The Perceived Impact of Multiple Sclerosis and Self-management: The Mediating Role of Coping Strategies

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Mar 11

PMID 33705470

Citations 6

Authors

Maciej Wilski

Waldemar Brola

Magdalena Luniewska

Maciej Tomczak

Affiliations

Soon will be listed here.

Abstract

Low level of self-management in people with multiple sclerosis (MS) is considered to be a predominant factor that leads to poor rehabilitation efficacy. Studies focusing on the relationship between self-management and psychological variables that can be modified could contribute to expanding the knowledge needed to propose interventional programs aiming at patient activation. This study aimed to analyze whether coping strategies play a mediating role in the association between the perceived impact of MS and level of self-management in people with MS. The cross-sectional study included 382 people with MS. The participants completed the Multiple Sclerosis Self-Management Scale-Revised, Multiple Sclerosis Impact Scale-29, and Coping Inventory for Stressful Situations. The study hypothesis was evaluated using mediation analysis. The STROBE checklist specifically prepared for cross-sectional research was applied in this study for reporting. Results indicate that the emotion- and problem-focused strategies of coping can be treated as mediating the association between the MS impact and level of self-management in people with MS. A negative relationship was found between the perceived MS impact and problem-oriented coping, while a positive relationship was found between problem-oriented coping and self-management. Furthermore, a positive relationship was found between the MS impact and emotion-oriented coping, while a negative relationship was found between emotion-oriented coping and self-management. The indirect role of avoidance-oriented coping was not significant. Our study confirms the role played by coping strategies in individuals' self-management. In MS, self-management determined by perceived MS impact can be controlled by decreasing emotional-coping while increasing problem-coping strategies. Our study imparts new knowledge regarding the potential interventions for improving the level of self-management in people with MS. It indicates that recognition of individuals' illness perceptions as well as maladaptive coping strategies can help health professionals identify those who might be having lower level of self-management.

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Wilski M, Brola W, Koper M, Gabryelski J, Luniewska M, Fudala M Int J Clin Health Psychol. 2023; 24(1):100415.

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References

Willemse H, van der Doef M, van Middendorp H . Applying the Common Sense Model to predicting quality of life in alopecia areata: The role of illness perceptions and coping strategies. J Health Psychol. 2018; 24(11):1461-1472. PMC: 6702788. DOI: 10.1177/1359105317752826. View

Tomczak M, Kleka P, Wilski M . Psychometric properties of the Polish version of the Multiple Sclerosis Self-Management Scale - Revised. Disabil Rehabil. 2020; 44(10):2113-2122. DOI: 10.1080/09638288.2020.1822933. View

Dennison L, Moss-Morris R, Chalder T . A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev. 2009; 29(2):141-53. DOI: 10.1016/j.cpr.2008.12.001. View

Plow M, Finlayson M, Rezac M . A scoping review of self-management interventions for adults with multiple sclerosis. PM R. 2011; 3(3):251-62. DOI: 10.1016/j.pmrj.2010.11.011. View

Berger B, Liang H, Hudmon K . Evaluation of software-based telephone counseling to enhance medication persistency among patients with multiple sclerosis. J Am Pharm Assoc (2003). 2005; 45(4):466-72. DOI: 10.1331/1544345054475469. View

Mohr D, Goodkin D, Gatto N, Van Der Wende J . Depression, coping and level of neurological impairment in multiple sclerosis. Mult Scler. 1997; 3(4):254-8. DOI: 10.1177/135245859700300408. View

Rae-Grant A, Turner A, Sloan A, Miller D, Hunziker J, Haselkorn J . Self-management in neurological disorders: systematic review of the literature and potential interventions in multiple sclerosis care. J Rehabil Res Dev. 2012; 48(9):1087-100. DOI: 10.1682/jrrd.2010.08.0159. View

Rieckmann P, Boyko A, Centonze D, Elovaara I, Giovannoni G, Havrdova E . Achieving patient engagement in multiple sclerosis: A perspective from the multiple sclerosis in the 21st Century Steering Group. Mult Scler Relat Disord. 2015; 4(3):202-18. DOI: 10.1016/j.msard.2015.02.005. View

Riazi A, Hobart J, Lamping D, Fitzpatrick R, Thompson A . Evidence-based measurement in multiple sclerosis: the psychometric properties of the physical and psychological dimensions of three quality of life rating scales. Mult Scler. 2003; 9(4):411-9. DOI: 10.1191/1352458503ms929oa. View

10.

Jamroz-Wisniewska A, Papuc E, Bartosik-Psujek H, Belniak E, Mitosek-Szewczyk K, Stelmasiak Z . [Validation of selected aspects of psychometry of the Polish version of the Multiple Sclerosis Impact Scale 29 (MSIS-29)]. Neurol Neurochir Pol. 2007; 41(3):215-22. View

11.

Grech L, Kiropoulos L, Kirby K, 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; 20(3):109-119. PMC: 5991507. DOI: 10.7224/1537-2073.2016-008. View

12.

Bombardier C, Cunniffe M, Wadhwani R, Gibbons L, Blake K, Kraft G . The efficacy of telephone counseling for health promotion in people with multiple sclerosis: a randomized controlled trial. Arch Phys Med Rehabil. 2008; 89(10):1849-56. DOI: 10.1016/j.apmr.2008.03.021. View

13.

Wilski M, Tasiemski T . Illness perception, treatment beliefs, self-esteem, and self-efficacy as correlates of self-management in multiple sclerosis. Acta Neurol Scand. 2015; 133(5):338-45. DOI: 10.1111/ane.12465. View

14.

Henze T, Rieckmann P, Toyka K . Symptomatic treatment of multiple sclerosis. Multiple Sclerosis Therapy Consensus Group (MSTCG) of the German Multiple Sclerosis Society. Eur Neurol. 2006; 56(2):78-105. DOI: 10.1159/000095699. View

15.

Pakenham K . Adjustment to multiple sclerosis: application of a stress and coping model. Health Psychol. 1999; 18(4):383-92. DOI: 10.1037//0278-6133.18.4.383. View

16.

Kidd T, Carey N, Mold F, Westwood S, Miklaucich M, Konstantara E . A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life. PLoS One. 2017; 12(10):e0185931. PMC: 5636105. DOI: 10.1371/journal.pone.0185931. View

17.

Navipour H, Madani H, Mohebbi M, Navipour R, Roozbayani P, Paydar A . Improved fatigue in individuals with multiple sclerosis after participating in a short-term self-care programme. NeuroRehabilitation. 2006; 21(1):37-41. View

18.

Jongen P, Wesnes K, van Geel B, Pop P, Schrijver H, Visser L . Does Self-Efficacy Affect Cognitive Performance in Persons with Clinically Isolated Syndrome and Early Relapsing Remitting Multiple Sclerosis?. Mult Scler Int. 2015; 2015:960282. PMC: 4429205. DOI: 10.1155/2015/960282. View

19.

Gedik Z, Sorias O, Idiman E . Do coping styles mediate the relationship between disability status and psychosocial loss in people with relapsing remitting multiple sclerosis?. J Health Psychol. 2015; 22(6):707-721. DOI: 10.1177/1359105315611958. View

20.

Dennison L, Yardley L, Devereux A, Moss-Morris R . Experiences of adjusting to early stage Multiple Sclerosis. J Health Psychol. 2010; 16(3):478-88. DOI: 10.1177/1359105310384299. View