Effectiveness of Cognitive Behavioral Therapy Based on Fatigue on Dimensions of Mental Fatigue in Patients with Multiple Sclerosis: a case study

Introduction:Fatigue is one of the most common problems in patients with multiple sclerosis which has several negative effects on their life. The aim of this study was to investigate effectiveness of cognitive behavioral therapy based on fatigue on dimensions of mental fatigue in patients with Multiple Sclerosis.

Method: This study was single subject design with multiple baselines. The sample of this study consisted of 3 patients who had been referred to Iran Multiple Sclerosis Society and complained of fatigue and also had study's inclusion and exclusion criteria. The instrument in this study was fatigue impact scale. Effect size and cure rate were used to analyze data.

Results: The results of data analysis indicated that effect size in physical dimension of fatigue impact scale after treatment and 45days follow-up were 0.991 and 0.989 respectively. Effect size in cognitive dimension after treatment and 45days follow-up were 0.83 and 0.80 respectively.

Conclusion: Results of this study indicates that cognitive behavioral therapy based on fatigue is effective in reducing of physical, cognitive and social fatigue and can be applied as one of effective options in reducing physical, cognitive and social dimensions of fatigue in patients with multiple sclerosis.