Mind over matter: cognitive - behavioral determinants of emotional distress in multiple sclerosis patients.
Mind over matter: cognitive - behavioral determinants of emotional distress in multiple sclerosis patients.
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DOI：
10.1080/13548500701244965
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发表时间：
2007-10-01
期刊：
影响因子：
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通讯作者：
Chalk, Holly McCartney
中科院分区：
文献类型：
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作者：
Chalk, Holly McCartney
鉴于多发性硬化症（MS）患者抑郁症的高发病率和独特的神经病学，目前的研究探讨了认知和行为变量在预测这一人群的心理社会适应中的作用，以建议专门针对MS患者的心理治疗干预措施。来自329名MS患者的数据表明，问题解决应对、接受应对和挑战评估与积极的心理适应相关（即，高生活满意度，低抑郁和焦虑），而测量疾病严重程度的变量（即，疾病持续时间、主观健康状况和自我报告的残疾）与调整无关。这些发现表明，MS患者的心理结果与可控的认知和行为因素的关系比疾病的身体影响更大。因此，预计针对这些特定应对策略和认知评估的干预措施将有效治疗MS的情绪影响。
Given the high incidence and unique symptomatology of depression in multiple sclerosis (MS) patients, the current study examined the role of cognitive and behavioral variables in predicting psychosocial adjustment in this population, in order to suggest psychotherapeutic interventions tailored specifically to MS patients. Data from 329 MS patients indicated that problem solving coping, acceptance coping, and challenge appraisals were associated with positive psychological adjustment (i.e., high life satisfaction, low depression and anxiety), whereas variables measuring disease severity (i.e., illness duration, subjective health status, and self-reported disability) were not associated with adjustment. These findings suggest that MS patients' psychological outcomes are more related to controllable cognitive and behavioral factors than to the physical effects of the disease. Consequently, it is expected that interventions that target these specific coping strategies and cognitive appraisals will be effective in treating the emotional effects of MS.