Journal of Education and Health Promotion

Effect of progressive muscle relaxation technique on self‑esteem and self‑efficacy in multiple sclerosis patients: A clinical trial study

Document Type : Original Article

Authors

. Ali Akbari
. Farshid Shamsaei 1
. Efat Sadeghian 2
.. Mehrdokht Mazdeh 3
. Leili Tapak 4

1 Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

2 School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

3 Neurophysiology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

4 Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran Modeling of Non-communicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

Abstract
BACKGROUND: Low self‑esteem and inefficiency are major problems in multiple sclerosis (MS)
patients. A progressive muscle relaxation technique is one of the complementary therapies. The
objective of this study was to investigate the effect of progressive muscle relaxation techniques on
self‑esteem and self‑efficacy in MS patients.
MATERIALS AND METHODS: This clinical trial was conducted on 100 MS patients were randomly
divided into two groups of experimental (n = 50) and control (n = 50). The experimental group received
progressive muscle relaxation techniques in eight 60‑min sessions twice a week for 4weeks. Rosenberg’s
Self‑Esteem Scale and Self‑Efficacy Scales of MS patients were completed before, immediately, and
4 weeks after the intervention. Data were analyzed using the SPSS software version 16.
RESULTS: The mean score of self‑esteem was not significantly different between the
control (26.02 ± 5.83) and experimental (26.40 ± 6.06) groups before intervention (P = 0.247).
The mean score of self‑esteem in the control group (27.16 ± 7.45) and the experimental
group (29.06 ± 6.61) immediately after the intervention (P = 0.083) was not significantly different.
4 weeks after the intervention, the mean scores of self‑esteem in the control (26.96 ± 8.33)
and the experimental (29.98 ± 7.02) groups were significantly different (P = 0.012). The
mean score of self‑efficacy was significantly different between the control (41.62 ± 4.46) and
experimental (39.32 ± 4.31) groups before intervention (P = 0.010). The mean scores of self‑efficacy
in the control group (38.38 ± 5.07) and the experimental group (44 ± 4.46) immediately after the
intervention (P < 0.001) and 4 weeks after intervention showed a significant difference between the
control group (38.04 ± 5.46) and the experimental (46.40 ± 5.04) groups (P < 0.001).
CONCLUSION: Due to the effect of progressive muscle relaxation on self‑esteem and self‑efficacy
of MS patients, its safety and simplicity, this technique can be used as a complementary therapy to
enhance the level of self‑esteem and self‑efficacy of MS patients.

Keywords

Multiple sclerosis
muscle relaxation
self‑efficacy
self‑esteem
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Journal of Education and Health Promotion
Volume 12, Issue 1
January 2022
Pages 1-10

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