The family of the multiple sclerosis patient: a psychosocial perspective

The present review addresses some of the issues pertaining to the family whose member suffers from multiple sclerosis (MS), the implications that arise, and the potential therapeutic interventions. The family role can be better conceptualized from a psychosocial view mainly in a systemic perspective. From this point of view, MS can be classified, in the context of chronic illnesses, according to several 'non-medical' characteristics of the disease, such as age at onset and course. Furthermore, MS challenges the individual roles, needs and coping styles of all members of the family, and establishes a frail balance in the relationships, which needs to be reset. Future research ought to focus on specific problems, such as the identification of members of MS families at risk of developing depression and anxiety, and application of the optimal psychotherapeutic interventions. Research on psychosocial and psycho-educational interventions that improve social support and decrease burden of illness would certainly ameliorate clinical practice.