Benefits of Multiple Sclerosis and Quailty of Life. The mediating role of coping strategies

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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Illness perceptions and psychological adjustment among persons with multiple sclerosis: the mediating role of coping strategies and social support

Disability and Rehabilitation ◽

10.1080/09638288.2019.1610511 ◽

2019 ◽

Vol 42 (26) ◽

pp. 3780-3792 ◽

Cited By ~ 1

Author(s):

Marta Bassi ◽

Sabina Cilia ◽

Monica Falautano ◽

Monica Grobberio ◽

Claudia Niccolai ◽

...

Keyword(s):

Multiple Sclerosis ◽

Social Support ◽

Coping Strategies ◽

Psychological Adjustment ◽

Illness Perceptions ◽

Mediating Role

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Cognition in Early Relapsing-Remitting Multiple Sclerosis: Consequences May Be Relative to Working Memory

Journal of the International Neuropsychological Society ◽

10.1017/s1355617713000696 ◽

2013 ◽

Vol 19 (8) ◽

pp. 938-949 ◽

Cited By ~ 12

Author(s):

Lindsay I. Berrigan ◽

Jo-Anne LeFevre ◽

Laura M. Rees ◽

Jason Berard ◽

Mark S. Freedman ◽

...

Keyword(s):

Multiple Sclerosis ◽

Working Memory ◽

Processing Speed ◽

Cognitive Functions ◽

Group Membership ◽

Equation Modeling ◽

Mediating Role ◽

Relapsing Remitting ◽

Disease Stages

AbstractThe Relative Consequence Model proposes multiple sclerosis (MS) patients have a fundamental deficit in processing speed that compromises other cognitive functions. The present study examined the mediating role of processing speed, as well as working memory, in the MS-related effects on other cognitive functions for early relapsing-remitting patients. Seventy relapsing-remitting MS patients with disease duration not greater than 10 years and 72 controls completed tasks assessing processing speed, working memory, learning, and executive functioning. The possible mediating roles of speed and working memory in the MS-related effects on other cognitive functions were evaluated using structural equation modeling. Processing speed was not significantly related to group membership and could not have a mediating role. Working memory was related to group membership and functioned as a mediating/intervening factor. The results do not support the Relative Consequence Model in this sample and they challenge the notion that working memory impairment only emerges at later disease stages. The results do support a mediating/intervening role of working memory. These results were obtained for early relapsing-remitting MS patients and should not be generalized to the broader MS population. Instead, future research should examine the relations that exist at other disease stages. (JINS, 2013, 19, 1–12)

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Satisfaction with Life: Mediating Role in the Relationship between Depressive Symptoms and Coping Mechanisms

Healthcare ◽

10.3390/healthcare9070787 ◽

2021 ◽

Vol 9 (7) ◽

pp. 787

Author(s):

Daniela Almeida ◽

Diogo Monteiro ◽

Filipe Rodrigues

Keyword(s):

Life Satisfaction ◽

Depressive Symptoms ◽

Coping Strategies ◽

Satisfaction With Life ◽

Well Being ◽

Coping Mechanisms ◽

Significant Positive Association ◽

Mediating Role ◽

The Relationship

The purpose of this study was to analyze the mediating role of life satisfaction in the relationship between fourteen coping strategies and depressive symptoms in the Portuguese population. To undertake this work, 313 Portuguese adults aged 18 to 70 years (M = 30.73; SD = 10.79) were invited to participate in this study. Their participation was completely voluntary, and participants granted and signed informed consent previously to the filling of the validated Portuguese questionnaires. These questionnaires measured depressive symptoms, coping, and life satisfaction. The results revealed that life satisfaction displayed a mediating role in the relationship between adaptive coping mechanisms, specifically between active coping, planning, reinterpretation, and acceptance and depressive symptoms, showing a negative and significant indirect effect. Maladaptive coping mechanisms of self-blame, denial, self-distraction, disengagement, and substance use had a significant positive association with depressive symptoms, considering the mediating role of satisfaction with life. Current investigation provides initial evidence of how each coping mechanism is associated with satisfaction with life and depressive symptoms. This study clearly demonstrates that not all coping strategies are capable of influencing well-being indicators and that health professionals should focus on endorsing those that are significantly associated with lowering depressive symptoms and increasing overall satisfaction with life.

