Target Coping Strategies for Interventions Aimed at Maximizing Psychosocial Adjustment in People with Multiple Sclerosis
Open accessAbstract
Background: The experience of psychological distress is prevalent in people with multiple sclerosis (MS), including high levels of stress, anxiety, and depression. It has been shown that people with MS use less adaptive coping compared with healthy individuals. This study examined the ability of coping strategies to predict maladaptive and adaptive psychosocial outcomes across areas of stress, depression, anxiety, and quality of life (QOL) in people with MS. Methods: 107 people with MS completed measures of depression (Beck Depression Inventory–II), anxiety (State-Trait Anxiety Inventory), QOL (Multiple Sclerosis Quality of Life–54), stress (Daily Hassles Scale), and coping (COPE inventory). Results: Consistent with expectations, depression, frequency of stress, trait anxiety, and mental health QOL were predicted by adaptive and maladaptive coping styles. Severity of stressful events was predicted by maladaptive, but not adaptive, coping styles. Depression and mental health QOL were most prominently connected to coping use. Emotional preoccupation and venting showed the strongest relationship with poorer psychosocial outcomes, whereas positive reinterpretation and growth seemed to be most beneficial. Conclusions: The results of this study highlight the importance of intervention programs targeting specific coping strategies to enhance psychosocial adjustment for people with MS.
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Emotional discharge emerged as a very problematic coping strategy for people with multiple sclerosis.
“Emotional discharge emerged, indeed, as a very problematic coping strategy for pwMS, as previously reported [34].”
From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [34]
Active coping, problem resolution, planning problem solving, cognitive positive restructuring, emotional and instrumental social support, emotional expression, acceptance and growth are related to higher quality of life in multiple sclerosis.
“Active coping, problem resolution, planning problem solving, cognitive positive restructuring, emotional and instrumental social support, emotional expression, acceptance and growth were related to a higher QoL in MS.51 71 79–82”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [80]
Strategies based on acceptance and active commitment led to higher quality of life in multiple sclerosis.
“On the contrary, strategies based on acceptance and active commitment, such as active coping, humour, problem resolution, cognitive positive restructuring and emotional expression, led to higher QoL in MS.51 71 79–82”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [80]
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Sorted by citations
Quality of life in adults with multiple sclerosis: A systematic review
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“In accordance with previous studies [14,34,35], approach coping strategies are expected to predict better physical disability and HRQoL, whereas avoidance coping strategies are expected to have a negative impact on physical disability and HRQoL.”
MethodResultInfluential
- Authors
- Grech, L. B., Kiropoulos, L. A., Kirby, K. M., Butler, E., Paine, M., & Hester, R.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Grech, Lisa B.
- Venue
- International Journal of MS Care
- Published
- 2018-05-01
- Volume
- 20
- Issue
- 3
- Pages
- 109-119
- ISSN
- 1537-2073 (ISSN-L)
- PMC
- PMC5991507
- OpenAlex
- W2727329506
- Cited by
- 49
- References
- 53
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 5 · 2019: 4 · 2018: 2
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of MS Care (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (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, psychosocial adjustment, depression, anxiety, stress, quality of life, maladaptive coping, adaptive coping, venting, positive reappraisal, growth, intervention targeting
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