Impact of cognitive impairment on coping strategies in multiple sclerosis

  • Goretti B
  • Portaccio E
  • Zipoli V
 et al. 
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OBJECTIVES: To assess the impact of cognitive impairment (CI) on coping strategies in multiple sclerosis (MS). MATERIALS AND METHODS: Sixty-three patients (40 women, 55 relapsing-remitting and 8 secondary progressive, age 42.6+/-10.1 years, Expanded Disability Status Scale 2.2+/-1.7) were assessed using the Coping Orientation for Problem Experiences-New Italian version Inventory, the Beck Depression Inventory and the Rao's Brief Repeatable Battery. RESULTS: MS patients were less likely to use positive and problem-focused strategies, whereas avoiding strategies were adopted more frequently. Twenty-three (36.5%) cases were CI. We found no differences in the type of coping between CI and cognitively preserved patients. Scores on the Stroop test (beta=-0.91, p=0.04) and on the Word List Generation (beta=1.15, p=0.04) were associated with poorer coping strategies. CONCLUSIONS: Our study suggests that cognitive functioning (in particular on sustained attention and aspects of executive function) must be considered in a comprehensive account of the factors contributing to successful coping in MS patients.

Author-supplied keywords

  • Adaptation, Psychological
  • Adult
  • Age of Onset
  • Cognition Disorders/etiology/psychology
  • Depression/etiology/psychology
  • Disabled Persons/classification
  • Disease Progression
  • Educational Status
  • Female
  • Humans
  • Male
  • Memory
  • Middle Aged
  • Multiple Sclerosis/psychology
  • Neuropsychological Tests
  • Personality Inventory
  • Problem Solving
  • Quality of Life
  • Recurrence
  • Social Support
  • Speech
  • Stroop Test

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  • B Goretti

  • E Portaccio

  • V Zipoli

  • B Hakiki

  • G Siracusa

  • S Sorbi

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