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Executive function is an important consideration for coping strategy use in people with multiple sclerosis.

Lisa B Grech1, Litza A Kiropoulos1, Katherine M Kirby1

  • 1a Melbourne School of Psychological Sciences , University of Melbourne , Parkville , VIC , Australia.

Journal of Clinical and Experimental Neuropsychology
|January 17, 2017
PubMed
Summary

Executive function abilities in people with multiple sclerosis (PwMS) are linked to how they cope with the condition. Understanding these connections can improve support and interventions for PwMS.

Keywords:
Cognitioncoping skillsexecutive functionmultiple sclerosispsychological adjustment

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Medicine

Background:

  • Executive function deficits are common in people with multiple sclerosis (PwMS).
  • PwMS tend to use less adaptive coping strategies compared to healthy individuals.
  • This study investigated the relationship between executive function and coping mechanisms in PwMS.

Purpose of the Study:

  • To examine the association between specific executive functions and various coping strategies in people with multiple sclerosis.
  • To identify how executive function abilities influence the selection of adaptive and maladaptive coping mechanisms.
  • To inform clinical interventions aimed at enhancing coping abilities in PwMS.

Main Methods:

  • A cross-sectional study involving 107 participants with multiple sclerosis (relapsing remitting or secondary progressive).
  • Participants completed standardized measures assessing coping strategies and executive function.
  • Statistical analyses were performed to determine the relationships between executive function indices and coping styles.

Main Results:

  • Positive correlations were observed between verbal fluency and active, emotional, and instrumental social support coping.
  • Total executive function showed a positive association with substance abuse coping.
  • Negative relationships were found between executive function and several coping strategies, including social support, acceptance, religion, restraint, denial, humor, and behavioral disengagement.

Conclusions:

  • Specific executive functions are important for the utilization of particular coping strategies in PwMS.
  • Findings highlight the need to consider executive function status when developing interventions for coping.
  • This research supports psychologists and neuropsychologists in psychoeducation and designing adaptive coping interventions for PwMS with executive dysfunction.