“…Depression and anxiety are more prevalent in individuals with MS relative to individuals without MS (Dalton & Heinrichs, 2005; Hartoonian et al, 2015; Kinsinger, Lattie, & Mohr, 2010). Individuals with MS experience stress related to (a) family disruption and caregiver burden, (b) cognitive limitations, (c) the quality of relationships, (d) illness uncertainty, and (e) pessimism (Amato et al, 2006; Bambara, Turner, Williams, & Haselkorn, 2014; Bowen, MacLehose, & Beaumont, 2011; Dennison et al, 2009; Jones & Amtmann, 2014; McNulty, Livneh, & Wilson, 2004). Individuals with MS also experienced the range of work-related problems such as higher rates of unemployment (Rumrill, Koch, & Wohlford, 2013).…”