A qualitative investigation of adaptation in older individuals with multiple sclerosis
Abstract
Purpose This qualitative investigation was designed to identify themes that underlie adaptation in older individuals with multiple sclerosis (MS). Method Thirteen individuals (age 60 and above) with MS were recruited from an MS Comprehensive Care Centre and local chapters of the National Multiple Sclerosis Society. Participants completed The Perceptions of Aging Interview by telephone. This open-ended interview was developed to explore two lines of inquiry: MS: Perceptions of Aging, which was based on the literature on adaptation in MS, and Life Strengths, which was adapted from Kivnick's Life Strengths Inventory. Results The majority of participants reported having adapted to MS and aging. They described several themes and subthemes that seemed to influence their levels of adaptation: Social comparisons, mobility/independence, integration of MS into self-identity, acceptance, pacing and planning, finding meaning/cognitive reframing, social support, religion/spirituality and generativity. Conclusions The themes identified in this investigation are generally supported by the literatures on adaptation to MS and adaptation to aging. However, this is the first study to examine these factors in an older MS sample. Moreover, many of these themes are potentially modifiable through clinical intervention, and should be examined in future research with this population.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People with MS often experience considerable disease course-variability and illness uncertainty, which are associated with emotional distress.
“People with MS often experience considerable disease course-variability and illness uncertainty, which are associated with emotional distress29–31,69.”
From Ecological momentary assessment of pain, fatigue, depressive, and cognitive symptoms reveals significant daily variability in multiple sclerosis (2017) · cites this paper as [69]
Cites
A theory of social comparison processes
Festinger, L. (1954) · Human Relations · doi:10.1177/001872675400700202 · Cited by 20,926 · see citing works
Basics of Qualitative Research
Ozanne, J. L., Strauss, A., & Corbin, J. M. (1992) · Journal of Marketing Research · doi:10.2307/3172751 · Cited by 17,852 · see citing works
(1990) · Cited by 11,110 · see citing works
Qualitative data analysis (2nd ed)
Morse, J. M. (1996) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(96)00056-6 · Cited by 5,613 · see citing works
Myers, D. G., & Diener, E. (1995) · Psychological Science · doi:10.1111/j.1467-9280.1995.tb00298.x · Cited by 2,383 · see citing works
Social comparison : contemporary theory and research
Suls, J. M., & Wills, T. A. (1991) · Cited by 1,381 · see citing works
Freund, A. M., & Baltes, P. B. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.82.4.642 · Cited by 878 · see citing works
Religious Coping and Health Status in Medically Ill Hospitalized Older Adults
Koenig, H. G., Pargäment, K. I., & NIELSEN, J. (1998) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199809000-00001 · Cited by 664 · see citing works
Formal Volunteering as a Protective Factor for Older Adults' Psychological Well-Being
Greenfield, E. A., & Marks, N. F. (2004) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/59.5.s258 · Cited by 600 · see citing works
Religious coping and depression among elderly, hospitalized medically ill men
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.12.1693 · Cited by 544 · see citing works
The Aging Mind: Potential and Limits
Baltes, P. B. (1993) · The Gerontologist · doi:10.1093/geront/33.5.580 · Cited by 506 · see citing works
Natural history of multiple sclerosis
Weinshenker, B. G. (1994) · Annals of Neurology · doi:10.1002/ana.410360704 · Cited by 405 · see citing works
Adjustment to multiple sclerosis: Application of a stress and coping model.
