The Effectiveness of Dialectical Behavior Therapy on Sleep Quality and Pain Management in Multiple Sclerosis

Background: pain can interfere with the daily functioning of patients with multiple sclerosis (ms). furthermore, sleep disturbance is a common symptom of ms. the dialectical behavior therapy program is presented as a detailed structured treatment program that was demonstrated that has effects on the treatment of psychosomatic disorders such as pain and sleep disorders. objectives: to investigate the effectiveness of dialectical behavior therapy on sleep quality and pain management in patients with ms. materials & methods: this research has been carried out as a quasi-experimental with pretest, posttest, and a control group. a total of 24 people were selected through a convenient sampling method from the patients of the ms-society of guilan province, iran. then, they are randomly divided into 2 equal groups (experimental and control). the study data were collected through pittsburgh sleep quality scale and pain self-efficacy questionnaires. the intervention process was performed for the experimental group as 8 training sessions of 90 minutes long. the obtained data were analyzed by univariate analysis of covariance and multivariate analysis of covariance in spss v. 24. results: the results showed a significant difference between the experimental and control groups in terms of pain management (f=4.04) and sleep quality (f=5.64) (p<0.05) and dialectical behavior therapy had a significant statistical effect on sleep quality and pain management. conclusion: based on these findings, dialectical behavior therapy can be used to improve the quality of sleep and manage pain in patients with ms.