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Aikens, James E.; Fischer, Jill S.; Namey, Marie; Rudick, RA

doi:10.1023/a:1025547431847

Cited by 112 publications

(15 citation statements)

References 26 publications

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“…In our study, no task-oriented patients presented with severe depressive symptoms compared to 25% of the emotion-oriented subjects. These data are consistent with the already described high levels of depression associated with emotion-focused coping in MS patients [9, 15, 18, 31], and the lower level of distress or depression associated with problem-focused coping [15, 33, 34]. …”

Section: Discussionsupporting

confidence: 92%

Coping Strategy and Anxiety Evolution in Multiple Sclerosis Patients Initiating Interferon-Beta Treatment

Moreau¹,

Schmidt

Joyeux

et al. 2009

Eur Neurol

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This study (ACSEPT) aimed to assess anxiety evolution according to coping strategy in patients with multiple sclerosis (MS) during their first months of treatment with interferon (IFN)-β1a. Recently diagnosed relapsing-remitting MS (RRMS) patients (n = 255) were included and received standardized information on MS. At inclusion, the preferred coping mode was determined using the Coping Inventory for Stressful Situations (CISS). Anxiety and depression were assessed at inclusion and after 3 months using the Spielberger State-Trait Anxiety Inventory and the Beck Depression Inventory, respectively. At inclusion, the preferred coping strategy was task-oriented for most patients (53%), 51% were considered as anxious, and the mean Beck depression score was low. Emotion-oriented patients were more anxious and more depressed than the 2 other coping groups (task- and avoidance-oriented). During the first 3 months of IFN treatment, the anxiety level slightly decreased in the total population, more intensively in the emotion-oriented group, and there were no clinically significant changes in the Beck depression score. Anxiety and depression remained stable or decreased during the first 3 months of IFN treatment, depending on coping strategy. Identifying these coping strategies during therapy initiation may allow customized support and improve treatment adherence.

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Section: Discussionsupporting

confidence: 92%

Coping Strategy and Anxiety Evolution in Multiple Sclerosis Patients Initiating Interferon-Beta Treatment

Moreau¹,

Schmidt

Joyeux

et al. 2009

Eur Neurol

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“…The linear model indicated that while each subjective stressor exerted significant independent influence on survivor depressive symptoms, financial stress had the most pronounced effect. This finding supports the limited amount of research about subjective stress and depression in the context of a chronic illness including a small study in multiple sclerosis ( N = 22 ) in which subjective stress at “Time 1” ( M = 4.7 years after diagnosis) was strongly correlated with depressive symptoms 6 months later (Aikens et al, 1997). …”

Section: Discussionsupporting

confidence: 79%

Age, subjective stress, and depression after ischemic stroke

et al. 2015

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The incidence of stroke among younger adults in the United States is increasing. Few studies have investigated the prevalence of depressive symptoms after stroke among different age groups or the extent to which subjective stress at the time of stroke interacts with age to contribute to post-stroke depression. The present study examined whether there exists an age gradient in survivors’ level of depressive symptoms and explored the extent to which financial, family, and health-related stress may also impact on depression. Bivariate analyses (N = 322) indicated significant differences in depression and stress by age group, as well as differences in age and stress by 3-month depression status. Linear regression analyses indicated that survivors between the ages of 25–54 and 55–64 years old had, on average, significantly higher depressive symptom scores. Those with financial, family, and health-related stress at the time of stroke, irrespective of age, also had significantly higher scores.

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“…We chose to explore our research question by constructing cases based on qualitative interviews and written documents, because we found such a design to enable comparison and complexity, and detail of the unusual case to be studied in-depth in a contextual perspective (Anaf et al, 2007; Stake, 1995; Weiss, 1994). Although a purpose was comparison and contrasting between cases (Yin, 2003), we here used the case study methodology particularly to understand the shared phenomenon of interest that can be discovered through the cases (Stake, 2005; Yin, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Studies show anxiety for what the future holds (Antonak & Livneh, 1995) and high levels of depression and uncertainty when MS is compared to other chronic diseases (Rudick, Miller, Clough, Gragg, & Farmer, 1992). Results suggest that MS-related depressive symptoms are a function of prior disease-related impairment, life stress and possible escape avoidance coping (Aikens, Fischer, Namey, & Rudick, 1997). MS patients are facing the fact that their disease can not be cured by any known conventional treatment, although for some patients the progression can be slowed down medically and a number of secondary symptoms can be treated (Sørensen, Ravnborg, & Jønsson, 2004).…”

Section: Ms and Cammentioning

confidence: 99%

Understanding unexpected courses of multiple sclerosis among patients using complementary and alternative medicine: A travel from recipient to explorer

Salamonsen

Launsø²,

Kruse³

et al. 2010

International Journal of Qualitative Studies on Health and Well

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Complementary and alternative medicine (CAM) is frequently used by patients with multiple sclerosis (MS). Some MS patients experience unexpected improvements of symptoms, which they relate to their use of CAM. The aim of this study was to obtain knowledge and develop understandings of such self-defined unexpected improvement of MS symptoms. Two cases were constructed based on documents and 12 qualitative interviews. Our aim was not to make generalisations from the cases, but to transfer knowledge as working hypotheses. We identified four health-related change processes: the process of losing bodily competence; the process of developing responsibility; the process of taking control; and the process of choosing CAM. The patients explained unexpected improvements in their MS symptoms as results of their own efforts including their choice and use of CAM. In our theoretical interpretations, we found the patients’ redefinition of history, the concept of treatment and the importance of conventional health care to be essential, and leading to a change of patients’ position towards conventional health care from recipients to explorers. The explorers can be perceived as boundary walkers reflecting limitations within the conventional health care system and as initiators regarding what MS patients find useful in CAM.

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Untitled

Cited by 112 publications

References 26 publications

Coping Strategy and Anxiety Evolution in Multiple Sclerosis Patients Initiating Interferon-Beta Treatment

Coping Strategy and Anxiety Evolution in Multiple Sclerosis Patients Initiating Interferon-Beta Treatment

Age, subjective stress, and depression after ischemic stroke

Understanding unexpected courses of multiple sclerosis among patients using complementary and alternative medicine: A travel from recipient to explorer

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