Pakenham, K. I. (1999) · Health Psychology · doi:10.1037//0278-6133.18.4.383 · Cited by 265 · see citing works
Jopp, D. S., & Smith, J. (2006) · Psychology and Aging · doi:10.1037/0882-7974.21.2.253 · Cited by 233 · see citing works
Gurung, R. A. R., Taylor, S. E., & Seeman, T. E. (2003) · Psychology and Aging · doi:10.1037/0882-7974.18.3.487 · Cited by 225 · see citing works
Some Correlates of Differences in Self-assessment of Health Status Among the Elderly
Maddox, G. L. (1962) · Journal of Gerontology · doi:10.1093/geronj/17.2.180 · Cited by 218 · see citing works
Social relationships and health: challenges for measurement and intervention
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2018) · PubMed · doi:10.1184/r1/6618137 · Cited by 216 · see citing works
Coping and Psychological Adjustment among People with Multiple Sclerosis
McCabe, M. P., McKern, S., & McDonald, E. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00132-6 · Cited by 188 · see citing works
The nature of fatigue in multiple sclerosis
Ford, H. L., Trigwell, P. J., & Johnson, M. H. (1998) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00004-x · Cited by 184 · see citing works
Qualitative research for social workers : phases, steps, & tasks
Tutty, L. M., Rothery, M. A., & Grinnell, R. M. (1996) · Allyn and Bacon eBooks · Cited by 178 · see citing works
The Role of Social Comparisons Processes in the Psychological Adaptation of Elderly Adults
Heidrich, S. M., & Ryff, C. D. (1993) · Journal of Gerontology · doi:10.1093/geronj/48.3.p127 · Cited by 173 · see citing works
Social-psychological adjustment to multiple sclerosis
Brooks, N. A., & Matson, R. R. (1982) · Social Science & Medicine · doi:10.1016/0277-9536(82)90262-3 · Cited by 166 · see citing works
Life expectancy in patients attending multiple sclerosis clinics
Sadovnick, A. D., Ebers, G. C., Wilson, R. W., & Paty, D. W. (1992) · Neurology · doi:10.1212/wnl.42.5.991 · Cited by 159 · see citing works
Gignac, M. A. M., Cott, C. A., & Badley, E. M. (2002) · Psychology and Aging · doi:10.1037/0882-7974.17.3.520 · Cited by 152 · see citing works
Experiencing the loss of mobility: perspectives of older adults with MS
Finlayson, M. L., & Denend, T. V. (2003) · Disability and Rehabilitation · doi:10.1080/09638280310001596180 · Cited by 142 · see citing works
Physical functioning and mental health in patients with chronic medical conditions
Singer, M. A., Hopman, W. M., & MacKenzie, T. A. (1999) · Quality of Life Research · doi:10.1023/a:1008917016998 · Cited by 132 · see citing works
McNulty, K., Livneh, H., & Wilson, L. (2004) · Rehabilitation Psychology · doi:10.1037/0090-5550.49.2.91 · Cited by 117 · see citing works
Minden, S. L., Frankel, D., Hadden, L. S., Srinath, K. P., & Perloff, J. N. (2004) · Neurorehabilitation · doi:10.3233/nre-2004-19107 · Cited by 116 · see citing works
Bowling, A. (2006) · European Journal of Ageing · doi:10.1007/s10433-006-0032-2 · Cited by 113 · see citing works
Social comparison as a mediator between health problems and subjective health evaluations.
VanderZee, K., Buunk, B., & Sanderman, R. (1995) · British Journal of Social Psychology · doi:10.1111/j.2044-8309.1995.tb01048.x · Cited by 110 · see citing works
The Lived Experience of Relapsing Multiple Sclerosis: A Phenomenological Study
Miller, C. M. (1997) · Journal of Neuroscience Nursing · doi:10.1097/01376517-199710000-00003 · Cited by 93 · see citing works
Lazarus, R. S., & Lazarus, B. N. (2006) · Medical Entomology and Zoology · Cited by 73 · see citing works
Jang, Y., Poon, L. W., & Martin, P. (2004) · The International Journal of Aging and Human Development · doi:10.2190/rt1w-2hd7-kg5x-k1fb · Cited by 68 · see citing works
Social support among persons with multiple sclerosis
Gulick, E. E. (1994) · Research in Nursing & Health · doi:10.1002/nur.4770170307 · Cited by 68 · see citing works
Psychosocial impact of illness intrusiveness moderated by age in multiple sclerosis
Devins, G. M., Styra, R. G., O'Connor, P. W., Gray, T., Seland, T. P., Klein, G., & Shapiro, C. M. (1996) · Psychology Health & Medicine · doi:10.1080/13548509608400017 · Cited by 66 · see citing works
A new approach to affective symptoms in relapsing-remitting multiple sclerosis
Noy, S., Achiron, A., Gabbay, U., Barak, Y., Rotstein, Z., Laor, N., & Sarova-Pinhas, I. (1995) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(95)90121-3 · Cited by 61 · see citing works
Fong, T., Finlayson, M. L., & Peacock, N. R. (2006) · Disability and Rehabilitation · doi:10.1080/09638280500277495 · Cited by 57 · see citing works
Testing an Uncertainty Model for Women with Multiple Sclerosis
Crigger, N. (1996) · Advances in Nursing Science · doi:10.1097/00012272-199603000-00005 · Cited by 54 · see citing works
A Molecular View of Coping Behavior in Older Adults
Martin, P., Rott, C., Poon, L. W., Courtenay, B., & Lehr, U. M. (2001) · Journal of Aging and Health · doi:10.1177/089826430101300104 · Cited by 54 · see citing works
Han, B., & Jylhä, M. K. (2006) · Aging & Mental Health · doi:10.1080/13607860600641077 · Cited by 52 · see citing works
The evolution of the aging self : the societal impact on the aging process
Schaie, K. W., & Hendricks, J. A. (2000) · Springer eBooks · Cited by 44 · see citing works
Lazarus, R. S., & Lazarus, B. N. (2006) · doi:10.1093/oso/9780195173024.001.0001 · Cited by 39 · see citing works
Problems Reported by Elderly Patients with Multiple Sclerosis
Klewer, J., Pöhlau, D., Nippert, I., Haas, J., & Kügler, J. (2001) · Journal of Neuroscience Nursing · doi:10.1097/01376517-200106000-00009 · Cited by 38 · see citing works
Acceptance: a key to wellbeing in older adults?
