Illness perceptions and psychological adjustment among persons with multiple sclerosis: the mediating role of coping strategies and social support

Bassi, Marta; Cilia, Sabina; Falautano, Monica; Grobberio, Monica; Niccolai, Claudia; Pattini, Marianna; Pietrolongo, Erika; Quartuccio, Maria Esmeralda; Viterbo, Rosa Gemma; Allegri, Beatrice; Amato, Maria Pia; Benin, Miriam; Luca, Giovanna De; Gasperini, Claudio; Minacapelli, Eleonora; Patti, Francesco; Trojano, María; Fave, Antonella Delle

doi:10.1080/09638288.2019.1610511

Cited by 30 publications

(32 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, empirical evidence from earlier studies has revealed mixed findings. For example, in a previous study, problem-oriented coping strategies were unrelated to adjustment indicators [44], whereas in another study, the results showed that these strategies were related to better psychological health [21,25]. Some researchers indicate that in the case of conditions that could not be controlled by behavioral changes or treatment, problem-oriented coping is of no value [45][46][47].…”

Section: Discussionmentioning

confidence: 91%

“…Although evidence shows that coping strategies are stable [20], specific factors, such as the impact of a chronic illness, may change the preferred coping strategy, and consequently, the behavior. In the case of MS, coping has been shown to mediate the interaction between illness beliefs, mental and physical well-being [21], executive function and psychosocial adjustment [22], fatigue and the quality of life [23], disability and psychosocial loss [24], or perception of disease control and mental health [25]. However, the mediation role of coping in determining self-management behaviors has not yet been investigated.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

Wilski¹,

Brola

Łuniewska³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

Low level of self-management in people with multiple sclerosis (MS) is considered to be a predominant factor that leads to poor rehabilitation efficacy. Studies focusing on the relationship between self-management and psychological variables that can be modified could contribute to expanding the knowledge needed to propose interventional programs aiming at patient activation. This study aimed to analyze whether coping strategies play a mediating role in the association between the perceived impact of MS and level of self-management in people with MS. The cross-sectional study included 382 people with MS. The participants completed the Multiple Sclerosis Self-Management Scale—Revised, Multiple Sclerosis Impact Scale-29, and Coping Inventory for Stressful Situations. The study hypothesis was evaluated using mediation analysis. The STROBE checklist specifically prepared for cross-sectional research was applied in this study for reporting. Results indicate that the emotion- and problem-focused strategies of coping can be treated as mediating the association between the MS impact and level of self-management in people with MS. A negative relationship was found between the perceived MS impact and problem-oriented coping, while a positive relationship was found between problem-oriented coping and self-management. Furthermore, a positive relationship was found between the MS impact and emotion-oriented coping, while a negative relationship was found between emotion-oriented coping and self-management. The indirect role of avoidance-oriented coping was not significant. Our study confirms the role played by coping strategies in individuals’ self-management. In MS, self-management determined by perceived MS impact can be controlled by decreasing emotional-coping while increasing problem-coping strategies. Our study imparts new knowledge regarding the potential interventions for improving the level of self-management in people with MS. It indicates that recognition of individuals’ illness perceptions as well as maladaptive coping strategies can help health professionals identify those who might be having lower level of self-management.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

Wilski¹,

Brola

Łuniewska³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The Common Sense Model (Leventhal et al, 1984) states that the relationship between illness perceptions and outcomes is mediated by coping strategies. Research across various health conditions has confirmed associations for aspects of this model, for example, diabetes (Lawson et al, 2010;Purewal and Fisher, 2018), stroke (Pai et al, 2019), multiple sclerosis (Bassi et al, 2020), and traumatic brain injury (Snell et al, 2013). However, a fundamental question remains -how do illness perceptions lead to the selection of coping strategies (Hagger et al, 2017)?…”

