Psychoeducation and interventions aimed at reducing avoidant coping strategies and increasing less cognitively demanding adaptive coping strategies may improve quality of life (QOL) in people with multiple sclerosis (MS) who experience deficits in executive function, according to a recent study. Researchers assessed 107 people with relapsing-remitting (n=83) or secondary progressive (n=24) MS, using executive function tasks and self-report coping and QOL inventories. They found:
- Coping strategies mediated (behavioral disengagement, acceptance, growth, and religion) and moderated (denial, active, religion, adaptive, and total coping indices) the relationship between executive function and QOL in people with MS.
- In people with poorer executive function, less cognitively demanding coping strategies (acceptance, growth, and religion), were related to increased QOL, while maladaptive strategies (behavioral disengagement and denial), were associated with poorer QOL.
Grech LB, Kiropoulos LA, Kirby KM, Butler E, Paine M, Hester R. Importance of coping in the relationship between executive function and quality of life in people with multiple sclerosis. [Published online ahead of print December 3, 2018]. Int J MS Care. doi:10.7224/1537-2073.2018-029.