Ranzijn, R., & Luszcz, M. (1999) · Australian Psychologist · doi:10.1080/00050069908257435 · Cited by 38 · see citing works
Everyday mental health: A guide to assessing life strengths
Kivnick, H. Q. (1993) · Generations · Cited by 38 · see citing works
Finlayson, M. L., Denend, T. V., & Hudson, E. (2004) · Journal of Neuroscience Nursing · doi:10.1097/01376517-200410000-00003 · Cited by 35 · see citing works
Social Support among Veterans with Multiple Sclerosis
Williams, R. M., Turner, A., Hatzakis, M., Chu, S., Rodriquez, A., Bowen, J., & Haselkorn, J. (2004) · Rehabilitation Psychology · doi:10.1037/0090-5550.49.2.106 · Cited by 32 · see citing works
Health appraisal models in multiple sclerosis
Roberts, G., & Stuifbergen, A. M. (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00080-x · Cited by 29 · see citing works
Mental Health and Mental Health Service Use Among People Aged 45+ with Multiple Sclerosis
Garcia, J. D., & Finlayson, M. L. (2005) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2005-0011 · Cited by 26 · see citing works
Older Adults' Perspectives on the Positive and Negative Aspects of Living with Multiple Sclerosis
Finlayson, M. L., Denend, T. V., & DalMonte, J. (2005) · British Journal of Occupational Therapy · doi:10.1177/030802260506800304 · Cited by 24 · see citing works
Health and Social Profile of Older Adults With MS: Findings From Three Studies
Finlayson, M. L. (2002) · International Journal of MS Care · doi:10.7224/1537-2073-4.3.139 · Cited by 22 · see citing works
Comparison of Older and Younger Individuals With Multiple Sclerosis: A Preliminary Investigation.
DiLorenzo, T. A., Halper, J., & Picone, M. A. (2004) · Rehabilitation Psychology · doi:10.1037/0090-5550.49.2.123 · Cited by 15 · see citing works
Self-citationSubjective Quality of Life, Perceived Control and Dispositional Optimism Among Older People
Maher, E., & Cummins, R. A. (2001) · Australian Journal on Ageing · doi:10.1111/j.1741-6612.2001.tb01776.x · Cited by 10 · see citing works
Flagged first, then by citations
1 of the 54 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Cattaneo, D., Lamers, I., Bertoni, R., Feys, P., & Jonsdottir, J. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.02.015 · Cited by 126 · see citing works
Kratz, A. L., Murphy, S. L., & Braley, T. J. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.07.002 · Cited by 109 · see citing works
Bouncing back again, and again: a qualitative study of resilience in people with multiple sclerosis
Silverman, A. M., Verrall, A. M., Alschuler, K. N., Smith, A. E., & Ehde, D. M. (2016) · Disability and Rehabilitation · doi:10.3109/09638288.2016.1138556 · Cited by 94 · see citing works
Factors influencing healthy aging with multiple sclerosis: a qualitative study
Ploughman, M., Austin, M. W., Murdoch, M., Kearney, A., Fisk, J. D., Godwin, M. S., & Stefanelli, M. (2011) · Disability and Rehabilitation · doi:10.3109/09638288.2011.585212 · Cited by 79 · see citing works
Life issues in multiple sclerosis
