Publikation: Association of Fatigue Severity With Maladaptive Coping in Multiple Sclerosis : A Data-Driven Psychodynamic Perspective
Dateien
Datum
Autor:innen
Herausgeber:innen
ISSN der Zeitschrift
Electronic ISSN
ISBN
Bibliografische Daten
Verlag
Schriftenreihe
Auflagebezeichnung
URI (zitierfähiger Link)
DOI (zitierfähiger Link)
Internationale Patentnummer
Link zur Lizenz
Angaben zur Forschungsförderung
Projekt
Open Access-Veröffentlichung
Sammlungen
Core Facility der Universität Konstanz
Titel in einer weiteren Sprache
Publikationstyp
Publikationsstatus
Erschienen in
Zusammenfassung
Fatigue in persons with multiple sclerosis (PwMS) is severely disabling. However, the underlying mechanisms remain incompletely understood. Recent research suggests a link to early childhood adversities and psychological trait variables. In line with these studies, this paper took a psychodynamic perspective on MS-fatigue. It was hypothesized that fatigue could represent a manifestation of maladaptive coping with intense emotions. The schema therapeutic mode model served as a theoretical and empirically validated framework, linking psychodynamic theory and empirical research methods. The study was based on a data set of N = 571 PwMS that has also served as the basis for another publication. Data was collected online. The Schema Mode Inventory was used to quantify regulatory strategies to cope with emotionally stressful experiences. In addition, depressive symptoms (Beck's Depression Inventory - FastScreen), physical disability (Patient Determined Disease Steps), alexithymia (Toronto Alexithymia Scale-26), adverse childhood experiences (Childhood Trauma Questionnaire), and self-reported fatigue (Fatigue Scale for Motor and Cognitive Functions) were assessed. Latent profile analysis revealed three distinct groups of PwMS, based on their coping mode profiles: (1) PwMS with low maladaptive coping, (2) PwMS with avoidant/submissive coping styles, and (3) PwMS with avoidant/overcompensatory coping styles. Multivariate comparisons showed no significant difference in physical disability across the three groups. However, heightened levels of self-reported fatigue and depression symptoms occurred in PwMS with maladaptive coping styles. A path model uncovered that self-reported fatigue was robustly related to physical disability (β = 0.33) and detached/avoidant coping (Detached Protector; β = 0.34). There was no specific relation between any of the maladaptive coping modes and depression symptoms. Detached/avoidant coping was in turn predicted by childhood emotional abuse and neglect. The results indicate that childhood adversity and detached/avoidant coping styles may be associated with variability in MS-fatigue severity: PwMS that resort to detached/avoidant coping in response to negative emotions also tend to report heightened levels of fatigue, although they do not differ in their perceived disability from PwMS with low levels of fatigue and maladaptive coping. A link between MS-fatigue and the psychodynamic traumatic conversion model is discussed. The implications of these findings for therapeutic interventions require further study.
Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
Schlagwörter
Konferenz
Rezension
Zitieren
ISO 690
PUST, Gesa E. A., Jennifer RANDERATH, Lutz GOETZMANN, Roland WEIERSTALL, Michael KORZINSKI, Stefan M. GOLD, Christian DETTMERS, Barbara RUETTNER, Roger SCHMIDT, 2021. Association of Fatigue Severity With Maladaptive Coping in Multiple Sclerosis : A Data-Driven Psychodynamic Perspective. In: Frontiers in Neurology. Frontiers Research Foundation. 2021, 12, 652177. eISSN 1664-2295. Available under: doi: 10.3389/fneur.2021.652177BibTex
@article{Pust2021Assoc-53525, year={2021}, doi={10.3389/fneur.2021.652177}, title={Association of Fatigue Severity With Maladaptive Coping in Multiple Sclerosis : A Data-Driven Psychodynamic Perspective}, volume={12}, journal={Frontiers in Neurology}, author={Pust, Gesa E. A. and Randerath, Jennifer and Goetzmann, Lutz and Weierstall, Roland and Korzinski, Michael and Gold, Stefan M. and Dettmers, Christian and Ruettner, Barbara and Schmidt, Roger}, note={Article Number: 652177} }
RDF
