Investigation of the coping antecedents to positive outcomes and distress in multiple sclerosis (MS)

Pakenham, Kenneth I.

doi:10.1080/14768320500422618

Cited by 58 publications

(55 citation statements)

References 43 publications

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“…Research has shown the beneficial effects of acceptance on various measures of wellbeing in a variety of chronic diseases, including chronic pain [28,29] [32] (e.g., Casier et al , 2008). Studies in patients with MS suggest similar associations between acceptance (or acceptance-related concepts such as sense giving) and life satisfaction, distress, mood, disability, and physical health [5,12,26,33,34,35,36,37]. However, its potentially dampening effect upon the impact of MS severity on quality of life remains untested.…”

Section: Introductionmentioning

confidence: 99%

Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?

2015

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The authors declare that they have no conflict of interest.All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. 2 Abstract PurposeAcceptance and flexible goal adjustment are believed to be protective factors in chronic illness whereas tenacious goal pursuit is considered maladaptive. The present study aimed to investigate the role of these factors in quality of life of patients with Multiple Sclerosis (MS). MethodsA sample of 117 patients with MS was recruited. They completed questionnaires measuring quality of life (physical functioning, psychological functioning, psychological distress), acceptance, flexible goal adjustment, and tenacious goal pursuit. ResultsAcceptance significantly accounted for variance in all three indexes of quality of life, beyond the effects of demographic and illness characteristics. The role of goal regulation style was less clear. Flexible goal adjustment significantly accounted for psychological wellbeing only. Surprisingly, tenacious goal pursuit predicted better psychological functioning and less psychological distress. No support was found for the hypothesis that acceptance and flexible goal adjustment would moderate the relation between illness severity and quality of life. ConclusionsThe findings suggest the potential importance of acceptance in understanding MS patients' quality of life, although its hypothesized protective function could not be confirmed. Further conceptual work on acceptance and goal regulation style is needed, as well as prospective work investigating their causal status.

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Section: Introductionmentioning

confidence: 99%

Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?

2015

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“…Los problemas más citados fueron las limitaciones/síntomas físicos derivados de la enfermedad, seguidos de los problemas laborales y la sensación de ausencia de proyección de futuro. Estas dos primeras categorías coinciden con lo reportado por algunos autores (Edmons et al, 2007;Pakenham, 2006), para quienes la pérdida de independencia personal así como la de trabajo ocupan el primer ranking de estresores vinculados a la EM.…”

Section: Discussionunclassified

“…En el caso de los pacientes analizados, una forma de combatir el estrés consiste en buscar la guía y apoyo de otros, probablemente profesionales, así como en manifestar los sentimientos y emociones. La relación entre estrés y el uso de estrategias de tipo evitativo, o focalizadas en la emoción, ha sido destacada de forma recurrente en la bibliografía científica (Arnett et al, 2002;Contreras, Esguerra, y Gómez, 2007;Pakenham, 2006). Un dato que resulta menos observado en los estudios es la relación aquí encontrada entre nivel de estrés y mayor uso de las estrategias de de Análisis Lógico, estrategia de aproximación que se refiere a intentos cognitivos para prepararse mentalmente para el estresor y sus consecuencias.…”

Section: Discussionunclassified

“…De modo general, la mayoría de estudios consensúan que el conjunto de estrategias centradas en la emoción están relacionadas más consistentemente con mayores grados de distrés y un ajuste negativo a la enfermedad (Denninson, Moss-Morris y Chalder, 2009;Pakenham, 2006). De manera específica, ciertas estrategias como la desesperanza, la negación, la evitación cognitiva y el pensamiento mágico se hallan regularmente relacionadas e incluso son predictores de peor ajuste a la enfermedad (Denninson et al, 2009).…”

Section: Em Y Afrontamientounclassified

“…Como reporta el estudio realizado por Edmons, Vivat, Burman, Silber y Higginson (2007), los principales factores estresantes se relacionan con la pérdida de la independencia personal, la pérdi-da del trabajo y la disminución del contacto social que conlleva un progresivo aislamiento. Por su parte, Pakenham (2006) estableció los siguientes dominios siguiendo el presente orden de importancia: problemas físicos, problemas emocionales, problemas instrumentales, problemas relacionales (pareja, amigos, familia) y dificultades asociadas al tratamiento.…”

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EStress and coping in patients with multiple sclerosis. A comparative study with normative sample

Lara

Kirchner

2012

analesps

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Health locus of control and mental health in patients with multiple sclerosis: Mediating effect of coping strategies

Wilski

Brola

Tomczak³

2019

Research in Nursing & Health

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In patients with multiple sclerosis (MS), mental health is significantly affected and conditioned by many factors, including psychological ones. This study team aimed to determine whether different coping strategies mediate the relationship between health locus of control (HLC) and mental health in MS patients. In this cross‐sectional study, a total of 382 patients with MS were included. The patients completed General Health Questionnaire‐12, Coping Inventory for Stressful Situations, and Multidimensional Health Locus of Control Scale. The demographic and clinical characteristics of the patients were collected using a self‐report survey and neurological assessment. A mediation analysis was used to test the study hypothesis. Problem‐oriented coping was found to be a significant mediator in the relationship between internal HLC and mental health (indirect effect: −0.129 [95% confidence interval [CI]: −0.193, −0.079]; standardized indirect effect: −0.113 [95% CI: −0.165, −0.070]). Emotion‐focused coping was found to be a significant mediator in the relationship between power of others HLC and mental health (indirect effect: 0.114 [95% CI: 0.058, 0.178]; standardized indirect effect: 0.125 [95% CI: 0.062, 0.195]). Emotion‐focused coping was also found to be a significant mediator in the relationship between chance HLC and mental health (indirect effect: 0.215 [95% CI: 0.154, 0.281]; standardized indirect effect: 0.209 [95% CI: 0.149, 0.272]). Patients with internal HLC were found to have positive mental health due to their problem‐focused coping strategies, while patients with external HLC had worse mental health as they used more emotion‐focused strategies. Hence, problem‐focused and emotion‐focused coping strategies can be considered mediators of the relationship between HLC and mental health in patients with MS.

show abstract

Investigation of the coping antecedents to positive outcomes and distress in multiple sclerosis (MS)

Cited by 58 publications

References 43 publications

Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?

Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?

EStress and coping in patients with multiple sclerosis. A comparative study with normative sample

Health locus of control and mental health in patients with multiple sclerosis: Mediating effect of coping strategies

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