nach oben

International Journal of Behavioral Medicine

Erschienen in:

20.11.2015

Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?

verfasst von: Stefaan Van Damme, Annelies De Waegeneer, Jan Debruyne

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 3/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Goal regulation strategies such as flexible goal adjustment and acceptance are believed to be protective factors in persons with chronic illness, but research on their relative contributions to quality of life in multiple sclerosis (MS) is lacking.

Purpose

We aimed to test the idea that acceptance and flexible goal adjustment (in contrast to tenacious goal pursuit) may help preserve the quality of life in persons with MS.

Method

A sample of 117 patients with MS was recruited. They completed questionnaires measuring quality of life (physical functioning, psychological distress), acceptance, flexible goal adjustment, and tenacious goal pursuit.

Results

Acceptance significantly accounted for variance in all three indexes of quality of life, beyond the effects of demographic and illness characteristics. The role of goal regulation style was less clear. Flexible goal adjustment significantly accounted for psychological well-being only. Surprisingly, tenacious goal pursuit predicted better psychological functioning and less psychological distress. No support was found for the hypothesis that acceptance and flexible goal adjustment would moderate the relation between illness severity and quality of life.

Conclusion

The findings suggest the potential importance of acceptance in understanding MS patients’ quality of life, although its hypothesized protective function could not be confirmed. Further conceptual work on acceptance and goal regulation style is needed, as well as prospective work investigating their causal status.

Mitchell AJ, Benito-Léon J, Morales Gonzalez J-M, Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. Lancet Neurol. 2005;4:556–66.CrossRefPubMed

Compston A, Coles A. Multiple sclerosis. Lancet. 2008;372:1502–17.CrossRefPubMed

Benito-Leon J, Morales J, Rivera-Navarros J, Mitchell AJ. A review about the impact of multiple sclerosis on health-related quality of life. Disabil Rehabil. 2003;25:1291–303.CrossRefPubMed

De Judicibus MA, McCabe MP. The impact of the financial costs of multiple sclerosis on quality of life. Int J Behav Med. 2007;14:3–11.CrossRefPubMed

Dennison L, Moss-Morris L, Silber E, Galea I, Chalder T. Cognitive and behavioral correlates of different domains of psychological adjustment in early-stage multiple sclerosis. J Psychosom Res. 2010;69:353–61.CrossRefPubMed

Kehler MD, Hadjistavropoulos HD. Is health anxiety a significant problem for individuals with multiple sclerosis? J Behav Med. 2009;32:150–61.CrossRefPubMed

Siegert R, Abernethy D. Depression in multiple sclerosis: a review. J Neurol Neurosurg Psychiatry. 2005;76:469–75.CrossRefPubMedPubMedCentral

Bol Y, Duits AA, Lousberg R, Hupperts RMM, Lacroix MHP, Verhey FRJ, et al. Fatigue and physical disability in patients with multiple sclerosis: a structural equation modeling approach. J Behav Med. 2010;33:355–63.CrossRefPubMedPubMedCentral

Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev. 2009;29:141–53.CrossRefPubMed

10.

Aikens JE, Fischer JS, Namey M, Rudick RA. A replicated prospective investigation of life stress, coping, and depressive symptoms in multiple sclerosis. J Behav Med. 1997;20:433–45.CrossRefPubMed

11.

Lester K, Stepleman L, Hughes M. The association of illness severity, self-reported cognitive impairment, and perceived illness management with depression and anxiety in a multiple sclerosis clinic population. J Behav Med. 2007;30:177–86.CrossRefPubMed

12.

Pakenham KI. Making sense of multiple sclerosis. Rehab Psychol. 2007;52:380–9.CrossRef

13.

Pakenham KI. Making sense of caregiving for persons with multiple sclerosis (MS): the dimensional structure of sense making and relations with positive and negative adjustment. Int J Behav Med. 2008;15:241–52.CrossRefPubMed

14.

Brandtstädter J, Renner G. Tenacious goal pursuit and flexible goal adjustment: explication and age-related analysis of assimilative and accommodative strategies of coping. Psychol Aging. 1990;5:58–67.CrossRefPubMed

15.

Heckhausen J, Wrosch C, Schulz R. A motivational theory of life-span development. Psychol Rev. 2010;117:32–60.CrossRefPubMedPubMedCentral

16.

