Emanuela Calandri1, Federica Graziano2, Martina Borghi2,3, Silvia Bonino1,2. 1. 1 Department of Psychology, University of Torino, Torino, Italy. 2. 2 Cosso Foundation, Torino, Italy. 3. 3 Neurology 2 - CRESM, San Luigi Gonzaga Hospital, Torino, Italy.
Abstract
OBJECTIVE: To examine the relationship between coping strategies (problem solving, emotional release, and avoidance) and adjustment (health-related quality of life, depression, and affective well-being) in a group of recently diagnosed multiple sclerosis patients (up to three years since diagnosis), and to explore the mediating role of sense of coherence between coping strategies and adjustment. DESIGN: Cross-sectional. SETTING: Multiple Sclerosis Clinic Centre. SUBJECTS: A total of 102 patients (61.8% women; age (years): M = 35.8, SD = 11.9; 95% with a relapsing-remitting form of multiple sclerosis; Expanded Disability Status Scale score, between 1 and 4). INTERVENTIONS: Not applicable. MAIN MEASURES: Coping with multiple sclerosis (problem solving, emotional release, and avoidance), sense of coherence, health-related quality of life (SF-12), depression (CES-D), and affective well-being (PANAS). RESULTS: Problem solving was linked to higher mental health ( β = 0.28) and higher affective well-being ( β = 0.36), emotional release was related to lower depression ( β = -0.22); avoidance was associated to higher mental health ( β = 0.25), higher affective well-being ( β = 0.24), and lower depression ( β = -0.29 ) (all betas were significant at p < 0.05). Sense of coherence mediated the relationship between emotional release and depression (Sobel z-value = -2.00; p < 0.05) and the relationship between avoidance and all the indicators of adjustment (mental health: Sobel z-value = 1.97; depression: Sobel z-value = -2.02; affective well-being: Sobel z-value= 2.05; p < 0.05). CONCLUSIONS: Emotional and avoidant coping strategies seem to be adaptive among recently diagnosed multiple sclerosis patients. A mediating role between coping strategies and adjustment is played by sense of coherence.
OBJECTIVE: To examine the relationship between coping strategies (problem solving, emotional release, and avoidance) and adjustment (health-related quality of life, depression, and affective well-being) in a group of recently diagnosed multiple sclerosispatients (up to three years since diagnosis), and to explore the mediating role of sense of coherence between coping strategies and adjustment. DESIGN: Cross-sectional. SETTING:Multiple Sclerosis Clinic Centre. SUBJECTS: A total of 102 patients (61.8% women; age (years): M = 35.8, SD = 11.9; 95% with a relapsing-remitting form of multiple sclerosis; Expanded Disability Status Scale score, between 1 and 4). INTERVENTIONS: Not applicable. MAIN MEASURES: Coping with multiple sclerosis (problem solving, emotional release, and avoidance), sense of coherence, health-related quality of life (SF-12), depression (CES-D), and affective well-being (PANAS). RESULTS: Problem solving was linked to higher mental health ( β = 0.28) and higher affective well-being ( β = 0.36), emotional release was related to lower depression ( β = -0.22); avoidance was associated to higher mental health ( β = 0.25), higher affective well-being ( β = 0.24), and lower depression ( β = -0.29 ) (all betas were significant at p < 0.05). Sense of coherence mediated the relationship between emotional release and depression (Sobel z-value = -2.00; p < 0.05) and the relationship between avoidance and all the indicators of adjustment (mental health: Sobel z-value = 1.97; depression: Sobel z-value = -2.02; affective well-being: Sobel z-value= 2.05; p < 0.05). CONCLUSIONS: Emotional and avoidant coping strategies seem to be adaptive among recently diagnosed multiple sclerosispatients. A mediating role between coping strategies and adjustment is played by sense of coherence.
Entities:
Keywords:
Multiple sclerosis; affective well-being; coping; depression; health-related quality of life; sense of coherence
Authors: María Mercedes Reguera-García; Cristina Liébana-Presa; Lorena Álvarez-Barrio; Lisa Alves Gomes; Elena Fernández-Martínez Journal: Int J Environ Res Public Health Date: 2020-11-06 Impact factor: 3.390
Authors: Tehila Eilam-Stock; Jon Links; Nabil Z Khan; Tamar E Bacon; Guadalupe Zuniga; Lisa Laing; Carrie Sammarco; Kathleen Sherman; Leigh Charvet Journal: Health Psychol Open Date: 2021-10-21