Coping strategies: Seeking personalized care in relapsing-remitting multiple sclerosis. A patient reported measure-coping responses inventory

Abstract

Coping is defined as a set of cognitive and behavioral efforts made to master stressful specific demands. Adaptation to chronic diseases, such as Multiple Sclerosis (MS), depends on the effectiveness of coping. Objective: To assess the psychometric properties of the Coping Responses Inventory (CRI-A) in persons with MS (PwMS), verifying the transferability of the measure, already validated in the Argentine general population, and to describe the types of coping strategies available for PwMS. Methods: 90 PwMS were included. Outcome measures: CRI-A Inventory, Expanded Disability Status Scale (EDSS), Beck Depression Inventory, Fatigue Severity Scale and MS International Quality of Life questionnaire. Results: Descriptive data is as follows: mean age (years): 40.97 ± 12.85; years of education: 13.46 ± 3.93; EDSS: 2.48 ± 1.79; disease evolution (years): 10.76 ± 9.72; depression: 13.92 ± 10.45; fatigue 3.77 ± 1.72. The psychometric properties of the CRI-A Inventory observed in the Argentine general population are present in the MS sample as well, with adequate validity and reliability. The respondents most frequently utilized a problem-focused coping style. Conclusions: Results showed the CRI-A has good transferability properties from the Argentine general population to the MS population.

Keywords: Coping; depression; multiple sclerosis; psychometric properties; transferability.

Figure 1.

Description of coping styles and strategies measured by the CRI-A.

Figure 2.

Description of the procedure for obtaining CRI-A scores. CRI-A: Coping Responses Inventory-Adult.

Figure 3.

Scree plot of eigenvalues determine the number of factors to retain.

Figure 4.

Results of CRI-A’s problem-focused and emotion-focused coping strategies. LA: logical analysis; PR: positive reappraisal; SG: seeking guidance and support; PS: problem solving; CA: cognitive avoidance; AR: acceptance/resignation; SR: seeking alternative rewards; ED: emotional discharge.