Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Psychosocial Adjustment in People with MS

Int J MS Care; 2018 May/Jun; Grech, et al

The results of a recent study highlight the importance of intervention programs targeting specific coping strategies to enhance psychosocial adjustment for people with multiple sclerosis (MS). Researchers examined the ability of coping strategies to predict maladaptive and adaptive psychosocial outcomes across areas of stress, depression, anxiety, and quality of life (QoL) in people with MS (n=107). Subjects completed measures of depression (Beck Depression Inventory–II), anxiety (State-Trait Anxiety Inventory), QoL (Multiple Sclerosis Quality of Life–54), stress (Daily Hassles Scale), and coping (COPE inventory). Researchers found:

  • Consistent with expectations, depression, frequency of stress, trait anxiety, and mental health QoL were predicted by adaptive and maladaptive coping styles.
  • Severity of stressful events was predicted by maladaptive, but not adaptive, coping styles.
  • Depression and mental health QoL were most prominently connected to coping use.
  • Emotional preoccupation and venting showed the strongest relationship with poorer psychosocial outcomes, whereas positive reinterpretation and growth seemed to be most beneficial.

Citation:

Grech LB, Kiropoulos LA, Kirby KM, Butler E, Paine M, Hester R. Target coping strategies for interventions aimed at maximizing psychosocial adjustment in people with multiple sclerosis. Int J MS Care. 2018;30(3):109-119. doi:10.7224/1537-2073.2016-008.