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cognitive behavioral therapy what benefits can it offer

Dennison L, Moss-Morris R.(2010) Cognitive Behavioural Therapy: what benefits can it offer people with Multiple Sclerosis? Expert Review of Neurotherapeutic, s10(9), 1383-1390. Cognitive Behavioral Therapy: what benefits can it offer people with Multiple Sclerosis? Laura Dennison and Rona Moss-Morris Centre for the Applications of Health Psychology, School of Psychology, University of Southampton, Highfield Campus, Southampton, United Kingdom, SO17 1BJ Corresponding Author: Rona Moss-Morris School of Psychology University of Southampton Highfield Campus Southampton UK SO17 1BJ Tel: (+44) 02380 597549 Fax: (+44) 02380 592606 Email: remm@soton.ac.uk Keywords: Cognitive Behavioral Therapy; Multiple Sclerosis; depression, anxiety, fatigue, psychological adjustment Summary Cognitive Behavior Therapy (CBT) originated as a treatment for emotional disorders. However, it is increasingly used to help people with chronic illnesses manage symptoms and improve psychosocial outcomes such as depression and quality of life. In this review we focus on uses of CBT in patients with Multiple Sclerosis (MS), an incurable neurological disease which causes potentially debilitating symptoms and poses numerous challenges to psychological well-being. We examine the rationale for using cognitive-behavioral therapy to deal with distress, symptoms, impairment and disease exacerbation and progression and discuss examples of existing research on the efficacy and acceptability of these interventions. Finally we consider areas where CBT could potentially benefit people with MS in the future. Ongoing challenges in this field are discussed. Introduction Multiple Sclerosis (MS) is currently thought to affect more than 2.5 million people worldwide including around 400,000 in the United States (101) . Symptoms vary but can include abnormal gait, spasticity, disturbances in sensation and vision, bowel and bladder disturbances, sexual dysfunction, cognitive impairment, pain and fatigue. Around 85

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