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Depression and cardiac symptoms among AL amyloidosis patients: the mediating role of coping strategies

Psychology Health & Medicine ◽

10.1080/13548506.2013.802357 ◽

2013 ◽

Vol 19 (3) ◽

pp. 263-272 ◽

Cited By ~ 4

Author(s):

Martina Smorti ◽

Francesco Cappelli ◽

Silvia Guarnieri ◽

Franco Bergesio ◽

Federico Perfetto

Keyword(s):

Coping Strategies ◽

Al Amyloidosis ◽

Mediating Role ◽

Cardiac Symptoms

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Coping strategies as mediators in the relationship between test anxiety and academic achievement

Psihologija ◽

10.2298/psi160720005g ◽

2017 ◽

Vol 50 (1) ◽

pp. 51-66 ◽

Cited By ~ 1

Author(s):

Ana Genc

Keyword(s):

Coping Strategies ◽

Test Anxiety ◽

Coping Mechanisms ◽

German Studies ◽

Mediating Role ◽

Novi Sad ◽

The University ◽

The Given ◽

The Relationship

In most modern societies, nearly every realm of life involves some form of evaluation of our knowledge, abilities and skills. Given the potentially significant consequences of exams, it is not surprising that they are often very stressful. This study aimed to determine the existence and nature of the relationships between level of test anxiety, coping strategies, and achieved success on a mid-term test. As well as examining the direct relations between the given variables, our primary interest was to investigate the potential mediating role of coping mechanisms between the input and output variables of the examined stressful transaction. The study was conducted on a sample of 263 students from the Psychology and German Studies Departments of the Faculty of Philosophy at the University of Novi Sad. According to our results, only emotion-focused coping mechanisms were statistically significant mediators in the relationship between level of test anxiety and mid-term test achievement. The results indicate that students with high test anxiety who employ predominantly emotion-focused coping strategies score lower on a pre-exam knowledge test.

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The Mediating Role of Alexithymia in the Relationship of Coping Strategies and Personality Traits With Obsessive-Compulsive Disorder

Quarterly of Horizon of Medical Sciences ◽

10.32598/hms.27.1.3355.1 ◽

2021 ◽

Vol 27 (1) ◽

pp. 62-81

Author(s):

Masoud Bagheri ◽

◽

Kazem Nematollah Zadeh Mahani ◽

Maryam Pour Amrollahi ◽

◽

...

Keyword(s):

Personality Traits ◽

Coping Strategies ◽

Obsessive Compulsive Disorder ◽

Psychological Health ◽

Obsessive Compulsive ◽

Positive Correlation ◽

Compulsive Disorder ◽

Mediating Role ◽

The Relationship

Aims: Obsessive-Compulsive Disorder (OCD) is one of the severe psychological health problems imposing considerable social and economic costs on society. OCD debilitating symptoms can disrupt interpersonal relations, job performance, and life quality. The purpose of this study is to investigate the mediating role of alexithymia in the relationship between coping strategies and personality traits with OCD. Methods & Materials: This is a descriptive correlational study. The study population consists of all people with OCD referred to psychiatric clinics in Kerman City, Iran, during 2018-2019. Of this population, 200 patients were selected using a convenience sampling method. Research instruments included the ways of coping questionnaire, NEO five-factor personality inventory, Toronto alexithymia scale, and Maudsley obsessive-compulsive test. The obtained data were analyzed using the Pearson correlation test and simultaneous and hierarchical regression in SPSS v. 23. Findings: Personality traits had a negative significant correlation with alexithymia (r=0.523, P<0.000) and OCD (r=0.253, P<0.000). Alexithymia had a significant positive correlation with OCD (r=0.272, P<0.000). There was no correlation between problem-focused coping and alexithymia (r=-0.045, P<0.531). There was a positive correlation between emotion-focused coping and OCD (r=0.198, P<0.000). The fit indices indicated a good fit of the proposed model (P<0.005). Conclusion: Alexithymia, as a mediator of the relationship between coping styles and personality traits with OCD, plays an essential role in improving the psychological health of people with OCD.

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