disorders; Psychological interventions; Mental well-being; Cognitive behavioral therapy; Acceptance and commitment therapy
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This workshop aimed to develop recommendations for psychological interventions to support people living with slowly progressive neuromuscular disorders (NMD). The group recommends that psychological interventions should be embedded in the routine clinical care offered to people living with NMD based on evidence from randomised controlled trials, carefully conducted observational studies, and the coherence of these data with the experience of those living with NMD. The workshop included clinicians, researchers, people living with NMD and their relatives, who discussed key psychological challenges presented by NMD and ways to adapt therapies for cognitive impairments or neurodevelopmental differences that occur in some NMD.
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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