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Relationship of coping strategies with mood symptoms, disease related characteristics and demographic variables in patients with multiple sclerosis: A systematic review study

  • Author Footnotes
    1 Bahman Bahmani: 0000-0001-5485-3314
    Bahman Bahmani
    Footnotes
    1 Bahman Bahmani: 0000-0001-5485-3314
    Affiliations
    Department of counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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  • Author Footnotes
    2 Shafigh Mehraban: 0000-0003-2912-769X
    Shafigh Mehraban
    Correspondence
    Corresponding authors.
    Footnotes
    2 Shafigh Mehraban: 0000-0003-2912-769X
    Affiliations
    Department of counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
    Search for articles by this author
  • Author Footnotes
    3 Edgar Carnero Contentti: 0000-0001-7435-5726
    Edgar Carnero Contentti
    Correspondence
    Corresponding authors.
    Footnotes
    3 Edgar Carnero Contentti: 0000-0001-7435-5726
    Affiliations
    Neuroimmunology Unit, Department of Neuroscience, Hospital Aleman, Buenos Aires, Argentina
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  • Author Footnotes
    4 Manouchehr Azkhosh: 0000-0002-2596-3482
    Manouchehr Azkhosh
    Footnotes
    4 Manouchehr Azkhosh: 0000-0002-2596-3482
    Affiliations
    Department of counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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  • Author Footnotes
    5 Mohammadsaeed Khanjani: 0000-0002-7473-1549
    Mohammadsaeed Khanjani
    Footnotes
    5 Mohammadsaeed Khanjani: 0000-0002-7473-1549
    Affiliations
    Department of counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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  • Author Footnotes
    6 Mojtaba Azimian: 0000-0001-9985-7052
    Mojtaba Azimian
    Footnotes
    6 Mojtaba Azimian: 0000-0001-9985-7052
    Affiliations
    Department of Clinical Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
    Search for articles by this author
  • Author Footnotes
    1 Bahman Bahmani: 0000-0001-5485-3314
    2 Shafigh Mehraban: 0000-0003-2912-769X
    3 Edgar Carnero Contentti: 0000-0001-7435-5726
    4 Manouchehr Azkhosh: 0000-0002-2596-3482
    5 Mohammadsaeed Khanjani: 0000-0002-7473-1549
    6 Mojtaba Azimian: 0000-0001-9985-7052
Published:September 12, 2022DOI:https://doi.org/10.1016/j.msard.2022.104163

      Highlights

      • HRQoL of patients with MS is affected.
      • We reviewed the impact of psychological features in the choice of coping strategies in pwMS.
      • This systematic review indicated that pwMS use more dysfunctional coping strategies.

      Abstract

      Objective

      the aim of this systematic review was to summarize the coping strategies utilized by people with multiple sclerosis (pwMS) and the association of these strategies with mood symptoms, quality of life, fatigue and disability in pwMS.

      Methods

      search in the literature was performed across electronic databases of PubMed, Web of Science, and Scopus. No time constraint was applied for searching across the databases. Manual search was also performed on the list of references of the retrieved papers. Two authors independently evaluated the retrieved citations based on predetermined inclusion criteria in two screening stages. This systematic review followed Joanna Briggs Institute (JBI) guidelines for cross-sectional research. The findings related to the coping patterns against MS as well as the relationship between the patterns and MS symptoms were extracted and synthesized.

      Findings

      A total of 2390 records were identified. After removing duplicates and based on screening, 39 papers met the eligibility criteria for qualitative synthesis, and they were evaluated in terms of quality of study. When comparing genders, women used more religious coping, social support seeking, and positive coping compared to men. Depression and anxiety were associated with maladaptive and emotion-oriented coping strategies. The patients who used positive and problem solving oriented coping strategies had a better score of quality of life. Disability and fatigue were associated with applying avoidance and maladaptive coping strategies.

      Conclusion

      the findings of this review suggest that understanding the relationship between coping strategies and quality of life as well as the symptoms related to the disease is important to understand development of psychological interventions adopted by specialists to support these patients.

      Keywords

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