The Effect of Cognitive- Behavioral Group Therapy (CBGT) on Anxiety, Self- Esteem, Quality of Life, Pain Self-Efficacy and Hope in Patients with Multiple Sclerosis (MS)

INTERVENTION: Intervention 1: Control group: The control group simultaneously (two‐hour sessions for 10 weeks) will continue Center’s usual care plan of the group. Intervention 2: Experimental group: The Intervention group will attend cognitive‐ behavioral group therapy sessions for 10 weeks (10 sessions of two hour). In general, the treatment plan for this group will be to at assess previous session homework, teaching a new technique and giving homework for future session. CONDITION: Multiple Sclerosis (MS). ; Multiple Sclerosis (MS) PRIMARY OUTCOME: Anxiety Score in Beck Anxiety Inventory. Timepoint: Measurement of Anxiety before Intervention and 80 Days after the Onset of Cognitive‐ Behavioral Group Therapy. Method of measurement: Beck Anxiety Inventory (BAI). Hope Score in Adult Hope Inventory. Timepoint: Measurement of Hope before Intervention and 80 Days after the Onset of Cognitive‐ Behavioral Group Therapy. Method of measurement: Adult Hope Inventory. Pain Self‐Efficacy Score in Self Pain Efficacy Inventory. Timepoint: Measurement of Pain Self‐Efficacy before Intervention and 80 Days after the Onset of Cognitive‐ Behavioral Group Therapy. Method of measurement: Self Pain Efficacy Inventory. Quality of Life Score in Quality of Life Inventory. Timepoint: Measurement of Quality of Life before Intervention and 80 Days after the Onset of Cognitive‐ Behavioral Group Therapy. Method of measurement: The Short Form Quality of Life Inventory. Self‐ Esteem Score in Coopersmith Inventory. Timepoint: Measurment of Self‐ Esteem before Intervention and 80 Days after Onset of Cognitive‐ Behavioral Group Therapy. Method of measurement: Coopersmith Self‐Esteem Inventory. INCLUSION CRITERIA: Aged between 20 to 50 years Having at least a high school diploma Willingness to participate in the study and being randomly into one of the study groups Diagnosis of MS by a neurologist Anxiety disorder based on Beck Anxiety Inventory with a score higher than 26 Completing the agreement form