The connection between coping mechanisms, depression, anxiety and fatigue in multiple sclerosis [Povezanost između mehanizma suočavanja, depresije, tjeskobe i osjećaja umora kod pacijenata oboljelih od multiple skleroze]

Brajković, Lovorka and Braš, Marijana and Milunović, Vibor and Bušić, Iva and Boban, Maja and Lončar, Zoran and Mičković, Vlatko and Gregurek, Rudolf (2009) The connection between coping mechanisms, depression, anxiety and fatigue in multiple sclerosis [Povezanost između mehanizma suočavanja, depresije, tjeskobe i osjećaja umora kod pacijenata oboljelih od multiple skleroze]. Collegium Antropologicum, 33 (S. 2). pp. 135-40. ISSN 0350-6134

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Abstract

The aim of this study was to show how different coping mechanisms influence the prevalence of anxiety and depression in people suffering from multiple sclerosis. We also aimed at showing how different coping mechanisms contribute to subjective prosperity of the patients emphasizing general health, cognitive functions and fatigue. A questionnaire was given to attendants of the VI Symposium of Patients Suffering From Multiple Sclerosis. Scales were taken from Multiple Sclerosis Quality of Life Inventory (MSQLI), Hospital Anxiety and Depression Scale (HADS) and COPE inventory. A total of 68 anonymous questionnaires were handed in. A total of 57.9% of examinees had symptoms of depression, and 63.2% suffered from symptoms of anxiety. However, majority of the examinees suffered from the combination of these entities. Hypothesis about impact of various coping factors on depression, anxiety, fatigue was validated except an impact on physical state was not proven significant. Predictors improving these states were positive reinterpretation, social emotional support and humor, Predictors worsening these states were planning, acceptance, focus on emotional ventilation and denial. Psychiatric comorbidity has a high prevalence in people suffering from MS. Different coping mechanisms can help in improvement of everyday life.

Abstract in Croatian

Cilj ovog rada bio je prikazati kako različiti mehanizmi suočavanja utječu na psihofizičko stanje (umor, kognitivne disfunkcije, opće fizičko i emocionalno stanje) te na pojavu anksioznih i depresivnih poremećaja u bolesnika koji boluju od multiple skleroze. Upitnik koji se sastojao od ljestvica preuzetih iz Multiple Sclerosis Quality of Life Inventory (MSQLI), Hospital Anxiety and Depression Scale (HADS) i COPE inventory, podijeljen je sudionicima VI. Simpozija oboljelih od multiple skleroze. Vraćeno je 68 anonimno ispunjenih upitnika.Ukupno 57,9% ispitanika pati od simptoma depresije, a 63,2% uzorka ima simptome anksioznosti. Dokazana je hipoteza o utjecaju različitih mehanizama suočavanja na depresiju, anksioznost, kognitivnu disfunkciju i umor, izuzev utjecaja na fizičko stanje. Prediktori koji smanjuju navedena stanja su pozitivna reinterpretacija, humor i emocionalna socijalna potpora. Prediktori koji pogoršavaju navedena stanja su planiranje, prihvaćanje i negiranje. Provedenim istraživanjem uspjeli smo dokazati da je stopa psihijatrijskog komorbiditeta u oboljelih od multiple skleroze značajna te da različiti mehanizmi suočavanja mogu pridonijeti, ali i otežati, postizanje psihofizičkog boljitka. Također, pokazali smo da je umor značajan čimbenik bolesti i da se pozitivnim mehanizmima suočavanja može umanjiti.

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