Effectiveness of Cognitive Existential Approach on DecreasingDemoralization in Women with Multiple Sclerosis

Objectives: multiple sclerosis (ms) is the most prevalent central nervous system diseases that due tochronicity, frequent recurrence, uncertainty about progression, and disability, can lead to variousdistresses as well as demoralization. rehabilitation method based on cognitive-existential therapy is anintegrated approach to decreasing demoralization syndrome in these patients. this study aimed toexploring effectiveness of rehabilitation method based on cognitive-existential approach on decreasingdemoralization syndrome in patients with multiple sclerosis.methods: single subject design was used in this study. among women who had referred to tehran msassociation, 3 women (aged between 20-40) were selected through purposeful sampling and separatelyparticipated in 10 sessions (90 minutes). participants were assessed during 7 phases of intervention (2baselines, 3 measurements during intervention, 2 follow-up) through demoralization syndrome scale andcognitive distortion scale. data were analyzed by calculating process variation index and visual analysis.results: comparing patients with ms scores on the diagram during 7 time measurement and calculatingrecovery percentage, represent decreasing in demoralization syndrome score scale.discussion: findings showed that rehabilitation method based on cognitive existential approach candecrease demoralization syndrome in patients with ms.