Cited by 98Nursing care and researchAmyotrophic Lateral Sclerosis ResearchDementia and Cognitive Impairment Research

The psychological impact of MND on patients and carers

Goldstein, Laura H, Adamson, Michelle, Jeffrey, Lorraine, Down, Keren, Barby, Teresa, Wilson, Claire, Leigh, P.Nigel·1998·Journal of the Neurological Sciences

Abstract

Nineteen patients with Motor Neurone Disease (MND) who had been living with their partners for at least two years prior to the onset of their illness, together with their partners, completed self-report questionnaires to investigate the impact of MND on both patients and carers. Physical disability and impact of the illness on aspects of everyday functioning were related to levels of anxiety and depression in the patients; psychological coping strategies adopted depended to some extent on symptom duration. Carers also demonstrated signs of anxiety and depression, with the latter correlating with aspects of the patients' functional impairment. Perceived strain in carers over caring for the patient correlated with a loss in intimacy in their relationship, which in turn was predicted by patients' cognitive/behavioural and communication changes. Changes in patients' social performance also correlated with the extent to which carers felt that the illness was affecting other areas of their life, the extent to which their partner dominated their thoughts and the extent to which they could control their reactions when thinking about the patient. Satisfaction with formal services and the number of social groups to which carers belonged correlated with carers' self-predicted future ability to cope.

Integrity signals

Registry

Crossref · 10.1016/s0022-510x(98)00209-3

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Authors
Goldstein, L. H., Adamson, M., Jeffrey, L., Down, K., Barby, T., Wilson, C., & Leigh, P. N.
Affiliations
King's College London (GB)
Corresponding author
Goldstein, Laura H
Venue
Journal of the Neurological Sciences
Publisher
Elsevier BV
Published
1998-10
Volume
160
Pages
S114-S121
ISSN
0022-510X (ISSN-L)
OpenAlex
W2011280948
Cited by
98
References
29
Citations by year
2024: 1 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 1 · 2019: 6 · 2018: 4 · 2017: 1 · 2016: 3 · 2015: 5 · 2014: 3 · 2013: 8 · 2012: 7
FWCI
5.00
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the Neurological Sciences (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
motor neuron disease, psychological impact, caregivers, anxiety, depression, coping strategies, relationship strain, functional disability, social performance, communication change, symptom duration
MeSH terms
Disability Evaluation, Female, Humans, Male, Middle Aged, Patients, Psychological Tests, Stress, Psychological, Motor Neuron Disease, Caregivers

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