The first year after diagnosis: psychological impact on people with multiple sclerosis
| Autor: | E. Minacapelli, Sabrina Canale, V. Martinelli, M. Falautano, G. Comi, M. F. Possa |
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| Přispěvatelé: | Possa, M. F, Minacapelli, E., Canale, S., Comi, Giancarlo, Martinelli, V., Falautano, M. |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Time Factors media_common.quotation_subject Neurological examination Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Rating scale medicine Humans Personality 030212 general & internal medicine Psychiatry Applied Psychology Depression (differential diagnoses) media_common Expanded Disability Status Scale medicine.diagnostic_test Depression Middle Aged Psychological evaluation Psychiatry and Mental health Clinical Psychology quality of life personality Psychiatry and Mental Health depression Early MS phase Quality of Life Anxiety Female medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychology, Health & Medicine. 22:1063-1071 |
| ISSN: | 1465-3966 1354-8506 |
| DOI: | 10.1080/13548506.2016.1274043 |
| Popis: | The impact of multiple sclerosis (MS) diagnosis on newly diagnosed individuals remains so far little explored. Our aim is to outline affective, personality and quality of life (QoL) correlates of MS patients shortly after MS diagnosis. Thirty-eight (22 F and 16 M) newly-diagnosed MS patients (mean interval from diagnosis communication 4.7 ± 3.8 months, range 1–12 months) underwent the Montgomery–Åsberg Depression Rating Scale and a comprehensive psychological evaluation: Beck Depression Inventory-II, State-Trait Anxiety Inventory, Psychophysiological Questionnaire-Revised, Fear Survey Schedule, Maudsley Obsessional-Compulsive Questionnaire, Impact of Event Scale-Revised, Personal Meaning Questionnaire, Problem Solving Inventory and Multiple Sclerosis Quality of Life-54. The Expanded Disability Status Scale was assessed during the neurological examination. Depressive symptomatology, only partially related to disability, was observed in approximately 40% of patients. The prevalent approach to MS diagnosis was one of avoidance in 65.8% of cases. QoL reductions in self-perception and psychological well-being emerged, together with a peculiar perception of change in health that was not related to neurological disability. With regard to personality assessment, depressive personal meaning organization correlates inversely with important QoL measures. Newly-diagnosed patients go through a complex network of psychological changes still in the initial phases immediately after diagnosis. A thorough understanding of these adjusting aspects by the neurologist could be crucial in improving patients’ QoL, participation in relevant disease decisions and adherence to pharmacological therapy. |
| Databáze: | OpenAIRE |
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