ArticleJournal of clinical medicine2021
The Level of Stress and Coping Strategies in Patients with Multiple Sclerosis and Their Relationships with the Disease Course.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Navigating social roles: Exploring the impact of disability-related stress on minority individuals with multiple sclerosis.Multiple sclerosis and related disorders · 2025Article
- Wartime stress and relapse risk in people with multiple sclerosis: a prospective cohort study.Journal of neurology · 2025Article
- A new framework for understanding stress and disease: the developmental model of stress as applied to multiple sclerosis.Frontiers in integrative neuroscience · 2024Article
- Type D Personality and Stomatognathic System Disorders in Physiotherapy Students during the COVID-19 Pandemic.Journal of clinical medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesStress is supposed to be linked with a background of multiple sclerosis (MS) and the disease course.
designThe study aimed to assess the level of stress and coping strategies in MS patients within a year of follow-up and to investigate the relationships between these aspects and factors related-or not-to MS.
methodsIn 65 patients with MS, the Perceived Stress Scale (PSS-10), Type D Scale (DS14) and Coping Orientations to Problems Experienced (COPE) were performed at baseline and after a year. Baseline PSS-10, DS-14 and COPE scores were analyzed with regard to demographics, MS duration, treatment, indices of disability and self-reported stressful events (SEs). Final PSS-10 and COPE results were analyzed with reference to MS activity and SE within a year of follow-up.
resultsInitially, 67% of patients reported a moderate or high level of stress and 31% met Type-D personality criteria. Diverse coping strategies were preferred, most of which were problem-focused. The negative affectivity DS-14 subscore (NEG) was correlated with disability level. Non-health-related SEs were associated with higher PSS-10 and NEG scores. After a year, the mean PSS-10 score decreased, while COPE results did not change significantly. Non-health-related SEs were associated with a higher PSS-10 score and less frequent use of acceptance and humor strategies. Those with an active vs. stable MS course during the follow-up did not differ in terms of PSS-10 and COPE results.
conclusionsMS patients experienced an increased level of stress. No significant relationships were found between stress or coping and MS course within a year. Non-health-related factors affected measures of stress more than MS-related factors.
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Registered trials
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