Skip to main content

Advertisement

Log in

Adversarial Growth in Patients with Multiple Sclerosis and their Partners: Relationships with Illness Perceptions, Disability and Distress

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

The purpose of this study was to investigate whether patients with multiple sclerosis (MS) and their partners show adversarial growth and to examine which psychological and disability variables contribute to this in patients and their partners. The study also investigated the relationship between growth and distress. Seventy-two patients with MS and their partners provided demographic information and completed measures of posttraumatic growth, illness perceptions, depression, cognitive function and disability. Both patients and partners showed adversarial growth, with patients reporting significantly higher growth than partners. The only significant predictor for patient growth was partner growth, and vice versa. Dissimilarity in illness representations between patients and their partners on the consequences of MS dimension, patient mood and patient growth accounted for significant variance in partner growth. The findings support the idea of a ‘communal search for meaning’ where patients and their partners experience the trauma of having a chronic illness and subsequently find positive aspects together.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Abraído-Lanza, A. F., Guier, C., & Colón, R. M. (1998). Psychological thriving among latinas with chronic illness. Journal of Social Issues, 54, 405–424.

    Article  Google Scholar 

  • Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899–922.

    Article  PubMed  CAS  Google Scholar 

  • Bowen, J., Gibbons, L., Gianas, A., & Kraft, G. (2001). Self-administered Expanded Disability Status Scale with functional system scores correlates well with physician-administered test. Multiple Sclerosis, 7, 201–206.

    PubMed  CAS  Google Scholar 

  • Bride, O. M. C., Dunwoody, L., Lowe-Strong, A., & Kennedy, S. M. (2008). Examining adversarial growth in illness: The factor structure of the Silver Lining Questionnaire (SLQ-38). Psychology and Health, 23, 661–678.

    Article  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (1998). Posttraumatic growth: Future directions. In R. G. Tedeschi, C. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis. London: Lawrence Erlbaum Associates.

  • Danoff-Berg, S., & Revenson, T. A. (2005). Benefit-finding among patients with rheumatoid arthritis: Positive effects on interpersonal relationships. Journal of Behavioral Medicine, 28, 91–103.

    Article  Google Scholar 

  • Dennison, L., Moss-Morris, R., & Chalder, T. (2009). A review of psychological correlates of adjustment in patients with multiple sclerosis. Clinical Psychology Review, 29, 141–153.

    Article  PubMed  Google Scholar 

  • Doraiswamy, P. M., & Rao, S. M. (2004). Treating cognitive deficits in multiple sclerosis: Are we there yet? Neurology, 63, 1552.

    PubMed  Google Scholar 

  • Evers, A. W. M., Kraaimaat, F. W., van Lankveld, W., Jongen, P. J. H., Jacobs, J. W. G., & Bijlsma, J. W. J. (2001). Beyond unfavourable thinking: The Illness Cognition Questionnaire for chronic diseases. Journal of Consulting and Clinical Psychology, 69, 1026–1036.

    Article  PubMed  CAS  Google Scholar 

  • Figved, N., Myhr, K. M., Larsen, J. P., & Aarsland, D. (2007). Caregiver burden in multiple sclerosis: The impact of neuropsychiatric symptoms. Journal of Neurology, Neurosurgery and Psychiatry, 78, 1097–1102.

    Article  Google Scholar 

  • Fortune, D. G., Richards, H. L., Griffiths, C. E. M., & Main, C. J. (2005). Adversarial growth in patients undergoing treatment for psoriasis: A prospective study of the ability of patients to construe benefits from negative events. Psychology, Health and Medicine, 10, 44–56.

    Article  Google Scholar 

  • Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141–184.

    Article  Google Scholar 

  • Hefferon, K., Grealy, M., & Mutrie, N. (2009). Post traumatic growth and life threatening physical illness: A systematic review of the qualitative literature. British Journal of Health Psychology, 14, 343–378.

    Article  PubMed  Google Scholar 

  • Heijmans, M., de Ridder, D., & Bensing, J. (1999). Dissimilarity in patients’ and spouses’ representations of chronic illness: Exploration of relations to patients adaptation. Psychology and Health, 14, 451–466.

    Article  Google Scholar 

  • Jopson, N. M., & Moss-Morris, R. (2003). The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research, 54, 503–511.

    Article  PubMed  Google Scholar 

  • Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26, 1041–1053.

    Article  PubMed  Google Scholar 

  • Katz, R. C., Flasher, L., Cacciapaglia, H., & Nelson, S. (2001). The psychosocial impact of cancer and lupus: A cross-validation study that extends the generality of ‘benefit-finding’ in patients with chronic disease. Journal of Behavioural Medicine, 24, 561–571.

    Article  CAS  Google Scholar 

  • Kramer, B. J. (1993). Marital history and the prior relationship as predictors of positive and negative outcomes among wife caregivers. Family Relations, 42, 367–375.

