The study was aimed at describing the levels of depression, positive and negative affect, optimism and health-related quality of life in a group of recently diagnosed multiple sclerosis (MS) patients (up to three years since the diagnosis), taking into account gender, age, and disease duration differences, and at investigating the role of identity, sense of coherence, and selfefficacy in MS on patients' depression, positive and negative affect, optimism, and health-related quality of life. The cross-sectional study involved 90 MS patients (60% women; age: M = 37, SD = 12) with Expanded Disability Status Scale (EDSS) between 1 and 4 (mild to moderate disability). Patients completed measures of Depression (CESD-10), Positive and Negative Affect (PANAS), Optimism (LOT-R), Health-related Quality of Life (HRQOL) (SF-12), Identity Motives, Sense of Coherence (SOC), and Self-efficacy in MS (SEMS). Depression scores were near the cut-off level for clinically significant depressive symptoms, and negative affect was higher and health-related quality of life was lower than those in the general population. Women and younger patients reported better adjustment as time passes since the diagnosis. Results of multiple regressions indicated that higher sense of coherence was related to higher mental health, lower negative affect and lower depression. Higher self-efficacy in MS was predictive of greater positive affect and lower negative affect, whereas higher identity satisfaction was predictive of higher positive affect and optimism and lower depression. The results suggest the usefulness of
The study is aimed at examining the relationship between emotional and self-regulated learning self-efficacy, subjective well-being (SWB) and positive coping among adolescents and youths, during the COVID-19 pandemic lockdown. 485 Italian students (74% girls; mean age 19.3) filled in an online questionnaire during the lockdown period. The hypothesized model in which both the forms of self-efficacy were predictors of SWB and positive coping, and SWB partially mediated the relation between self-efficacy measures and positive coping was tested by means of Structural equation modeling. Results largely supported the hypothesized relationships and suggested paying special attention to adolescents’ self-efficacy in regulating basic negative emotions, in order to promote positive coping strategies to face challenges coming from everyday life and from non-normative events.
Preliminary evidence suggests that the proposed intervention fosters the quality of life and the psychological well-being of recently diagnosed MS patients by reducing negative affect and promoting mental health and optimism, particularly in the long term. Implications for Rehabilitation Preliminary evidence suggests that a group-based cognitive behavioral intervention focused on identity redefinition, sense of coherence and self-efficacy promotes the quality of life (increased mental health) and psychological well-being (decreased negative affect and increased optimism) of recently diagnosed MS patients (up to 3 years since the diagnosis). The first years following the MS diagnosis should be considered a good time for a psychological intervention aimed at promoting the patient's adjustment to the illness. Strategies should be found to increase the participation of recently diagnosed MS patients in psychological interventions.
Emotional and avoidant coping strategies seem to be adaptive among recently diagnosed multiple sclerosis patients. A mediating role between coping strategies and adjustment is played by sense of coherence.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.