Comparison of the effect of therapy based on acceptance and commitment with a focus on compassion and yoga exercises on MS patients

INTERVENTION: Intervention 1: Intervention group: This group includes MS patients who receive treatment based on acceptance and commitment with a focus on compassion. The sessions include one pre‐session and ten treatment sessions. It lasts 72 days in total. The pre‐meeting is related to getting to know the group members and each other, checking the reasons for participation and expectations, the necessity of psychotherapy, introducing the approach, stating the rules and structure of the meetings, obtaining written consent and performing the pre‐test, and the next ten treatment sessions will receive therapeutic intervention. . The first session: performing awareness training (body observation exercise), establishing a therapeutic alliance (metaphor of 2 mountains), expressing control as a performance measurement problem (metaphor of sand pool), introducing emotion regulation systems and assigning homework. It takes a total of 72 days. The second session: reviewing homework, practicing mindfulness, getting to know the old and new brain, introducing the dimensions of compassion and the three competitors of kindness (metaphor of the mother cat), creating creative frustration (metaphor of pressing the work board), training to create a blameless perspective and determine Homework. Third session: 3rd: Reviewing assignments, doing a brief mindfulness practice, creating sensitivity to human suffering in the context of the present, extending conscious mind compassion to the outside world and developing sensitivity to the disturbances of the present, practicing compassionate attention, filling in the daily compassionate worksheet and reviewing experiences and assigning homework. The fourth session: reviewing assignments, practicing compassionate attention, teaching and creating compassionate d CONDITION: Multiple Sclerosis. ; Multiple sclerosis INCLUSION CRITERIA: Definitive diagnosis based on neurological examinations and magnetic resonance imaging by a specialist doctor Not suffering from other neurological and chronic diseases at the same time Absence of mild cognitive problems by short mental state test Absence of severe psychological disorders Membership in the Multiple Sclerosis Association Age range from 26 to 44 years Literacy for reading and writing PRIMARY OUTCOME: Acceptance of pain is the score that the subject receives from the Chronic Pain Acceptance Questionnaire ‐ Revised by McCracken et al. (2004). The questionnaire has 20 items and two factors of participation in activity and desire for pain have been identified in this questionnaire. To obtain a total score, we add the scores of each factor together. Higher scores indicate higher levels of acceptance. Timepoint: At the beginning of the study, that is, before the intervention in the form of a pre‐test and after the intervention in the form of a post‐test and then in the follow‐up. Method of measurement: Chronic Pain Acceptance Questionnaire ‐ Revised. Difficulty in emotion regulation is the score that the subject receives through the difficulty of emotion regulation scale by Gratz and Roemer (2004). This self‐report tool has 36 items and 6 subscales. Higher scores mean more difficulty in emotional regulation. Timepoint: At the beginning of the study, that is, before the intervention in the form of a pre‐test and after the intervention in the form of a post‐test and then in the follow‐up. Method of measurement: Difficulties in Emotion Regulation Scale. Pain catastrophizing is a score that the subject receives through the pain catastrophizing scale of Sullivan et al. (1995). This questionnaire contains 13 statements about the person's thoughts and feelings during past painful experiences, which has subscales of rumination, magnification, and helplessness. . Questions are scored on a 5‐point Likert scale, and a higher total score indicates a higher level of catastrophizing thoughts and feelings. Timepoint: At the beginning of the study, that is, before the intervention in the form of a pre‐test and after the intervention in the form of a post‐test and then in the follow‐up. Method of measurement: Pain Catastrophizing Scale. Self‐management is a score that the subject receives through the self‐management scale of MS patients (revised) by Bishop and Frain (2011). This self‐report tool is compiled in 24 items and 5 subscales. The higher the person's score, the higher the level of self‐management. The range of changes in this tool is between 24 and 120. Timepoint: At the beginning of the study, that is, before the intervention in the form of a pre‐test and after the intervention in the form of a post‐test and then in the follow‐up. Method of measurement: The Multiple Sclerosis Self‐Management Scale–Revised (MSSM‐R).