<rdf:RDF xmlns:dcterms="http://purl.org/dc/terms/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:void="http://rdfs.org/ns/void#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/server/rdf/resource/123456789/53525"> <dc:creator>Pust, Gesa E. A.</dc:creator> <dcterms:rights rdf:resource="http://creativecommons.org/licenses/by/4.0/"/> <dcterms:title>Association of Fatigue Severity With Maladaptive Coping in Multiple Sclerosis : A Data-Driven Psychodynamic Perspective</dcterms:title> <dc:contributor>Weierstall, Roland</dc:contributor> <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53525/1/Pust_2-jcjofqwghc9q9.pdf"/> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/53525"/> <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/> <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/53525/1/Pust_2-jcjofqwghc9q9.pdf"/> <dc:creator>Dettmers, Christian</dc:creator> <dc:creator>Gold, Stefan M.</dc:creator> <dc:contributor>Gold, Stefan M.</dc:contributor> <dc:contributor>Korzinski, Michael</dc:contributor> <dc:creator>Randerath, Jennifer</dc:creator> <dc:contributor>Goetzmann, Lutz</dc:contributor> <dc:contributor>Dettmers, Christian</dc:contributor> <dc:rights>Attribution 4.0 International</dc:rights> <dc:contributor>Schmidt, Roger</dc:contributor> <dc:contributor>Randerath, Jennifer</dc:contributor> <dc:language>eng</dc:language> <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/> <dc:creator>Korzinski, Michael</dc:creator> <dc:creator>Schmidt, Roger</dc:creator> <dc:creator>Ruettner, Barbara</dc:creator> <foaf:homepage rdf:resource="http://localhost:8080/"/> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dc:contributor>Ruettner, Barbara</dc:contributor> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-04-29T08:36:01Z</dcterms:available> <dc:contributor>Pust, Gesa E. A.</dc:contributor> <dcterms:issued>2021</dcterms:issued> <dc:creator>Weierstall, Roland</dc:creator> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-04-29T08:36:01Z</dc:date> <dcterms:abstract xml:lang="eng">Fatigue in persons with multiple sclerosis (PwMS) is severely disabling. However, the underlying mechanisms remain incompletely understood. Recent research suggests a link to early childhood adversities and psychological trait variables. In line with these studies, this paper took a psychodynamic perspective on MS-fatigue. It was hypothesized that fatigue could represent a manifestation of maladaptive coping with intense emotions. The schema therapeutic mode model served as a theoretical and empirically validated framework, linking psychodynamic theory and empirical research methods. The study was based on a data set of N = 571 PwMS that has also served as the basis for another publication. Data was collected online. The Schema Mode Inventory was used to quantify regulatory strategies to cope with emotionally stressful experiences. In addition, depressive symptoms (Beck's Depression Inventory - FastScreen), physical disability (Patient Determined Disease Steps), alexithymia (Toronto Alexithymia Scale-26), adverse childhood experiences (Childhood Trauma Questionnaire), and self-reported fatigue (Fatigue Scale for Motor and Cognitive Functions) were assessed. Latent profile analysis revealed three distinct groups of PwMS, based on their coping mode profiles: (1) PwMS with low maladaptive coping, (2) PwMS with avoidant/submissive coping styles, and (3) PwMS with avoidant/overcompensatory coping styles. Multivariate comparisons showed no significant difference in physical disability across the three groups. However, heightened levels of self-reported fatigue and depression symptoms occurred in PwMS with maladaptive coping styles. A path model uncovered that self-reported fatigue was robustly related to physical disability (β = 0.33) and detached/avoidant coping (Detached Protector; β = 0.34). There was no specific relation between any of the maladaptive coping modes and depression symptoms. Detached/avoidant coping was in turn predicted by childhood emotional abuse and neglect. The results indicate that childhood adversity and detached/avoidant coping styles may be associated with variability in MS-fatigue severity: PwMS that resort to detached/avoidant coping in response to negative emotions also tend to report heightened levels of fatigue, although they do not differ in their perceived disability from PwMS with low levels of fatigue and maladaptive coping. A link between MS-fatigue and the psychodynamic traumatic conversion model is discussed. The implications of these findings for therapeutic interventions require further study.</dcterms:abstract> <dc:creator>Goetzmann, Lutz</dc:creator> </rdf:Description> </rdf:RDF>