Stress and Course of Disease in Multiple Sclerosis

Schwartz, Carolyn E.; Foley, Frederick W.; Rao, Stephen M.; Bernardin, Linda; Lee, Hang; Genderson, Maureen Wilson

doi:10.1080/08964289909596740

Cited by 53 publications

(40 citation statements)

References 24 publications

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“…They also found that stress levels increased over time among those without effective coping strategies (Brown et al., 2006). However, in a second study that compared stressful events and health status between MS patients and healthy controls during a 6‐year follow‐up, healthy controls actually reported more stressful events than patients (although this finding may have been influenced by the fact that healthy controls may have had more interactions in life activities putting them at greater risk for negative events) (Schwartz et al., 1999). The risk of disease progression in MS patients increases with increasing stress, leading to the development of a vicious cycle where stress precipitates disease progression, which in turn increases stress, which causes further disease progression, and so forth.…”

Section: Discussionmentioning

confidence: 99%

Effect of a transactional model education program on coping effectiveness in women with multiple sclerosis

et al. 2017

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ObjectivesMultiple sclerosis (MS) is a chronic and progressive disease that causes stress due to its unpredictability and lack of definitive treatments. This study examined the effects of an educational program using a transactional model to help women with MS cope with their disease.Materials and MethodsIn a randomized clinical trial, 80 female patients from the MS Society of Iran were randomized to the intervention (n = 40) or a control group (n = 40). Outcomes were assessed using Cohen's Perceived Stress Scale (PSS) and the Jalowiec Coping Scale (JCS), which were completed by both groups at baseline, 1 month, and 3 months after the intervention. The intervention consisted of six educational sessions administered over 2 months based on a transactional model. The data were analyzed using repeated measures ANOVA.ResultsAverage PSS scores decreased significantly over time in the intervention group, while increasing in the control group. Between‐group differences were significant at both 1‐month and 3‐month follow‐up (p < .001). Both problem‐focused and emotion‐focused coping styles improved over time in use and effectiveness in the intervention group, whereas little or no change occurred in these coping behaviors in the control group.ConclusionThe transactional model‐based education program tested here was successful in reducing stress levels and increasing healthy coping styles in women with MS. If these findings are replicated in future studies, widespread adoption of this program may help women with MS cope more successfully with their disease.

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Section: Discussionmentioning

confidence: 99%

Effect of a transactional model education program on coping effectiveness in women with multiple sclerosis

et al. 2017

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“…Moreover, for MS patients, investigating negative interactions is particularly important as it is suggested that stress (e.g. negative interactions) is related to periods of disease activity in MS (Schwartz et al, 1999).…”

Section: Article In Pressmentioning

confidence: 99%

Daily negative interactions and mood among patients and partners dealing with multiple sclerosis (MS): The moderating effects of emotional support

Kleiboer

Kuijer

Hox

et al. 2007

Social Science & Medicine

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Negative interactions with intimate partners may have adverse consequences for well-being, especially for individuals dealing with chronic illness. However, it is not clear whether negative interactions affect both dimensions of positive and negative well-being and factors that may moderate this effect have not been well-described. The aim of the present study was to examine the association between daily received negative responses from the partner and end-of-day positive and negative mood in patients with multiple sclerosis (MS) and their intimate partners. Further, the moderating role of receiving emotional support from the partner on the same day was examined. Sixty-one MS patients and their intimate partners were approached via one MS centre and the neurology department of one hospital in the Netherlands and completed computerized diaries for 14 days. Both partners filled out diaries at the end of each day, recording received negative responses, emotional support and end-of-day positive and negative mood. In line with a domain specific model, patients or partners who reported receiving negative responses on a day had higher end-of-day negative mood, whereas received negative responses were unrelated to end-of-day positive mood. Further, for both patients and partners, the adverse effect of received negative responses on end-of day mood was moderated by receiving emotional support on the same day. r

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“…Perceptions regarding the uncertainty in disease, intrusiveness in daily activities, and lack of hope have been associated with depression [13]. Life stress and coping abilities may also mediate psychosocial outcomes [14].…”

Section: Psychosocial Effects Of Multiple Sclerosismentioning

confidence: 99%

Depression and multiple sclerosis: Review of a lethal combination

Wallin¹,

Wilken

Turner

et al. 2006

JRRD

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Abstract-Depression is the most frequent psychiatric disorder in multiple sclerosis (MS) patients. The etiology of depression is multifactorial and likely associated with psychosocial stress, focal demyelinating lesions, and immune dysfunction. Proper diagnosis and severity assessment are critical prior to initiation of therapy. Patients with suicidal ideation should be referred for immediate psychiatric consultation and be closely monitored. While more therapeutic trials for depression in MS are needed, MS patients have been shown to respond to current antidepressant medications and psychotherapy. Unfortunately, patients with MS and major depression or suicidal thoughts are often underassessed and therefore not diagnosed. Unlike other aspects of MS, depression is treatable. Early intervention in depression can prevent declines in quality of life and even death from suicide. This article reviews the unique features, assessment, and treatment of depression in MS. MS care providers should vigilantly assess depression and suicide risk in their patients.

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Stress and Course of Disease in Multiple Sclerosis

Cited by 53 publications

References 24 publications

Effect of a transactional model education program on coping effectiveness in women with multiple sclerosis

Effect of a transactional model education program on coping effectiveness in women with multiple sclerosis

Daily negative interactions and mood among patients and partners dealing with multiple sclerosis (MS): The moderating effects of emotional support

Depression and multiple sclerosis: Review of a lethal combination

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