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Psychosocial, Affective, and Behavioral Consequences of Multiple SclerosisTreatment of the "Whole" Patient
N G Larocca1, R C Kalb1, F W Foley2
1New York Medical College, New York, NY.
Abstract:
Multiple sclerosis (MS) challenges the individual, the family, and society because (1) it can produce wide-ranging functional losses; (2) it is generally progressive with functional losses increasing over time; and (3) its course is unpredictable. Persons affected by MS respond by (1) experiencing changes in their perception of themselves and their world; (2) altering their social roles; and (3) undergoing a variety of emotional responses, especially depression and grief over the losses caused by the illness. Psychosocial interventions that address MS challenges include (1) educational interventions such as lectures, workshops, and books; (2) supportive interventions such as counseling and support groups; (3) psychoeducational interventions such as communication skills training; and (4) somatic therapies such as antidepressants. The unpredictable and progressive course of MS means that affected individuals face a lifetime of periodic challenge. Comprehensive care in MS must address the psychosocial challenges of the illness on a long-term basis. In this way MS care can address the whole patient.
Insights
Multiple sclerosis (MS) significantly impacts individuals and families due to progressive functional loss and unpredictable disease courses. Comprehensive psychosocial interventions are crucial for managing the long-term challenges of living with MS.
Area of Science:
- Neurology
- Psychology
- Rehabilitation Medicine
Background:
- Multiple sclerosis (MS) presents significant challenges impacting daily life, social roles, and emotional well-being.
- The progressive and unpredictable nature of MS necessitates long-term management strategies.
- Individuals with MS often experience functional losses, altered self-perception, and emotional distress, including depression and grief.
Purpose of the Study:
- To outline the multifaceted challenges posed by multiple sclerosis.
- To describe the psychosocial responses of individuals affected by MS.
- To review various psychosocial interventions for managing MS.
Main Methods:
- Literature review of challenges, responses, and interventions related to multiple sclerosis.
- Analysis of the impact of MS on individuals, families, and society.
- Categorization of psychosocial interventions into educational, supportive, psychoeducational, and somatic therapies.
Main Results:
- MS causes wide-ranging functional losses that increase over time.
- Individuals with MS undergo significant changes in self-perception, social roles, and emotional states.
- Effective interventions include education, support groups, skill training, and pharmacotherapy.
Conclusions:
- Comprehensive, long-term psychosocial care is essential for individuals with MS.
- Addressing the psychosocial aspects of MS promotes holistic patient care.
- Ongoing support is vital for managing the lifelong challenges of multiple sclerosis.
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