Chalk Holly McCartney
Counseling Psychology, Ohio State University, Columbus, Ohio 21157, USA.
Psychol Health Med. 2007 Oct;12(5):556-66. doi: 10.1080/13548500701244965.
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.
鉴于多发性硬化症（MS）患者中抑郁症的高发病率和独特症状，本研究考察了认知和行为变量在预测该人群心理社会适应方面的作用，以便提出专门针对MS患者的心理治疗干预措施。来自329名MS患者的数据表明，解决问题的应对方式、接受应对方式和挑战性评估与积极的心理适应（即高生活满意度、低抑郁和焦虑）相关，而衡量疾病严重程度的变量（即病程、主观健康状况和自我报告的残疾情况）与心理适应无关。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与疾病的身体影响更为密切。因此，可以预期，针对这些特定应对策略和认知评估的干预措施将有效地治疗MS的情绪影响。
