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Cited by 17Multiple Sclerosis Research StudiesAttachment and Relationship DynamicsCounseling, Therapy, and Family Dynamics

The relational impact of multiple sclerosis: an integrative review of the literature using a cognitive analytic framework

Open access
Blundell Jones, Joanna, Walsh, Sue, Isaac, Claire·2017·Journal of Clinical Psychology in Medical Settings
DOI 10.1007/s10880-017-9506-yPMC PMC5705738
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Abstract

This integrative literature review uses cognitive analytic therapy (CAT) theory to examine the impact of a chronic illness, multiple sclerosis (MS), on relationships and mental health. Electronic searches were conducted in six medical and social science databases. Thirty-eight articles met inclusion criteria, and also satisfied quality criteria. Articles revealed that MS-related demands change care needs and alter relationships. Using a CAT framework, the MS literature was analysed, and five key patterns of relating to oneself and to others were identified. A diagrammatic formulation is proposed that interconnects these patterns with wellbeing and suggests potential "exits" to improve mental health, for example, assisting families to minimise overprotection. Application of CAT analysis to the literature clarifies relational processes that may affect mental health among individuals with MS, which hopefully will inform how services assist in reducing unhelpful patterns and improve coping. Further investigation of the identified patterns is needed.

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  • Theoretical models of adjustment in MS were based on research mainly including people with relapsing-remitting MS or mixed samples, so the relevance of all predicting factors to people with progressive MS is not clear.

    “These models were based on research that mainly included people with relapsing-remitting MS or mixed samples of the MS population, so the relevance of all the predicting factors to people with progressive MS who may face different challenges and symptoms is not clear.”

    From Key demographics and psychological skills associated with adjustment to progressive Multiple Sclerosis early in the diagnosis (2022) · cites this paper as [12]

    The Discussion distinguishes relapses followed by remissions from enduring symptoms and progressive deterioration. The Limitations section also questions whether the review’s relational patterns apply to every individual with MS. However, the paper does not say that adjustment models were based mainly on relapsing-remitting or mixed samples, or assess whether their predicting factors apply to people with progressive MS; searches for “relapsing-remitting” and “predicting factors” found no such passage. Page numbers were unavailable in our copy. (LLM, conf=0.75)

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Research works printed but not linked: 4

  1. Jenaway, A. (2011). Using Cognitive Analytic Therapy for Medically Unexplained Symptoms—some theory and initial outcomes. Reformulation, pp. 53–55. Retrieved from http://www.acat.me.uk/page/home.
  2. McClurg D Beattie K Lowe-Strong A Hagen S The elephant in the room: The impact of bowel dysfunction on people with multiple sclerosis Journal of the Association of Chartered Physiotherapists in Women’s Health 2012 111 13 21
  3. Rice-Varian, C. (2011). The effectiveness of standard cognitive analytic therapy (CAT) with people with mild and moderate acquired brain injury (ABI): An outcome evaluation. Reformulation, pp. 49–54. Retrieved from http://www.acat.me.uk/page/home.
  4. Shannon, K., & Swarbrick, R., (2010). The development of a cognitive analytic therapy (CAT) relational framework for bipolar disorder (BD). Reformulation, pp. 17–25. Retrieved from http://www.acat.me.uk/page/home.

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Authors
Blundell Jones, J., Walsh, S., & Isaac, C.
Affiliations
  • University of Sheffield (GB)
  • Oxford University Hospitals NHS Trust (GB)
ORCID
Venue
Journal of Clinical Psychology in Medical Settings
Publisher
Springer Science and Business Media LLC
Published
2017-07-29
Volume
24
Issue
3-4
Pages
316-340
ISSN
  • 1068-9583 (ISSN-L)
  • 1573-3572
DOI
10.1007/s10880-017-9506-y
PMC
PMC5705738
OpenAlex
W2740440868
Cited by
17
References
70
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 1
FWCI
0.17
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical Psychology in Medical Settings (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords
multiple sclerosis, cognitive analytic therapy, relationships, mental health, chronic disease, family caregiving, overprotection, well-being, coping, relationship patterns
MeSH terms
Activities of Daily Living, Disability Evaluation, General Adaptation Syndrome, Humans, Interpersonal Relations, Multiple Sclerosis, Psychological Theory, Quality of Life, Cognitive Behavioral Therapy

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