Perfectionism and fatigue in multiple sclerosis

Beshārat, Mohammad Ali; Pourhosein, Reza; Rostami, Reza; Bazzazian, Saeideh

doi:10.1080/08870440903464228

Cited by 17 publications

(18 citation statements)

References 58 publications

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“…Our patients more often show perfectionist tendencies. Indeed, tendency toward perfectionism in MS patients has already been described [ 27 ]. Our patients have reduced feelings of thirst.…”

Section: Discussionmentioning

confidence: 99%

Multiple sclerosis and primary vascular dysregulation (Flammer syndrome)

et al. 2016

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BackgroundMultiple sclerosis (MS) is an inflammatory demyelinating disease of the CNS of still unknown aetiology. Flammer syndrome (FS) encompasses a set of symptoms and signs that are primarily but not solely related to the dysregulation of blood vessels. The purpose of the present study was to determine whether FS symptoms occur more often in MS patients than in controls.MethodsFifty-eight MS patients and 259 controls answered a questionnaire covering 15 symptoms and signs of FS.ResultsSix of the 15 symptoms and signs of FS (dizziness, low body mass index, cold hands and/or feet, tendency toward perfectionism, reduced thirst, feeling cold) were found significantly more often in MS patients than in controls. Seven additional symptoms and signs (tinnitus, headaches, increased pain sensation, long sleep-onset time, migraines, increased response to certain drugs, low blood pressure) also occurred more often in MS patients, but the difference in frequency was not statistically significant. One sign (reversible skin blotches) was found less often in MS patients, but the difference in frequency was not statistically significant. One symptom (increased smell perception) was found significantly less often in MS patients.ConclusionsMS patients suffer significantly more often from FS symptoms and signs than controls. The reason for this association between MS and FS and the potential implications of this association still need to be determined.

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Section: Discussionmentioning

confidence: 99%

Multiple sclerosis and primary vascular dysregulation (Flammer syndrome)

et al. 2016

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“…The 13-item BDI has been used since it has been suggested that the inclusion of somatic and vegetative symptoms (items 14-21 of the BDI-II) in the evaluation of depression in MS could produce an overestimation of its severity (Brown et al, 2006;Nyenhuis et al, 1995;Quaranta et al, 2012). This version has been already used with MS patients (Besharat, Pourhosein, Rostami, & Bazzazian, 2011;Pittion-Vouyovitch et al, 2006;Solari et al, 1999).…”

Section: Depressionmentioning

confidence: 99%

Facial and Bodily Emotion Recognition in Multiple Sclerosis: The Role of Alexithymia and Other Characteristics of the Disease

Cecchetto

Aiello

D'Amico³

et al. 2014

J Int Neuropsychol Soc

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Multiple sclerosis (MS) may be associated with impaired perception of facial emotions. However, emotion recognition mediated by bodily postures has never been examined in these patients. Moreover, several studies have suggested a relation between emotion recognition impairments and alexithymia. This is in line with the idea that the ability to recognize emotions requires the individuals to be able to understand their own emotions. Despite a deficit in emotion recognition has been observed in MS patients, the association between impaired emotion recognition and alexithymia has received little attention. The aim of this study was, first, to investigate MS patient's abilities to recognize emotions mediated by both facial and bodily expressions and, second, to examine whether any observed deficits in emotions recognition could be explained by the presence of alexithymia. Thirty patients with MS and 30 healthy matched controls performed experimental tasks assessing emotion discrimination and recognition of facial expressions and bodily postures. Moreover, they completed questionnaires evaluating alexithymia, depression, and fatigue. First, facial emotion recognition and, to a lesser extent, bodily emotion recognition can be impaired in MS patients. In particular, patients with higher disability showed an impairment in emotion recognition compared with patients with lower disability and controls. Second, their deficit in emotion recognition was not predicted by alexithymia. Instead, the disease's characteristics and the performance on some cognitive tasks significantly correlated with emotion recognition. Impaired facial emotion recognition is a cognitive signature of MS that is not dependent on alexithymia.

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“…37 38 In a cross-sectional questionnaire study Besharat et al 39 found an association between negative perfectionism and fatigue symptoms in people with MS. Such perfectionism may reflect denial or an attempt to maintain a sense of self and identity in the face of an unpredictable and challenging chronic condition 39 and may lead to boom-or-bust patterns of behaviour. 40 Some of the free-text comments provided by respondents on the FMSQ reflected similar issues.…”

Section: Discussionmentioning

confidence: 99%

Exploring strategies used following a group-based fatigue management programme for people with multiple sclerosis (FACETS) via the Fatigue Management Strategies Questionnaire (FMSQ)

et al. 2015

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ObjectivesTo explore cross-sectional patterns of use of fatigue management strategies in people with multiple sclerosis (MS) who had attended a group-based fatigue management programme,Fatigue:ApplyingCognitive behavioural andEnergy effectivenessTechniques to lifeStyle (‘FACETS’). In a multicentre randomised controlled trial (RCT) the FACETS programme was shown to reduce fatigue severity and improve self-efficacy and quality of life.DesignA questionnaire substudy within a RCT involving the self-completed Fatigue Management Strategies Questionnaire (FMSQ). The FMSQ includes: (1) closed questions about the use and helpfulness of fatigue management strategies taught in FACETS and (2) open items about changes to lifestyle, attitudes or expectations, barriers or difficulties encountered and helpful strategies not covered in FACETS.ParticipantsAll had a clinical diagnosis of MS, significant fatigue, were ambulatory and had attended at least 4 of 6 scheduled FACETS sessions.MethodsParticipants (n=72) were posted the FMSQ with a prepaid return envelope 4 months after the end of the FACETS programme.Results82% (59/72) of participants returned the FMSQ. The fatigue management strategies most frequently used since attending FACETS were prioritisation (80%), pacing (78%), saying no to others (78%), grading tasks (75%) and challenging unhelpful thoughts (71%). Adding in those participants who were already using the respective strategies prior to FACETS, the three most used strategies at 4 months were prioritisation (55/59), grading (54/59) and pacing (53/58). Free-text comments illustrated the complex interplay between attitudes/expectations, behaviours, emotions and the environment. Issues related to expectations featured strongly in participants’ comments. Expectations (from self and others) were both facilitators and barriers to effective fatigue management.ConclusionsIndividuals’ comments highlighted the complex, multifaceted nature of fatigue management. Revising expectations and a greater acceptance of fatigue were important shifts following the programme. Findings support the relevance of a cognitive behavioural approach for fatigue management. Booster sessions might be a useful addition to the FACETS programme.Trial registration numberCurrent controlled trialsISRCTN76517470; Results.

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Perfectionism and fatigue in multiple sclerosis

Cited by 17 publications

References 58 publications

Multiple sclerosis and primary vascular dysregulation (Flammer syndrome)

Multiple sclerosis and primary vascular dysregulation (Flammer syndrome)

Facial and Bodily Emotion Recognition in Multiple Sclerosis: The Role of Alexithymia and Other Characteristics of the Disease

Exploring strategies used following a group-based fatigue management programme for people with multiple sclerosis (FACETS) via the Fatigue Management Strategies Questionnaire (FMSQ)

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