Simmons, R. D. (2010) · Nature Reviews Neurology · doi:10.1038/nrneurol.2010.143 · Cited by 75 · see citing works
Yorkston, K. M., Baylor, C. R., & Amtmann, D. (2014) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2014.05.005 · Cited by 77 · see citing works
Buckley, R. F., Saling, M. M., Frommann, I., Wolfsgruber, S., & Wagner, M. (2015) · Journal of Alzheimer s Disease · doi:10.3233/jad-150095 · Cited by 71 · see citing works
Healthy Aging from the Perspectives of 683 Older People with Multiple Sclerosis
Wallack, E. M., Wiseman, H. D., & Ploughman, M. (2016) · Multiple Sclerosis International · doi:10.1155/2016/1845720 · Cited by 69 · see citing works
Functioning and disability in multiple sclerosis from the patient perspective
Coenen, M., Basedow-Rajwich, B., König, N. H., Kesselring, J., & Cieza, A. (2011) · Chronic Illness · doi:10.1177/1742395311410613 · Cited by 50 · see citing works
Soundy, A., Roskell, C., Elder, T., Collett, J., & Dawes, H. (2016) · Open Journal of Therapy and Rehabilitation · doi:10.4236/ojtr.2016.41003 · Cited by 48 · see citing works
Fave, A. D., Bassi, M., Allegri, B., Cilia, S., Falautano, M., Goretti, B., Grobberio, M., Minacapelli, E., Pattini, M., Pietrolongo, E., et al. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02216 · Cited by 46 · see citing works
Pathways of change experienced by people aging with disability: a focus group study
Yorkston, K. M., McMullan, K. A., Molton, I. R., & Jensen, M. P. (2010) · Disability and Rehabilitation · doi:10.3109/09638281003678317 · Cited by 34 · see citing works
Solace in solidarity: Disability friendship networks buffer well-being.
Silverman, A. M., Molton, I. R., Smith, A. E., Jensen, M. P., & Cohen, G. L. (2017) · Rehabilitation Psychology · doi:10.1037/rep0000128 · Cited by 33 · see citing works
Independent outdoor mobility of persons with multiple sclerosis – A systematic review
van der Feen, F. E., de Haan, G. A., van der Lijn, I., Heersema, D. J., Meilof, J. F., & Heutink, J. (2019) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2019.101463 · Cited by 32 · see citing works
Strickland, K., Worth, A., & Kennedy, C. M. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13593 · Cited by 24 · see citing works
Wirth, A.-G., & Büssing, A. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0089-3 · Cited by 23 · see citing works
Büssing, A., Wirth, A.-G., Humbroich, K., Gerbershagen, K., Schimrigk, S., Haupts, M. R., Baumann, K., & Heusser, P. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/128575 · Cited by 23 · see citing works
Psychosocial aspects of the lived experience of multiple sclerosis: personal perspectives
Cowan, C. K., Pierson, J. M., & Leggat, S. G. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2018.1498545 · Cited by 22 · see citing works
Stress, mental health, and aging
Moore, R. C., Straus, E., & Campbell, L. M. (2020) · Handbook of Mental Health and Aging · doi:10.1016/b978-0-12-800136-3.00004-1 · Cited by 19 · see citing works
Quality of life in MS: Does aging enhance perceptions of mental health?
