Learned Helplessness in the Multiple Sclerosis Population

McGuinness, Sandra

doi:10.1097/01376517-199606000-00004

Cited by 9 publications

(6 citation statements)

References 56 publications

(181 reference statements)

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“…Family is similar to alcoholics enrolling in a 12-step program (40.81 Ϯ 9.34) 32 and unemployed patients with multiple sclerosis (40.7 Ϯ 10.6). 22 This level is only slightly lower than that of patients receiving hemodialysis (41.9 Ϯ 9.71), patients receiving cancer treatment (44.5 Ϯ 6.02), 21 and individuals with cocaine dependence (45.97 Ϯ 9.68). 17 Of the surrogate decisionmakers studied, 50% suffered signifi cant learned helplessness.…”

Section: Discussionmentioning

confidence: 89%

“…16 Learned helplessness has been described in numerous clinical populations, includ ing individuals with drug dependence 17 or chronic illness. [18][19][20][21][22] It is associated and interwoven with depres sion 23 and worsening physical health. 18,19,22,24,25 We hypothesized that family members of the critically ill are at risk of the development of learned helpless ness as a result of the stressful, uncontrollable expe riences encountered in the ICU.…”

Section: Resultsmentioning

confidence: 99%

“…40 correlate with scores in individuals with drug dependence 17,32 and chronic illness. 21,22 The Perceived Stress Scale was used to measure stress as a continuous variable, with a score . 18 correlating with subject responses of at least "sometimes" agreeing with a majority of statements indicating a high degree of perceived stress.…”

Section: Analytic Approachmentioning

confidence: 99%

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Learned Helplessness Among Families and Surrogate Decision-Makers of Patients Admitted to Medical, Surgical, and Trauma ICUs

Sullivan

Liu

Corwin

et al. 2012

Chest

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Section: Discussionmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

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Learned Helplessness Among Families and Surrogate Decision-Makers of Patients Admitted to Medical, Surgical, and Trauma ICUs

Sullivan

Liu

Corwin

et al. 2012

Chest

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“…A feeling of helplessness can be intensified at this time. Learned helplessness has been studied in the MS population and found to have a relationship with disease status, disease activity, functional and social disability, education and marital and employment status (McGuinnes, 1996). McGuinnes found realistic and achievable goal setting, identifying ele-ments for which there is evidence of control, and realistic plans for the unexpected were important goals for nursing intervention.…”

Section: Take Each Day At a Timementioning

confidence: 99%

Stem Cell Transplants for Multiple Sclerosis Provide New Options for Patients and New Challenges for Home Care

Zink

Vance²,

Vance³

2001

Home Health Care Management & Practice

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Multiple sclerosis (MS), a chronic disease of the central nervous system, had few treatment options until recently. Stem cell transplantation, originally used for cancer patients, may provide an opportunity for MS patients to stop the progressive course of their disease. This article describes the experience of an early participant in a stem cell transplant study at the Fred Hutchinson Cancer Research Center in Seattle. The procedure includes extensive outpatient evaluation, an inpatient stay, and a lengthy recovery period. A strong caregiver network and professional home care assistance provide the needed support system during this process.

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“…1 Decreased quality of life and feelings of depression among individuals with MS are prevalent. [2][3][4] Reports of depressive symptoms such as "crying more" and having "pessimistic feelings about the future" confirm that elevated emotional distress is common. 5 This is further testimony to the extraordinary impact that MS can have on lifestyle, including maintaining, achieving, or just taking steps toward a balanced, satisfying, or lower-stress life.…”

mentioning

confidence: 90%

Group Coaching for Individuals with Multiple Sclerosis

Heinz¹,

Antolak²

2010

International Journal of MS Care

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The physical, emotional, and mental changes associated with multiple sclerosis (MS) can disrupt patients' lives on many levels and interfere with their pursuit of life goals. Health-care practitioners usually work with people with MS in traditional medical settings-for example, upon initial diagnosis of MS or after an exacerbation of symptoms. Because of the nature of such settings and the current state of health care, it is challenging to provide the ongoing support and guidance that patients need to work toward life goals that were in place before the onset of their illness. Coaching is a talk-based process that uses tools and techniques designed to help individuals make progress toward their life goals. Coaching in a group format is an emerging method for guiding people with similar situations or needs toward their goals. The pilot group coaching project described here provides initial evidence that group coaching may be a valuable service-delivery model for expanding possibilities for individuals with MS living in the community. Int J MS Care. 2010;12:59-64.T he search for a more balanced, satisfying, or low-stress life is a common theme in the world today. Yet many people find achieving this goal to be unimaginable and daunting, requiring many difficult steps and life changes. Significant obstacles are presented by the demands of modern-day society, including busy schedules, time constraints, multiple roles, and economic uncertainties. Like many people with chronic illnesses, individuals with multiple sclerosis (MS) face even more difficult circumstances because of the uncertainty of their prognoses and the unpredictability and variability of symptoms, including exacerbations and remissions. They experience "continuous life balance challenges to managing MS" such as time management, maintaining everyday occupations and roles, dealing with fatigue, and managing overall health. 1 Decreased quality of life and feelings of depression among individuals with MS are prevalent. 2-4 Reports of depressive symptoms such as "crying more" and having "pessimistic feelings about the future" confirm that elevated emotional distress is common. 5 This is further testimony to the extraordinary impact that MS can have on lifestyle, including maintaining, achieving, or just taking steps toward a balanced, satisfying, or lower-stress life.Given these quality of life issues described by people with MS, it is surprising that typical interventions consist primarily of symptom management in a medical model. Although symptom management is certainly necessary, there seems to be a gap in addressing lifestyle needs of those with MS, including their life goals. This article describes a pilot group coaching program that was used to bridge this gap. It details the coaching method used, along with program evaluation, participant responses, and recommendations. CoachingThe theoretical underpinnings of coaching draw from human development, psychology, and education. 6 The general approach of this emerging discipline involves an emphasis on we...

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Learned Helplessness in the Multiple Sclerosis Population

Cited by 9 publications

References 56 publications

Learned Helplessness Among Families and Surrogate Decision-Makers of Patients Admitted to Medical, Surgical, and Trauma ICUs

Learned Helplessness Among Families and Surrogate Decision-Makers of Patients Admitted to Medical, Surgical, and Trauma ICUs

Stem Cell Transplants for Multiple Sclerosis Provide New Options for Patients and New Challenges for Home Care

Group Coaching for Individuals with Multiple Sclerosis

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