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Coping strategies in multiple sclerosis patients with frontal cognitive disorders
S Montel1, E Spitz, C Bungener
1APEMAC, Laboratory of Health Psychology, EA 4360, University of Metz, Metz, France. montel@metz.fr
European Neurology
|July 5, 2012
Summary
Multiple sclerosis patients with mild cognitive impairments did not significantly differ in coping strategies. However, they reported higher fatigue levels and a tendency towards emotion-focused coping, like self-blame.
Area of Science:
- Neuroscience
- Psychology
Background:
- Multiple sclerosis (MS) is frequently associated with cognitive disorders.
- Understanding coping mechanisms in MS patients with cognitive impairment is crucial.
Purpose of the Study:
- To investigate the coping styles of patients with multiple sclerosis (MS) experiencing mild frontal cognitive disorder.
- To compare coping strategies between MS patients with and without mild frontal cognitive impairments.
Main Methods:
- 135 MS patients were categorized based on cognitive status: mild frontal cognitive impairments or no impairments.
- Data collected via semi-structured interviews, cognitive/mental state assessments (FAB, MADRS), and self-report questionnaires (WCC, CHIP) for coping and fatigue.
Main Results:
- No significant differences in overall coping strategies or mood were found between the groups.
- Patients with mild cognitive impairments showed a trend towards using more emotion-focused coping strategies, including self-blame and diversion.
- Mild cognitive impairment in MS was associated with increased fatigue levels.
Conclusions:
- MS patients with mild cognitive impairments do not significantly differ from other MS patients regarding coping strategies.
- Fatigue levels are higher in MS patients with mild cognitive impairments.
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