Coping strategies and mood profiles in patients with multiple sclerosis / Estratégias de enfrentamento e perfis de humor em pacientes com esclerose múltipla

ABSTRACT

Objective: The aim of the present study was to investigate the coping strategies, mood characteristics and the association between these aspects in patients diagnosed with multiple sclerosis and healthy subjects. Method: Fifty consecutive patients who were diagnosed with multiple sclerosis according to McDonald criteria and thirty-one healthy subjects were included in the study. In addition to the sociodemographic form, Expanded Disability Status Scale (EDSS), Coping Orientation for Problem Experiences Scale (COPE), and Profile of Mood States (POMS) tests were applied to the participants. Results: Non-functional coping strategies were significantly higher in the secondary-progressive type (p≤0.05). Depression-dejection, fatigue-inertia and total POMS scores were significantly higher in the secondary-progressive type (p≤0.05). Conclusion: The results of our study demonstrate the importance of rehabilitation programs that encourage exercise among patients with multiple sclerosis to increase vigor-activity levels. .

RESUMO

Objetivo: Investigar as estratégias de enfrentamento, as características de humor e a associação entre estes aspectos em pacientes com diagnóstico de esclerose múltipla em comparação a indivíduos saudáveis. Método: Foram incluídos no estudo 50 pacientes com diagnóstico de esclerose múltipla de acordo com os critérios de McDonald e 31 pessoas saudáveis. Além da caracterização sócio-econômica, foram aplicados a todos os pacientes testes para avaliar o Expanded Disability Status Scale (EDSS), o Coping Orientation for Problem Experiences Scale (COPE) e o Profile of Mood States (POMS). Resultados: Escores referentes a estratégias de enfrentamento não funcionais foram significativamente maiores na forma secundariamente progressiva (p≤0.05). Escores relativos a depressão-abatimento, fadiga-inércia e escores totais POMS foram significativamente maiores na forma secundariamente progressiva (p≤0.05). Conclusão: Os resultados deste estudo mostram a importância de programas de reabilitação que encorajem os pacientes com esclerose múltipla a praticar exercícios com maiores níveis de vigor e atividade. .