Section: Introductionmentioning

confidence: 94%

The Association Between Maladaptive Metacognitive Beliefs and Emotional Distress in People Living With Amyotrophic Lateral Sclerosis

et al. 2021

View full text Add to dashboard Cite

ObjectiveApproximately half of all people living with amyotrophic lateral sclerosis (ALS) experience persistent or recurrent emotional distress, yet little is known about the psychological processes that maintain emotional distress in this population. The self-regulatory executive functioning (S-REF) model specifies that maladaptive metacognitive beliefs and processes are central to the development and maintenance of emotional distress. This study explored whether maladaptive metacognitive beliefs are associated with emotional distress after controlling for demographic factors, time since diagnosis, and current level of physical functioning.DesignIn a cross-sectional design, 75 adults with a diagnosis of ALS completed self-report questionnaires. Participants had a mean age of 60.40 years, mean duration of symptoms 63.92 months, and male:female gender ratio of 14:11.Main Outcome MeasuresQuestionnaires assessed emotional distress (HADS, adapted for ALS), physical functioning (ALSFRS-R), repetitive negative thinking (RTQ-10), metacognitive beliefs (MCQ-30), and demographic factors.ResultsMaladaptive metacognitive beliefs explained additional variance in emotional distress after controlling for age, gender, time since diagnosis, physical functioning, and repetitive negative thinking. Repetitive negative thinking partially mediated the relationships between positive and negative metacognitive beliefs and emotional distress.ConclusionsThese data support the utility of the metacognitive model in understanding emotional distress in people with ALS. Examination of the temporal relationship between maladaptive metacognitive beliefs and emotional distress in people living with ALS may help to guide the development of therapeutic approaches.

show abstract

“…The prevalence of MS, that is more common in early adulthood—which qualifications such as studying at higher education, getting married, starting a family, having a child, gaining professional knowledge/skills, working in any job, being active in social life, taking responsibility, maintaining interpersonal relationship, being resilient physically and psychologically are expected—causes the biopsychosocial symptom burden and comorbidities experienced by patients and informal caregivers to be devastating. Physical problems that increase over time cause deterioration of patients' body and self‐esteem, sexual dysfunction, change of life plans, deterioration of working life and unemployment, decrease in quality of life, poor psychosocial adjustment to disease, difficulties in performing daily life activities and social activities 8–11,12–19,20 . As the negative consequences of the disease increase, the rate of mental health problems such as depression, anxiety, self‐harm, or suicidal risk/ideation increases 15,19,21–25 …”

Section: Introductionmentioning

confidence: 99%

“…At the same time, it is a period of illness in which psychological and social losses are experienced, mental disorders increase, patient communication and marital relations deteriorate, and social support is needed. For this reason, MS is a source of multiple stress that requires different coping methods and increases the need for home care or supportive care of patients due to the symptoms experienced and their dependence on any informal caregiver, especially family members, in daily living activities 15–17,31,33–37 . With an estimate of 53%–70%, 38 39 these people providing supportive care are patients' spouses or parents, children, siblings, and sometimes friends.…”

Section: Introductionmentioning

confidence: 99%

Perceived social support, mental health, and marital satisfaction in multiple sclerosis patients

Özen

Karataş

Polat

2021

Perspect Psychiatr Care

View full text Add to dashboard Cite

Purpose This study aimed to examine the patients' perceived social support, mental health, and marital satisfaction. Design and Methods Data were collected via Patient Information Form, Barthel Index of Activities of Daily Living, Marital Life Scale, Multidimensional Scale of Perceived Social Support, and General Health Questionnaire for 72 patients. Findings Multiple sclerosis (MS) patients had a moderate level of marital satisfaction. The perceived social support showed positive correlation with marital satisfaction and negative correlation with mental health disorders in MS. Practice Implications These results will facilitate the perception of mental problems, marital satisfaction, and social support in MS patients by the nurses.

show abstract

Illness perceptions and psychological adjustment among persons with multiple sclerosis: the mediating role of coping strategies and social support

Cited by 30 publications

References 42 publications

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

The Association Between Maladaptive Metacognitive Beliefs and Emotional Distress in People Living With Amyotrophic Lateral Sclerosis

Perceived social support, mental health, and marital satisfaction in multiple sclerosis patients

Contact Info

Product

Resources

About