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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool

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Perfectionism and physical disability predict depression in multiple sclerosis.

Megan M Smith¹, Peter A Arnett

¹Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242-1000, USA. megan-m-smith@uiowa.edu

Journal of Psychosomatic Research

|August 7, 2013

Summary

Perfectionism exacerbates depression in multiple sclerosis (MS) patients with high physical disability. This finding helps explain varied depression levels in MS and suggests psychotherapy targets.

Keywords:

Depression Multiple sclerosis Neuropsychology Physical disability

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Area of Science:

Neuroscience
Psychiatry
Clinical Psychology

Background:

The link between depression and physical disability in multiple sclerosis (MS) remains poorly understood.
Existing research presents conflicting findings on this relationship.

Purpose of the Study:

To investigate the interplay between disability and perfectionism in predicting depression among individuals with MS.
To clarify the factors influencing depression in MS patients.

Main Methods:

Fifty-one participants with MS completed the Frost Multidimensional Perfectionism Scale (FMPS), Chicago Multiscale Depression Inventory (CMDI), and Expanded Disability Status Scale (EDSS).
Regression analyses were employed to examine predictive relationships.

Main Results:

A significant interaction between perfectionism (FMPS) and physical disability (EDSS) was found to predict depression (CMDI) beyond individual effects.
Perfectionism emerged as a significant predictor of depression specifically in individuals with high levels of physical disability.

Conclusions:

The study reconciles inconsistent findings on physical disability and depression in MS by highlighting the moderating role of perfectionism.
Identifying perfectionism as a key factor in high-disability MS patients offers a potential target for tailored psychotherapy interventions.