DiLorenzo, T. A., Halper, J., & Picone, M. A. (2009) · Disability and Rehabilitation · doi:10.1080/09638280802624543 · Cited by 16 · see citing works
Self-citationA systematic review of self-concept change in multiple sclerosis
Emery, H., Padgett, C. R., Ownsworth, T., & Honan, C. A. (2022) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2022.2030367 · Cited by 14 · see citing works
Richardson, E. V., & Motl, R. W. (2020) · Journal of Aging Studies · doi:10.1016/j.jaging.2020.100872 · Cited by 13 · see citing works
Wilski, M., Wnuk, M., Brola, W., Szczęśniak, M., Žák, M., Sobolewski, P. K., Kapica-Topczewska, K., Tarasiuk, J., Czarnowska, A., Kułakowska, A., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1352021 · Cited by 12 · see citing works
Aging with Long-term Physical Impairments: The Significance of Social Support
Casey, R., & Stone, S. D. (2010) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980810000292 · Cited by 12 · see citing works
Richardson, E. V., & Motl, R. W. (2021) · Qualitative Health Research · doi:10.1177/10497323211009864 · Cited by 11 · see citing works
Cerebellar ataxia and intrathecal baclofen therapy: Focus on patients´ experiences
Berntsson, S. G., Landtblom, A., & Flensner, G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0180054 · Cited by 7 · see citing works
Bergien, S. O., Skovgaard, L., & Kristiansen, M. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04504-x · Cited by 5 · see citing works
The experience of young adults living with relapsing-remitting multiple sclerosis
Beshears, B. (2010) · doi:10.32469/10355/10926 · Cited by 3 · see citing works
Liković, M., & Buljevac, M. (2023) · Home Health Care Services Quarterly · doi:10.1080/01621424.2023.2189645 · Cited by 3 · see citing works
Multiple sclerosis and identity: a mixed-methods systematic review
Graziano, F., Calandri, E., Borghi, M., Giacoppo, I., Verdiglione, J., & Bonino, S. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2392039 · Cited by 3 · see citing works
Anticipatory coping: how women deal with the hassles of living with multiple sclerosis
Kar, M. K., Whitehead, L., Smith, C. M., Seaton, P., & Mozhdehipanah, H. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1770872 · Cited by 3 · see citing works
Multiple Sclerosis and Aging: Complexities, Concerns and Considerations for Care
Finlayson, M. L. (2009) · Aging Health · doi:10.2217/1745509x.5.1.89 · Cited by 3 · see citing works
Aging With a Progressive Neurologic Disease
Karpatkin, H., & Cohen, E. T. (2019) · Topics in Geriatric Rehabilitation · doi:10.1097/tgr.0000000000000232 · Cited by 3 · see citing works
Strickland, K. (2026) · Edinburgh Napier Research Repository (Edinburgh Napier University) · doi:10.17869/enu.177490 · Cited by 3 · see citing works
Soundy, A., & Elder, T. J. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-805298-3.00012-8 · Cited by 2 · see citing works
Vratislavia Medica, S. I. Ś. J. P. I. W. W., Neustein, J., Pawik, M., Katedra Rehabilitacji w Chorobach Wewnętrznych, W. F., & Rymaszewska, J. (2018) · Aktualności Neurologiczne · doi:10.15557/an.2018.0005 · Cited by 2 · see citing works
Pandya, S. P. (2017) · Rehabilitation Counseling Bulletin · doi:10.1177/0034355217723553 · Cited by 2 · see citing works
ACTIVITIES AND ADAPTIVE STRATEGIES IN LATE LIFE DEPRESSION: A QUALITATIVE STUDY
Leibold, M. L. (2010) · D-Scholarship@Pitt (University of Pittsburgh)
Spiritual Direction with Women Who Have Autoimmune Diseases: A Model of Psychospiritual Care
ARORA, K. R. (2011) · Digital Commons - DU (University of Denver)
Nowaczyk, N., & Cierpiałkowska, L. (2017) · Polish Psychological Bulletin · doi:10.1515/ppb-2017-0041
Bergien, S. O., Skovgaard, L., & Kristiansen, M. (2023) · Figshare · doi:10.6084/m9.figshare.24715489
Wood, E. J., Galna, B., Mavropalias, G., Rajakaruna, M. P. M., & Learmonth, Y. C. (2026) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2606104
- Authors
- Dilorenzo, T. A., Becker-Feigeles, J., Halper, J., & Picone, M. A.
- Affiliations
- Yeshiva University (US)
- Holy Name Medical Center (US)
- Corresponding author
- Dilorenzo, Terry A.
- ORCID
- Halper, June
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 30
- Issue
- 15
- Pages
- 1088-1097
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2060292091
- Cited by
- 43
- References
- 54
- Citations by year
- 2026: 3 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 8 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- multiple sclerosis, older adults, adaptation, aging, social comparison, self-identity, acceptance, cognitive reframing, meaning in life, social support, religion and spirituality, generativity
- MeSH terms
- Adaptation, Psychological, Aged, Aging, Attitude to Health, Female, Humans, Interviews as Topic, Male, Middle Aged, Multiple Sclerosis, Social Support, Cohort Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review