Background
Multiple sclerosis (MS) is a neurodegenerative disease of the central nervous system. MS is significantly associated with a high rate of psychological, behavioral, and emotional consequences. Despite the frequent mental disorders, high rate of psychological comorbidities, and emotional problems in people with MS (PwMS), these conditions are often underdiagnosed and undertreated. This study aimed to examine the efficacy of a group format of the unified protocol for the transdiagnostic treatment of emotional disorders in adult PwMS associated with an emotional disorder.
Methods
Seventy adult PwMS were randomized using an internet-based computer system to either the unified protocol (n = 35) or treatment as usual condition. The assessment protocol included semi-structured clinical interviews and self-reports evaluating diagnostic criteria, depression, anxiety and worry symptoms, emotional dysregulation, and affectivity.
Results
The parametric test of analysis of covariance, followed the intent to treat analyses, revealed the unified protocol significantly changed depression symptoms (Cohen’s d = 1.9), anxiety symptoms (Cohen’s d = 2.16), worry symptoms (Cohen’s d = 1.27), emotion dysregulation (Cohen’s d = 0.44), positive affect (Cohen’s d = 1.51), and negative affect (Cohen’s d = 1.89) compared with the control group. The unified protocol also significantly improved outcome scores at the end of treatment relative to baseline (p < .001).
Conclusion
The findings support that the unified protocol could be an additional efficient psychological treatment for PwMS.
Trial registration IRCT, number: IRCT20190711044173N1. Registered 31october 2019, https://en.irct.ir/user/trial/40779/view.
Introducción: Este estudio analiza el papel de la resistencia y el optimismo en los eventos negativos de la vida y la autoeficacia de afrontamiento en 228 estudiantes universitarios de primer año de la Universidad de Lorestan (Irán). El objetivo del estudio era doble: (1) analizar las asociaciones entre resistencia, optimismo, eventos de vida negativos y autoeficacia de afrontamiento; y (2) determinar si la resistencia y el optimismo moderan la relación entre los eventos negativos de la vida y la autoeficacia de afrontamiento.
Método: Este estudio correlacional descriptivo se realizó en el año escolar 2016-17. En este estudio, al principio seleccionamos 228 estudiantes. Luego, los estudiantes completaron el Cuestionario de Eventos de la Vida Adolescente (ALEQ), la Prueba de Orientación de la Vida revisada (LOT-R), la Escala de Resistencia de Kobasa y la Escala de Autoeficacia (CSE). Se utilizaron análisis jerárquicos de regresión lineal para examinar el papel moderador de la resistencia y el optimismo.
Resultados: Los resultados revelan que existe una relación significativa entre resistencia, optimismo, eventos vitales negativos y autoeficacia de afrontamiento. La resistencia y el optimismo también fueron moderadores en la relación entre los eventos negativos de la vida y la autoeficacia de afrontamiento.
Conclusión: Los hallazgos respaldaron la hipótesis de que niveles más altos de resistencia y optimismo se asociarían con niveles más altos de autoeficacia de afrontamiento, y que niveles más bajos de resistencia y optimismo se asociarían con niveles más bajos de autoeficacia de afrontamiento. Finalmente, nuestros resultados implican que la resistencia y el optimismo son un moderador importante de los eventos negativos de la vida del estudiante sobre la autoeficacia de afrontamiento.
Introduction. This study analyzes the role of Hardiness and optimism on negative life events and coping self-efficacy in 228 first-year undergraduate students from lorestan university (iran). The aim of the study was two-fold: (1) to analyze the associations between Hardiness, optimism, negative life events and coping self-efficacy; and (2) to determine whether Hardiness and optimism moderates the relationship between negative life events and coping self-efficacy.
Method. This descriptive correlational study was conducted in the school year of 2016-17. In this study, at first we selected 228 students. Then the students completed the Adolescent Life Events Questionnaire (ALEQ), Revised Life Orientation Test (LOT-R), Kobasa's Hardiness Scale, and Coping Self-Efficacy Scale (CSE). Hierarchical linear regression analyses were used to examine the moderating role of Hardiness and optimism.
Results. Results reveal that there is a significant Relationship between Hardiness, optimism, negative life events and coping self-efficacy. Hardiness and optimism was also a moderator in the relationship between negative life events and coping self-efficacy.
Conclusion. The findings supported the hypothesis that higher levels of Hardiness and optimism would be associated with higher levels of Coping Self-Efficacy, and that lower levels of Hardiness and optimism would be associated with lower levels of Coping Self-Efficacy. Finally, our results imply that Hardiness and optimism is an important moderator of student’s negative life events on Coping Self-Efficacy.
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