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Characteristics and correlates of coping with multiple sclerosis: a systematic review

机译:多发性硬化症应对的特征和相关性:系统评价

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Purpose: The purpose of this systematic review was to examine coping strategies that people with multiple sclerosis use, and to identify factors that influence their coping pattern. Method: This systematic review followed the Joanna Briggs Institute guidelines for synthesizing descriptive quantitative research. The following databases were searched from the inception of databases until December 2016: Ovid (Medline, Embase, CINAHL, and PsycINFO), Science Direct, Web of Science, and Scopus. Manual search was also conducted from the reference lists of retrieved articles. Findings related to the patterns of coping with multiple sclerosis and factors influencing coping with multiple sclerosis were extracted and synthesized. Results: The search of the database yielded 455 articles. After excluding duplicates (n-341) and studies that did not meet the inclusion criteria (n — 27), 71 studies were included in the full-text review. Following the full-text, a further 21 studies were excluded. Quality appraisal of 50 studies was completed, and 38 studies were included in the review. Synthesis of findings indicated that people with multiple sclerosis use emotional and avoidance coping strategies more than other types of coping, particularly in the early stages of the disease. In comparison to the general population, people with multiple sclerosis were less likely to use active coping strategies and used more avoidance and emotional coping strategies. The pattern of coping with multiple sclerosis was associated with individual, clinical and psychological factors including gender, educational level, clinical course, mood and mental status, attitude, personality traits, and religious beliefs. Conclusions: The findings of this review suggest that considering individual or disease-related factors could help healthcare professionals in identifying those less likely to adapt to multiple sclerosis. This information could also be used to provide client-centered rehabilitation for people living with multiple sclerosis based on their individual responses and perceptions for coping
机译:目的:该系统审查的目的是检查患有多发性硬化的人的应对策略,并确定影响其应对模式的因素。方法:该系统审查遵循Joanna Briggs综合描述性定量研究的指导方针。从数据库开始搜索以下数据库,直到2016年12月:Ovid(Medline,Embase,Cinahl和Psycinfo),科学直接,科学网站和Scopus。还从检索到的文章的参考列表中进行了手动搜索。提取和合成了与影响多发性硬化的多发性硬化和影响应对的因素相关的结果。结果:数据库的搜索产生了455篇文章。除非另外的重复(N-341)和未达到纳入标准的研究(N-27),全文审查中包含71项研究。在全文之后,排除了另外21项研究。完成50项研究的质量评估,审查中包含38项研究。研究结果表明,多发性硬化症的人使用情绪和避免应对策略,而不是其他类型的应对,特别是在疾病的早期阶段。与一般人群相比,具有多发性硬化的人不太可能使用主动应对策略并使用更多的避免和情绪应对策略。具有多发性硬化症的应对模式与个体,临床和心理因素有关,包括性别,教育程度,临床课程,情绪和精神状态,态度,人格特征和宗教信仰。结论:本综述结果表明,考虑个人或疾病相关因素可以帮助医疗保健专业人员识别那些不太可能适应多发性硬化症的人。这些信息还可用于为基于他们的个人反应和对应对的人的个人反应和感知,为患有多发性硬化症的人提供客户为中心的康复

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