The Role of Coping in Adjustment to Multiple Sclerosis-Related Adaptive Demands
Abstract
In general, coping research has failed to examine coping and specific illness-related stressors, and with respect to multiple sclerosis (MS), there is a lack of research into coping with this disease. In this study, stress and coping theory was used to evaluate the role of appraisal and coping strategies in the adjustment to illness-related stressors in MS patients. A total of 134 MS patients and their carers were interviewed and completed self-administered scales. Predictors included illness, MS problems, appraisal and coping variables. Adjustment outcomes included depression, global distress, social adjustment, and global health status. Hierarchical regression analyses indicated that illness variables were related to depression and social adjustment. Number of MS problems, appraisal and coping were related to most adjustment measures. Overall, findings supported the hypotheses that threat appraisals and emotion-focused coping would be related to poorer adjustment and that problem-focused coping would be related to better adjustment. There was only weak support for the hypothesis that the relationship between adjustment and both appraisal and coping would vary according to the type of illness-related stressor. Findings support the utility of a stress and coping model of adaptation to MS.
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Such coping strategies are associated with poor physical and psychological quality of life, worse psychosocial adjustment, and greater depressive symptoms in people with multiple sclerosis.
“Such coping strategies [16] are associated with poor physical and psychological QoL [17,18,19], worse psychosocial adjustment [18,20], and greater depressive symptoms in pwMS [21,22,23].”
From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [20]
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Abbad, A., & Nimer, B. K. (2020) · Keele Research Repository (Keele University) · Cited by 1 · see citing works
Multiple Sklerose und kognitive Anpassung
Wiesmann, U., Machtemes, W., & Hannich, H. (2001) · Zeitschrift für Gesundheitspsychologie · doi:10.1026//0943-8149.9.3.99
Depression: etiology and treatment
Feinstein, A. (2007) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543760.004
The Relationship Between Religion, Spirituality, Psychological
Makros, J., & McCabe, M. P. (2003)
Coping in Neurological Disorders
Rabinowitz, A. R., & Arnett, P. A. (2022) · Springer eBooks · doi:10.1007/978-3-031-11389-5_8
- Authors
- Pakenham, K. I., Stewart, C. A., & Rogers, A.
- Affiliations
- The University of Queensland (AU)
- ORCID
- Pakenham, K. I.
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 1997-10
- Volume
- 2
- Issue
- 3
- Pages
- 197-211
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2111707369
- Cited by
- 81
- References
- 33
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 6 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology Health & Medicine (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, stress and coping theory, threat appraisal, emotion-focused coping, problem-focused coping, depression, social adaptation, health status, caregivers, adaptation to illness
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