Difficulties with emotion regulation in multiple sclerosis: Links to executive function, mood, and quality of life

Phillips, Louise H.; Henry, Julie D.; Nouzova, Eva; Cooper, Clare; Radlak, Bogumila; Summers, Fiona

doi:10.1080/13803395.2014.946891

Cited by 47 publications

(54 citation statements)

References 46 publications

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“…Studies have also shown that difficulties with emotion regulation are related to a mental disorder such as anxiety, depression, and personality disorders (Mennin & Farach, 2007). Cognitive emotion regulation has been considered as a significant factor to influence growth following stressful conditions such as chronic illnesses (Philips, Henry, Nouzova, Cooper, Radlak, & Summers, 2014). Studies investigating types of cognitive emotion regulation strategies that are associated with posttraumatic growth have yielded mixed results.…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic Growth and its Relationship With Cognitive Emotion Regulation Strategies in Patients With Multiple Sclerosis in Shiraz, Iran

Aflakseir

manafi

2018

PCP

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Objective:The current study aimed to explore posttraumatic growth and its relationship with cognitive emotion regulation strategies among a group of multiple sclerosis (MS) patients in Shiraz.Methods: Ninety-two patients diagnosed with MS were recruited from the multiple sclerosis society in Shiraz in 2014 using convenience sampling method. The participants completed two research questionnaires including Posttraumatic Growth Inventory (PTGI) and Cognitive Emotion Regulation Questionnaire (CERQ). Mean, standard deviation, correlation coefficient, and multiple regression analysis were applied to analyze the data using SPSS version 16. Results:The data showed that a majority of patients with MS experienced some degree of posttraumatic growth. The participants scored high on the appreciation of life followed by spiritual change and personal strength. With regard to cognitive emotion regulation variables, only reappraisal (P<0.002) and positive refocusing (P<0.001) significantly predicted posttraumatic growth. Conclusion:Patients who used positive refocusing and reappraisal were more likely to experience posttraumatic growth.

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Section: Introductionmentioning

confidence: 99%

Posttraumatic Growth and its Relationship With Cognitive Emotion Regulation Strategies in Patients With Multiple Sclerosis in Shiraz, Iran

Aflakseir

manafi

2018

PCP

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“…Affective dysregulation has been identified in MS as inappropriate or exaggerated affect (Harel et al, ), which can become apparent in behavioral symptoms such as exaggerated aggression or unusual feelings of euphoria (Rosti‐Otajärvi and Hämäläinen, ). Phillips et al () further show that MS patients have significantly more difficulty in regulating emotions than healthy controls. Disrupted emotion regulation is not explained solely by disease severity or executive functioning of the patients (Harel et al, ; Phillips et al, ).…”

Section: Emotion Regulationmentioning

confidence: 99%

“…Phillips et al () further show that MS patients have significantly more difficulty in regulating emotions than healthy controls. Disrupted emotion regulation is not explained solely by disease severity or executive functioning of the patients (Harel et al, ; Phillips et al, ). The relationship between a more frequent use of adaptive emotion regulation strategies such as cognitive reappraisal and improved quality of life in MS (Phillips et al, , 2014) emphasizes the need to investigate emotion regulation in MS further.…”

Section: Emotion Regulationmentioning

confidence: 99%

Emotional dysfunctions in neurodegenerative diseases

Löffler

Radke

Morawetz

et al. 2015

J of Comparative Neurology

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Neurodegenerative diseases are characterized primarily by motor signs but are also accompanied by emotional disturbances. Because of the limited knowledge about these dysfunctions, this Review provides an overview of emotional competencies in Huntington's disease (HD), Parkinson's disease (PD), and multiple sclerosis (MS), with a focus on emotion recognition, emotion regulation, and depression. Most studies indicate facial emotion recognition deficits in HD and PD, whereas data for MS are inconsistent. On a neural level, dysfunctions of amygdala and striatum, among others, have been linked to these impairments. These dysfunctions also tap brain regions that are part of the emotion regulation network, suggesting problems in this competency, too. Research points to dysfunctional emotion regulation in MS, whereas findings for PD and HD are missing. The high prevalence of depression in all three disorders emphasizes the need for effective therapies. Research on emotional disturbances might improve treatment, thereby increasing patients' and caregivers' well-being.

