A systematic review of self-concept change in multiple sclerosis

Emery, Holly; Padgett, Christine; Ownsworth, Tamara; Honan, Cynthia

doi:10.1080/09602011.2022.2030367

Cited by 10 publications

(5 citation statements)

References 127 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-concept of PWMS was predominately experienced negatively. PWMS describe themselves as dependent, useless, insu cient, unpredictable, and untrustworthy when explaining how MS has affected their perceptions of themselves (13). Therefore, PWMS usually experience mental self-representations with negative emotions such as anger, threat, or shame and distance themselves from their current self-image to regulate their emotions.…”

Section: Discussionmentioning

confidence: 99%

“…MS can have a negative psychological effect on patients, and they need to redesign their lifestyle, adjust their time, and cope with the uncertain path of the disease (12). Therefore, MS forces people to have a fundamental rethinking and re-evaluation of previous biographies and mental representation of themselves, expectations, pursuits, and relationships no longer comport with the new realities and limitations of being diagnosed with MS and to think about their current selfconcept and the ideas they have about their future (13,14). These ruptures have been conceptualized as "biographical disruption" for patients (15), which can damage self-representation ( 16), derailing all aspects of life trajectory.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Multiple sclerosis and self-alienation: A study based on self and others representations

Ziaie,

Mazaheri,

Zabihzadeh

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Multiple sclerosis (MS) is an autoimmune disease of the central nervous system. MS causes many changes in the lives of its patients, forcing them to renegotiate their lives. Part of these changes are related to patients' self- and others- mental representations. Despite the importance of mental representations in changes caused by or adaptation to MS, limited research has been conducted to examine the mental representations of patients with MS. Methods This study examines the mental representations that Healthy Controls (HC) and Patients with MS (PWMS) have of themselves and others, including childhood and current self-images, as well as those of their mothers, love partners, and close friends. In both groups (HC (n = 82) and PWMS (n = 82)), participants completed demographic variables as well as a modified version of the comfortable interpersonal distance (CID) task in both passive (when protagonists approached them) and active modes (when participants approach protagonists). Participants estimated the point at which they felt discomforted. Results The PWMS group preferred a significantly larger interpersonal distance than the HC group for both current self-image and love partner. There is no difference between the two groups in preferring interpersonal distance from their childhood self-image, mother, and friends. Conclusions Based on the research results, it seems that PWMS experience a kind of alienation at the level of self-mental representations. This research can be helpful in modifying MS interventions and increasing the engagement of support systems.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multiple sclerosis and self-alienation: A study based on self and others representations

Ziaie,

Mazaheri,

Zabihzadeh

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Boolean search terms were applied to capture the CF population and self‐concept (Figure 1). Self‐concept search terms were chosen based upon those most commonly applied in research, theoretically, and by other recent health care systematic reviews, such as multiple sclerosis and breast cancer 14,15 . Due to dramatic advances in CF care, any publications older than 10 years were excluded from the search due to limited contemporary relevance, as were materials not published in English.…”

Section: Methodsmentioning

confidence: 99%

Me, myself, and I: A systematic review of cystic fibrosis and self‐concept

Harrigan,

Jessup,

Bennett

et al. 2024

Pediatric Pulmonology

View full text Add to dashboard Cite

Given extensive pertinent disease factors and evolving medical treatments, this systematic review explores qualitative and quantitative cystic fibrosis (CF) research surrounding self‐concept, an overarching perception of self. Research methodologies, self‐concept dimensions, prominent self‐concept findings and clinical recommendations are identified. Preferred Reporting Items for Systematic Review and Meta‐analyses guidelines were applied. PubMed, Scopus, Medline, Psycinfo, CINAHL (ebsco), and CENTRAL Cochrane electronic databases were searched from 2012 to 2022. Methodological quality was assessed using the critical appraisal skills program. Data‐based convergent synthesis was applied to analyze and report on qualitative and quantitative studies in parallel. Thirty‐seven publications met the inclusion criteria, most of which employed a cross‐sectional, single‐center design within an adolescent and adult population. Self‐efficacy, self‐esteem, and self‐identity studies were dimensions of self‐concept identified, with studies relating to self‐efficacy surrounding physical health management most prevalent. All three dimensions were positively associated with improved treatment adherence and psychosocial health. Efficacy tested intervention programs to enhance self‐concept are limited; however, an extensive range of clinical recommendations are offered, highlighting the importance of clinician self‐concept awareness, quality clinician–patient conversations and online CF peer‐support. Self‐concept is an important mechanism to optimize patient outcomes. Further CF self‐concept research is required, particularly multicenter, longitudinal, and interventional studies. Early childhood, post lung transplant and the older adult CF population in particular, lack research attention. Given the potential impact of rapidly evolving CF transmembrane conductance regulator modulator drugs on many aspects of self, future self‐concept research beyond the dimension of self‐efficacy may be beneficial.

show abstract

“…Diagnosis of MS presents a threat to the self-identity developed in childhood and usually maintained through life. The threat to identity may lead to change in self-concept ( Emery et al, 2022 ). The changes in identity can be pervasive ( Emery et al, 2023 ) and difficult to navigate ( Kiropoulos et al, 2021 ).…”

Section: The Developmental Model Of Stress Applied To Msmentioning

confidence: 99%

A new framework for understanding stress and disease: the developmental model of stress as applied to multiple sclerosis

Fauver,

Clark,

Schwartz

2024

Front. Integr. Neurosci.

View full text Add to dashboard Cite

This paper proposes a new model of stress that integrates earlier models and adds insights from developmental psychology. Previous models describe the behavioral and physical effects of stress events, but have not explained the translation of experiences into stress itself. The Developmental Model of Stress shows how psychosocial developmental challenges in childhood create persistent negative beliefs and behaviors that increase threat perception and maladaptive stress responses. These developmental challenges produce early psychological and physiological predispositions for increased stress responses over time. Ongoing stress leads to dysregulation of physical stress-response systems (allostatic load), which is associated with multiple diseases. High allostatic load provides the necessary preconditions for the diathesis-stress model, which says the addition of an acute stressor to a weakened or predisposed system can lead to disease development. The paper also documents the evolving measurement of stress to better understand the stress-disease relationship, helping to resolve conflicting results between studies. The Developmental Model of Stress was combined with clinician insight and patient reports to build an integrative framework for understanding the role of stress in the development and progression of multiple sclerosis (MS). It includes the first mapping of maladaptive beliefs and behaviors arising from developmental challenges that are common to people with MS. An initial comparison shows these may be distinct from those of people with other chronic diseases. These beliefs and behaviors form the predisposing factors and contribute to the triggering factors, which are the acute stressors triggering disease onset. These often took two forms, a prolonged incident experienced as feeling trapped or stuck, and threat of a breach in a relationship. The reinforcing factors add the stress of a chronic disease with a poor prognosis and seemingly random symptom fluctuation, still managed with the same beliefs and behaviors developed in childhood, increasing physiological dysregulation and symptom severity. A pilot study is described in which these three categories of stress factors in MS were explicitly addressed. This study noted clinically important improvements in physical and mental well-being, providing preliminary support for the Developmental Model. Future research might expand on the pilot using a more robust sample and design.

show abstract

A systematic review of self-concept change in multiple sclerosis

Cited by 10 publications

References 127 publications

Multiple sclerosis and self-alienation: A study based on self and others representations

Multiple sclerosis and self-alienation: A study based on self and others representations

Me, myself, and I: A systematic review of cystic fibrosis and self‐concept

A new framework for understanding stress and disease: the developmental model of stress as applied to multiple sclerosis

Contact Info

Product

Resources

About