Brandtstädter J, Rothermund K. The life-course dynamics of goal pursuit and goal adjustment: a two process framework. Dev Rev. 2002;22:117–50.CrossRef

17.

Rothermund K. Hanging on and letting go in the pursuit of health goals: psychological mechanisms to cope with a regulatory dilemma. In: Ridder DD, Wit JD, editors. Self-regulation in health behaviour. Chichester: Wiley; 2006. p. 217–41.CrossRef

18.

Frazier LD, Newman FL, Jaccard J. Psychosocial outcomes in later life: a multivariate model. Psychol Aging. 2007;22:676–89.CrossRefPubMed

19.

Rothermund K, Brandstadter J. Coping with deficits and losses in later life: from compensatory action to accommodation. Psychol Aging. 2003;18:896–905.CrossRefPubMed

20.

Wrosch C, Miller GE, Scheier MF, Brun de Pontet S. Giving up unattainable goals: benefits for health? Personal Soc Psychol Bull. 2007;33:251–65.CrossRef

21.

Wrosch C, Scherier MF, Miller GE, Schulz R, Carver CS. Adaptive self-regulation of unattainable goals: goal disengagement, goal reengagement and subjective wellbeing. Personal Soc Psychol Bull. 2003;29:1494–508.CrossRef

22.

Van Damme S, Crombez G, Goubert L, Eccleston C. Current issues and new directions in Psychology and Health: the costs and benefits of self-regulation—a call for experimental research. Psychol Health. 2009;24:367–71.CrossRefPubMed

23.

Eccleston C, Crombez G. Worry and chronic pain: a misdirected problem solving model. Pain. 2007;132:233–6.CrossRefPubMed

24.

Schmitz U, Saile H, Nigles P. Coping with chronic pain: flexible goal adjustment as an interactive buffer against pain-related distress. Pain. 1996;67:41–51.CrossRefPubMed

25.

Van Damme S, Crombez G, Eccleston C. Coping with pain: a motivational perspective. Pain. 2008;139:1–4.CrossRefPubMed

26.

Evers AW, Kraaimaat FW, Van Lankveld W, Jongen PJ, Jacobs JW, Bijlsma JW. Beyond unfavorable thinking: the illness cognition questionnaire for chronic diseases. J Consult Clin Psychol. 2001;69:1026–36.CrossRefPubMed

27.

Lauwerier E, Caes L, Van Damme S, Goubert L, Rosseel Y, Crombez G. Acceptance: what’s in a name? A content analysis of acceptance instruments in individuals with chronic pain. J Pain. 2015;16:306–17.CrossRefPubMed

28.

McCracken LM, Eccleston C. Coping or acceptance: what to do about chronic pain? Pain. 2003;105:197–204.CrossRefPubMed

29.

Viane I, Crombez G, Eccleston C, Poppe C, Van Houdenhove B, De Corte W. Acceptance of pain is an independent predictor of mental wellbeing in patients with chronic pain: empirical evidence and reappraisal. Pain. 2003;106:65–72.CrossRefPubMed

30.

Brooks SK, Rimes KA, Chalder T. The role of acceptance in chronic fatigue syndrome. J Psychosom Res. 2011;71:411–5.CrossRefPubMed

31.

Van Damme S, Crombez G, Van Houdenhove B, Mariman A, Michielsen W. Well-being in patients with chronic fatigue syndrome: the role of acceptance. J Psychosom Res. 2006;61:595–9.CrossRefPubMed

32.

Casier A, Goubert L, Huse D, Theunis M, Franckx H, Robbrecht E, et al. The role of acceptance in psychological functioning in adolescents with cystic fibrosis: a preliminary study. Psychol Health. 2008;23:629–38.CrossRefPubMed

33.

Pakenham KI. Investigation of the coping antecedents to positive outcomes and distress in multiple sclerosis (MS). Psychol Health. 2006;21:633–49.CrossRef

34.

Harrison AM, McCracken LM, Bogosian A, Moss-Morris R. Towards a better understanding of MS pain: a systematic review of potentially modifiable psychosocial factors. J Psychosom Res. 2015;78:12–24.CrossRefPubMed

35.