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“…EDF is extremely common in neurological and neuropsychiatric pathologies with either severe or mild impairments, such as brain tumors [22], traumatic brain injury (TBI) [23], stroke [24], multiple sclerosis [25], Gilles de la Tourette syndrome [26], schizophrenia [27], obsessive-compulsive disorder [28], and neurological patients with frontal pathology [29][30][31][32][33].…”

Section: Executive Dysfunctionmentioning

confidence: 99%

Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury

Martínez‐Pernía¹,

Núñez-Huasaf²,

Blanco³

et al. 2017

Journal of Biomedical Informatics

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Highlights:1. Functional assessments are helpful in clinical decision-making.2. No practical, widely available everyday functional assessments currently exist.3. Serious game platforms such as eAdventure can be used to develop screen-based simulated functional assessments.4. The development of the SBS-COT required three professionals who required a total of 49 hours to finish the SBS-COT, which cost approximately US$1,821, taking into account the cost/person-hour. 5. The SBS-COT shows good feasibility as a pre-screening test of executive dysfunction assessment as well as good acceptability and usefulness for therapists and patients. Abstract:The assessment of functional status is a critical component of clinical neuropsychological evaluations used for both diagnostic and therapeutic purposes in patients with cognitive brain disorders. There are, however, no widely adopted neuropsychological tests that are both ecologically valid and easily administered in daily clinical practice. This discrepancy is a roadblock to the widespread adoption of functional assessments. In this paper, we propose a novel approach using a serious game authoring platform (eAdventure) for creating screenbased simulated functional assessments. We created a naturalistic functional task that consisted of preparing a cup of tea (SBS-COT) and applied the assessment in a convenience sample of eight dyads of therapists/patients with mild executive dysfunction after traumatic brain injury. We had three main aims. First, we performed a comprehensive review of executive function assessment in activities of daily living. Second, we were interested in measuring the feasibility of this technology with respect to staffing, economic and technical requirements. Third, a serious game was administered to patients to study the feasibility of this technology in the clinical context (pre-screening test). In addition, quantitative (Technology Acceptance Model (TAM) questionnaires) and qualitative (semistructured interviews) evaluations were applied to obtain user input. Our results suggest that the staffing, economic and technical requirements of the SBS-COT are feasible. The outcomes of the pre-screening test provide evidence that this technology is useful in the functional assessment of patients with executive dysfunction. In relation to subjective data, the TAM questionnaire showed good user acceptability from a professional perspective. Interview analyses with professionals and patients showed positive experiences related to the use of the SBS-COT. Our work indicates that the use of these types of authoring platforms could have positive long-term implications for neuropsychological research, opening the door to more reproducible, cooperative and efficient research by allowing the facilitated production, reuse and sharing of neuropsychological assessment tools.

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Difficulties with emotion regulation in multiple sclerosis: Links to executive function, mood, and quality of life

Abstract: People with MS experience difficulties in emotion regulation, which predict poorer quality of life. These results indicate that emotional control skills should be investigated in further detail when considering interventions to enhance well-being in MS.

Cited by 47 publications

References 46 publications

Posttraumatic Growth and its Relationship With Cognitive Emotion Regulation Strategies in Patients With Multiple Sclerosis in Shiraz, Iran

Posttraumatic Growth and its Relationship With Cognitive Emotion Regulation Strategies in Patients With Multiple Sclerosis in Shiraz, Iran

Emotional dysfunctions in neurodegenerative diseases

Using game authoring platforms to develop screen-based simulated functional assessments in persons with executive dysfunction following traumatic brain injury

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