Coping strategies and adjustment to multiple sclerosis among recently diagnosed patients: the mediating role of 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 sclerosis patients (up to three years since diagnosis),...

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Bibliographic Details
Published in:Clinical rehabilitation 2017-10, Vol.31 (10), p.1386-1395
Main Authors: Calandri, Emanuela, Graziano, Federica, Borghi, Martina, Bonino, Silvia
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adjustment
Adult
Avoidance behavior
Coping
Coping strategies
Cross-Sectional Studies
Depression - etiology
Disability
Female
Health status
Humans
Life Change Events
Male
Medical diagnosis
Mental depression
Mental Health
Multiple sclerosis
Multiple Sclerosis, Relapsing-Remitting - diagnosis
Multiple Sclerosis, Relapsing-Remitting - psychology
Problem Solving
Quality of Life
Sense of Coherence
Well being
Women
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Summary: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 
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215517695374