Kikuchi H, Mifune N, Niino M, Kira J, Kohrriyama T, Ota K, et al. Structural equation modeling of factors contributing to quality of life in Japanese patients with multiple sclerosis. BMC Neurol. 2013;13:10. doi:10.1186/1471-2377-13-10.CrossRefPubMedPubMedCentral

36.

Pakenham KI, Fleming M. Relations between acceptance of multiple sclerosis and positive and negative adjustments. Psychol Health. 2011;26:1292–309.CrossRefPubMed

37.

Pakenham KI, Samios C. Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance. J Behav Med. 2013;36:389–400.CrossRefPubMed

38.

Kurtzke J. Rating neurological impairment in multiple sclerosis, an expanded disability status scale. Neurology. 1983;33:1444–52.CrossRefPubMed

39.

Zigmund AS. The hospital anxiety and depression scale. Acta Psychatr Scand. 1983;67:361–70.CrossRef

40.

Spinhoven P, Ormel J, Sloekers P, Kempen GS, Van Hemert A. A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med. 1997;27:363–70.CrossRefPubMed

41.

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale: an updates review. J Psychosom Res. 2002;52:69–77.CrossRefPubMed

42.

Honarmand K, Feinstein A. Validation of the hospital anxiety and depression scale for use with multiple sclerosis patients. Mult Scler. 2009;15:1581–624.CrossRef

43.

Ware JS. The MOS 36 item short form health survey (SF36). Conceptual framework and item selection. Med Care. 1992;30:473–83.CrossRefPubMed

44.

Lauwerier E, Crombez G, Van Damme S, Goubert L, Vogelaers D, Evers AWM. The construct validity of the illness cognition questionnaire: robustness of a three-factor structure across patients with chronic pain and chronic fatigue. Int J Behav Med. 2010;17:90–6.CrossRefPubMed

45.

Moss-Morris R, Dennison L, Landau S, Yardley L, Silber E, Chalder T. A randomized controlled trial of cognitive behavioral therapy (CBT) for adjusting to multiple sclerosis (the saMS trial): Does CBT work and for whom does it work? J Consult Clin Psychol. 2013;81:251–62.CrossRefPubMed

46.

Nordin L, Rorsman I. Cognitive-behavioural therapy in multiple sclerosis: a randomized controlled pilot study of acceptance and commitment therapy. J Rehabil Med. 2012;44:87–90.CrossRefPubMed

47.

Little BR. Personal projects: a rationale and method for investigation. Environ Behav. 1983;15:273–309.CrossRef

48.

Neter E, Litvak A, Miller A. Goal disengagement and goal reengagement among multiple sclerosis patients: relationship to well-being and illness representation. Psychol Health. 2009;24:175–86.CrossRefPubMed

49.

Rasmussen HN, Wrosch C, Scheier MF, Carver CS. Self-regulation processes and health: the importance of optimism and goal adjustment. J Pers. 2006;74:1721–46.CrossRefPubMed

50.

van Lankveld W, van Diemen T, van Nes I. Coping with spinal cord injury: tenacious goal pursuit and flexible goal adjustment. J Rehabil Med. 2011;43:923–9.PubMed

51.

Fournier M, de Ridder D, Bensing J. Optimism and adaptation to multiple sclerosis: what does optimism mean? J Behav Med. 1999;22:303–26.CrossRefPubMed

Titel: Do Flexible Goal Adjustment and Acceptance Help Preserve Quality of Life in Patients with Multiple Sclerosis?
verfasst von: Stefaan Van Damme
Annelies De Waegeneer
Jan Debruyne
Publikationsdatum: 20.11.2015
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 3/2016
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-015-9519-6

Springer Medizin

Abstract

Background

Purpose

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2016

A Validation and Generality Study of the Committed Action Questionnaire in a Swedish Sample with Chronic Pain

A Big Five Personality Typology in Adolescents with Congenital Heart Disease: Prospective Associations with Psychosocial Functioning and Perceived Health

The Association between Educational Attainment and Patterns of Emergency Department Utilization among Adults with Sickle Cell Disease

Body Esteem Among Women with Multiple Sclerosis and its Relationship with Demographic, Clinical and Socio-Psychological Factors

Psychosocial and Clinical Correlates of Fatigue in Haemodialysis Patients: the Importance of Patients’ Illness Cognitions and Behaviours

Self-esteem and Body Mass Index from Adolescence to Mid-adulthood. A 26-year Follow-up