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Cited by 35Multiple Sclerosis Research StudiesCancer survivorship and careResilience and Mental Health

The Burden of Multiple Sclerosis and Patients’ Coping Strategies

Lorefice, Lorena, Fenu, Giuseppe, Frau, Jessica, Coghe, Giancarlo, Marrosu, Maria Giovanna, Cocco, Eleonora·2018·BMJ Supportive & Palliative Care
DOI 10.1136/bmjspcare-2017-001324
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Abstract

Objectives Multiple sclerosis (MS) is a chronic disease that mainly affects young people. Patients with MS experience several emotional responses to changed perceptions of themselves and manage this situation in ways focused on controlling the overall burden of disease. This present study aimed to evaluate differences between patients with MS and healthy controls (HCs) in coping styles, identifying the MS clinical features that influence adaptive responses. Methods Patients with MS, according to the McDonald 2010 criteria, and HCs were recruited. Coping strategies were assessed using the Coping Orientation to the Problems Experienced (COPE-NVI; Italian version) questionnaire. Results A cohort of 135 patients with MS (female: 89/135, 65.9%) and 94 HCs (female: 64/94, 68%) were enrolled. Impairedsocial support and problem solvingwas noted for MS group (p=0.005). In the MS group, thesocial supportworsened with increasing disease duration (p=0.002) independently of the level of disability. Associations between a higher Expanded Disability Status Scale score andavoidance strategies(p<0.01), as well between avoidance strategiesand a previous depression diagnosis (p<0.001) were reported. Conclusion Our findings highlight the negative impact of MS on various aspects of patients’ life. Therefore, psychosocial interventions are needed to increase adaptive coping mechanisms aimed to manage the burden of MS.

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  • Several studies have shown that greater physical disability, as measured by the Expanded Disability Status Scale, is associated with the employment of emotional and avoidance coping strategies.

    “several studies have shown that greater physical disability, as measured by the Expanded Disability Status Scale (EDSS; [26]), is associated with the employment of emotional and avoidance coping strategies [22,23,27,28].”

    From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [28]

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Authors
Lorefice, L., Fenu, G., Frau, J., Coghe, G., Marrosu, M. G., & Cocco, E.
Affiliations
University of Cagliari (IT)
Corresponding author
Lorefice, Lorena
ORCID
Venue
BMJ Supportive & Palliative Care
Publisher
BMJ
Published
2017-06-24
Volume
8
Issue
1
Pages
38-40
ISSN
  • 2045-435X (ISSN-L)
  • 2045-4368
DOI
10.1136/bmjspcare-2017-001324
OpenAlex
W2706200025
Cited by
35
References
12
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 6 · 2022: 11 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 6
FWCI
2.15
Type
journal article
Language
en
Open access
closed
Locations
  • BMJ Supportive & Palliative Care (publishedVersion)
  • PubMed (publishedVersion)
  • UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
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, disease burden, social support, problem solving, avoidance coping, depression, disability progression, disease duration, psychosocial interventions
MeSH terms
Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Social Support, Cohort Studies, Cost of Illness

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