D P Holland1, D K Schlüter2, C A Young3, R J Mills4, D J Rog5, H L Ford6, K Orchard7. 1. University of Liverpool, Liverpool, United Kingdom. Electronic address: davidholland@doctors.org.uk. 2. Centre for Health Informatics, Computing and Statistics (CHICAS), Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom. 3. University of Liverpool, Liverpool, United Kingdom; The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom. 4. The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom. 5. Salford Royal NHS Foundation Trust, Manchester, United Kingdom. 6. Leeds Teaching Hospital NHS Trust, Leeds, United Kingdom. 7. Sussex Community NHS Trust, Brighton General Hospital, Brighton, United Kingdom.
Abstract
BACKGROUND: Coping positively and negatively influences psychosocial and other outcomes in multiple sclerosis (MS), but there is conflicting evidence about the use of different coping strategies and their associations with demographic and disease characteristics. Our aims were to examine which coping strategies are used by a large sample of people with MS, then to identify any associations between demographic and disease related factors with use of individual coping strategies. METHODS: Participants in the Trajectories of Outcomes in Neurological Conditions (TONiC) study completed the Coping Orientations to Problems Experienced (COPE60) questionnaire. Relationships between demographic and clinical characteristics and coping strategies were examined by multiple ordinal logistic regression to assess the effect of each potential predictor after adjustment for other possible covariates. RESULTS: From 722 patients, the most commonly used strategy was Acceptance, followed by Active Coping, Planning and Positive Reinterpretation and Growth. All but two strategies showed significant associations with demographic and clinical characteristics. The most marked effects were found for Restraint, with people in employment 2.1 times as likely to utilise this strategy compared to those unemployed, and Seeking of Emotional Social Support and Focus on and Venting of Emotions, which were utilised twice as much by women compared to men. Behavioural and Mental Disengagement were highly associated with greater disability and not being in employment. CONCLUSION: Clinicians should be aware of several disease and demographic characteristics that are associated with use of potentially maladaptive coping strategies.
BACKGROUND: Coping positively and negatively influences psychosocial and other outcomes in multiple sclerosis (MS), but there is conflicting evidence about the use of different coping strategies and their associations with demographic and disease characteristics. Our aims were to examine which coping strategies are used by a large sample of people with MS, then to identify any associations between demographic and disease related factors with use of individual coping strategies. METHODS:Participants in the Trajectories of Outcomes in Neurological Conditions (TONiC) study completed the Coping Orientations to Problems Experienced (COPE60) questionnaire. Relationships between demographic and clinical characteristics and coping strategies were examined by multiple ordinal logistic regression to assess the effect of each potential predictor after adjustment for other possible covariates. RESULTS: From 722 patients, the most commonly used strategy was Acceptance, followed by Active Coping, Planning and Positive Reinterpretation and Growth. All but two strategies showed significant associations with demographic and clinical characteristics. The most marked effects were found for Restraint, with people in employment 2.1 times as likely to utilise this strategy compared to those unemployed, and Seeking of Emotional Social Support and Focus on and Venting of Emotions, which were utilised twice as much by women compared to men. Behavioural and Mental Disengagement were highly associated with greater disability and not being in employment. CONCLUSION: Clinicians should be aware of several disease and demographic characteristics that are associated with use of potentially maladaptive coping strategies.
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
Authors: Eea van Egmond; K van der Hiele; Dam van Gorp; P J Jongen; Jjl van der Klink; M F Reneman; Eac Beenakker; Jjj van Eijk; Stfm Frequin; K de Gans; B M van Geel; Ohh Gerlach; Gjd Hengstman; J P Mostert; Wim Verhagen; Ham Middelkoop; L H Visser Journal: Mult Scler J Exp Transl Clin Date: 2022-09-04
Authors: Fay Wright; Kord M Kober; Bruce A Cooper; Steven M Paul; Yvette P Conley; Marilyn Hammer; Jon D Levine; Christine Miaskowski Journal: Support Care Cancer Date: 2020-01-20 Impact factor: 3.603