Coping and Quality of Life in One Hundred and Thirty Five Subjects with Multiple Sclerosis
Abstract
INTRODUCTION: and objective The aim of this study was to compare coping strategies and quality of life (QoL) in multiple sclerosis (MS), as they relate to the course of the disease (relapsing-remitting (RR), secondary progressive (SP), primary progressive (PP)), while taking depression and anxiety into account. METHODS: A total of 135 MS subjects were seen for a semi-structured interview in order to collect socio-demographic and clinical information, after which there was an assessment of their mental and cognitive states (Mini International Neuropsychiatric Interview (MINI), Montgomery and Asberg Depression Rating Scale (MADRS), Depressive Mood Scale (EHD), Hamilton Anxiety (HAMA), Frontal Assessment Battery (FAB)). All subjects then completed three self-report questionnaires; two about coping strategies (Ways of Coping Checklist (WCC), Coping with Health, Injuries and Problems Scale (CHIP)) and one about QoL (SEP59). RESULTS: The mental health (depression and anxiety) and the psychological and social dimensions of QoL were relatively unaffected. However, after controlling for age and disability, the disease course had a strong effect on both mental health and QoL, with the poorest condition for SPMS and the best condition for PPMS. The SPMS patients tend to use emotional coping strategies extensively, while the PPMS patients use more instrumental strategies. DISCUSSION: Our study clearly demonstrated that psychological and social well-being were substantially affected by the disease course. These results encourage us to develop interventions focused on coping strategies and which are better adapted to individual patients.
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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 [19]
Other studies did not find differences in coping strategies of people with multiple sclerosis in accordance with their level of physical disability.
“Nevertheless, other studies did not find differences in coping strategies of pwMS in accordance with their level of physical disability [19,29,30,31].”
From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [19]
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- Authors
- Montel, S. R., & Bungener, C.
- Affiliations
- Université Paris Cité (FR)
- Université Paris Descartes (FR)
- Venue
- Multiple Sclerosis Journal
- Publisher
- SAGE Publications
- Published
- 2007-04
- Volume
- 13
- Issue
- 3
- Pages
- 393-401
- ISSN
- 1352-4585 (ISSN-L)
- 1477-0970
- OpenAlex
- W2083489672
- Cited by
- 124
- References
- 54
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 13 · 2016: 7 · 2015: 10 · 2014: 5 · 2013: 5 · 2012: 15
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Multiple Sclerosis Journal (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, clinical course, relapsing-remitting multiple sclerosis, secondary progressive multiple sclerosis, primary progressive multiple sclerosis, depression, anxiety, emotional coping, instrumental coping, disability
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Anxiety, Depression, Female, Humans, Male, Mental Health, Middle Aged, Multiple Sclerosis, Personality Inventory, Quality of Life, Surveys and Questionnaires, Multiple Sclerosis, Chronic Progressive, Multiple Sclerosis, Relapsing-Remitting
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