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Cited by 42Multiple Sclerosis Research StudiesCancer survivorship and careResilience and Mental Health

Quality of life and coping strategies in Lebanese multiple sclerosis patients: a pilot study

Farran, Natali, Ammar, Diala, Darwish, Hala·2016·Multiple Sclerosis and Related Disorders
DOI 10.1016/j.msard.2015.12.003
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Abstract

Coping strategies used by Multiple Sclerosis patients play a key role in adjusting to the disease and affect their overall quality of life. This relationship has been investigated in developed countries, but none has been studied in developing ones such as Lebanon. Factors including barriers to health care delivery, economic pressure and political instability influence which coping strategies are used and often increases the use of negative coping mechanisms. The current pilot study explored the association between different coping strategies with quality of life and depression, anxiety, fatigue and social support in 34 Lebanese Multiple Sclerosis patients. Results indicated that Multiple Sclerosis patients using positive coping strategies had significantly higher scores of quality of life (U=46, p=.038) and social support (U=33.5, p=.011), and lower depression (U=44, p=.030) and anxiety levels (U=46.5, p=.038) as compared to those using negative coping strategies. Specifically, escape avoidance coping strategy was associated with poor quality of life scores (r=-.609, p<.0001) and high levels of depression (r=.534, p=.001), anxiety (r=.530, p=.001), and fatigue (r=.401, p=.019). Comprehensive assessment of Multiple Sclerosis taking into account coping strategies is needed to develop proper therapeutic interventions which increase quality of life. Future studies are required to confirm these results.

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  • Active coping, problem resolution, planning problem solving, cognitive positive restructuring, emotional and instrumental social support, emotional expression, acceptance and growth are related to higher quality of life in multiple sclerosis.

    “Active coping, problem resolution, planning problem solving, cognitive positive restructuring, emotional and instrumental social support, emotional expression, acceptance and growth were related to a higher QoL in MS.51 71 79–82”

    From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [81]

  • Problem avoidance, behavioural disengagement, distancing, self-distraction, denial, emotion-focused and venting coping strategies, social withdrawal, wishful thinking, self-criticism, suppression and self-controlling coping are associated with lower quality of life in multiple sclerosis.

    “On the contrary, problem avoidance,71 81 behavioural disengagement,51 80 distancing,81 self-distraction,79 denial,51 79 emotion-focused and venting coping strategies,80 social withdrawal,71 wishful thinking,71 self-criticism,71 81 suppression80 and self-controlling coping70 were associated with lower QoL.”

    From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [81]

  • Strategies based on acceptance and active commitment led to higher quality of life in multiple sclerosis.

    “On the contrary, strategies based on acceptance and active commitment, such as active coping, humour, problem resolution, cognitive positive restructuring and emotional expression, led to higher QoL in MS.51 71 79–82”

    From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [81]

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Authors
Farran, N., Ammar, D., & Darwish, H.
Affiliations
  • Lebanese American University (LB)
  • American University of Beirut (LB)
Corresponding author
Ammar, Diala
ORCID
Venue
Multiple Sclerosis and Related Disorders
Publisher
Elsevier BV
Published
2016-03
Volume
6
Pages
21-27
ISSN
2211-0348 (ISSN-L)
DOI
10.1016/j.msard.2015.12.003
OpenAlex
W2201018684
Cited by
42
References
29
Citations by year
2026: 2 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 7 · 2018: 2 · 2017: 2 · 2016: 3
FWCI
1.85
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Multiple Sclerosis and Related Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
multiple sclerosis, coping strategies, quality of life, depression, anxiety, fatigue, social support, escape-avoidance coping, Lebanese patients, developing countries
MeSH terms
Adaptation, Psychological, Adult, Anxiety, Depression, Fatigue, Female, Humans, Lebanon, Male, Multiple Sclerosis, Pilot Projects, Quality of Life, Severity of Illness Index, Social Class, Social Support

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