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  • 1
    Electronic Resource
    Electronic Resource
    A Replicated Prospective Investigation of Life Stress, Coping, and Depressive Symptoms in Multiple Sclerosis (1997)
    Springer
    Journal of behavioral medicine 20 (1997), S. 433-445 
    Details
    ISSN: 1573-3521
    Keywords: coping ; depression ; multiple sclerosis ; stress
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Psychology
    Notes: Abstract Life stress and coping responses jointly contribute to psychological adjustment in many chronic illness populations, but their significance in multiple sclerosis (MS) has not been extensively investigated. Physical disability, cognitive status, negative life stress, coping strategies, and depressive symptoms were prospectively assessed in 27 adults with definite or probable MS. Of the original subjects, 22 provided two additional assessments at 6-month intervals. After accounting for cognitive status and physical disability, life stress was positively correlated with current as well as future depressive symptoms; the prospective relationship was replicated within the second pair of prospective data waves. Escape avoidance was the only coping strategy that added to the prediction of future mood symptoms, but this was not replicated. Results suggest that MS-related depressive symptoms are a function of prior disease-related impairment, life stress, and possibly escape avoidance coping.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1025547431847
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Assessing Depressive Symptoms in Multiple Sclerosis: Is It Necessary to Omit Items from the Original Beck Depression Inventory? (1999)
    Springer
    Journal of behavioral medicine 22 (1999), S. 127-142 
    Details
    ISSN: 1573-3521
    Keywords: DEPRESSION ; ASSESSMENT ; MULTIPLE SCLEROSIS ; BECK DEPRESSION INVENTORY
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Psychology
    Notes: Abstract Overlap between depression scale item content and medical symptoms may exaggerate depression estimates for patients with multiple sclerosis (MS). We reconsider Mohr and co-workers' (1997) recommendation to omit Beck Depression Inventory (BDI) items assessing work ability (item 15), fatigue (17), and health concerns (20) for MS patients. Subjects were medical patients with either MS (n = 105) or a medical disorder for which the BDI is empirically supported [diabetes mellitus (DM), n = 71; chronic pain (CP), n = 80], psychiatric patients with depressive disorder (MDD; n = 37), and healthy controls (HC; n = 80). Relative scores for the eight “somatic” BDI items were analyzed by multivariate analysis of variance with demographic variables and BDI total as covariates. The only significant difference was MS 〉 HC (item 15). On raw scores, MS patients exceeded HCs on items 15 and 21 (sexual disinterest), but this was attributable to the low HC item endorsement. There were no other differences on somatic items or item-total correlations. Scale consistency was good across groups, regardless of item omission. Somatic items were unassociated with major MS parameters. We thus encourage continued application of the full BDI for assessing depressive symptoms in patients with MS.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1023/A:1018731415172
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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