    Article  Google Scholar 

  • Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An Expanded Disability Status Scale (EDSS). Neurology, 33, 1444–1452.

    PubMed  CAS  Google Scholar 

  • Lelorain, S., Bonnaud-Antignac, A., & Florin, A. (2010). Long term posttraumatic growth after breast cancer: Prevalence, predictors and relationships with psychological health. Journal of Clinical Psychology in Medical Settings, 17, 14–22.

    Article  PubMed  CAS  Google Scholar 

  • Leventhal, H., Diefenbach, M., & Leventhal, E. (1992). Illness cognition: Using common-sense to understand treatment adherence and affect-cognition interactions. Cognitive Therapy and Research, 16, 143–163.

    Article  Google Scholar 

  • Leventhal, H., Benyamini, Y., Brownlee, S., Diefenbach, M., Leventhal, E. A., Patrick-Miller, L., et al. (1997). Illness representations: Theoretical foundations. In K. J. Petrie & J. Weinman (Eds.), Perceptions of Health and Illness. London: Harwood Academic Publishers.

    Google Scholar 

  • Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353–2376.

    Article  Google Scholar 

  • Mohr, D. C., & Cox, D. S. (2001). Multiple sclerosis: Empirical literature for the clinical health psychologist. Journal of Clinical Psychology, 57, 479–499.

    Article  PubMed  CAS  Google Scholar 

  • Mohr, D. C., Dick, L. P., Russo, D., Pinn, J., Boudewyn, A. C., Likosky, W., et al. (1999). The psychosocial impact of multiple sclerosis: Exploring the patient’s perspective. Health Psychology, 18, 376–382.

    Article  PubMed  CAS  Google Scholar 

  • Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The revised Illness Perception Questionnaire (IPQ-R). Psychology and Health, 17, 1–16.

    Article  Google Scholar 

  • Nyenhuis, D. L., Luchetta, T., Yamamoto, C., Terrien, A., Bernardin, L., Rao, S. M., et al. (1998). The development, standardization and initial validation of the Chicago Multiscale Depression Inventory. Journal of Personality Assessment, 70, 386–401.

    Article  PubMed  CAS  Google Scholar 

  • Pakenham, K. I. (2005). The positive impact of multiple sclerosis (MS) on carers: Associations between carer benefit finding and positive and negative adjustment domains. Disability and Rehabilitation, 27, 985–997.

    Article  PubMed  Google Scholar 

  • Polman, C. H., Reingold, S. C., Edan, G., Filippi, M., Hartung, H. P., Kappos, L., et al. (2005). Diagnostic criteria for multiple sclerosis: 2005 revisions to the “McDonald Criteria”. Annals of Neurology, 58, 840–846.

    Article  PubMed  Google Scholar 

  • Richards, H. L., Fortune, D. G., Chong, S. L. P., Mason, D. L., Sweeney, S. K. T., Main, C. J., et al. (2004). Divergent beliefs about psoriasis are associated with increased psychological distress. Journal of Investigative Dermatology, 123, 49–56.

    Article  PubMed  CAS  Google Scholar 

  • Sadovnick, A. D., Ebers, G. C., Dyment, D. A., & Risch, N. J. (1996). Evidence for genetic basis of multiple sclerosis. The Canadian Collaborative Study Group. Lancet, 347, 1728–1730.

    Article  PubMed  CAS  Google Scholar 

  • Seidenberg, M., Haltiner, A., Taylor, M. A., Hermann, B. B., & Wyler, A. (1994). Development and validation of a multiple ability self-report questionnaire. Journal of Clinical and Experimental Neuropsychology, 16, 93–104.

    Article  PubMed  CAS  Google Scholar 

  • Sharrack, B., & Hughes, R. A. (1999). Scale development and Guy’s Neurological Disability Scale. Journal of Neurology, 246, 226.

    Article  PubMed  CAS  Google Scholar 

  • Sharrack, B., & Jenkins, T. (2010). Disease modifying therapies in multiple sclerosis. International Journal of Clinical Practice, 64, 532–534.

    Article  PubMed  CAS  Google Scholar 

  • Siegel, K., Schrimshaw, E. W., & Pretter, S. (2005). Stress-related growth among women living with HIV/AIDS: Examination of an exploratory model. Journal of Behavioral Medicine, 28, 403–414.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins College Publishers.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.

    Article  PubMed  CAS  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.

    Article  Google Scholar 

  • Tedeschi, R. G., Park, C., & Calhoun, L. G. (1998). Posttraumatic growth: Conceptual issues. In R.G. Tedeschi, C. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis. London: Lawrence Erlbaum Associates.

  • Updegraff, J. A., Taylor, S. E., Kemeny, M. E., & Wyatt, G. E. (2002). Positive and negative effects of HIV infection in women with low socioeconomic resources. Personality and Social Psychology Bulletin, 28, 382–394.

    Article  Google Scholar 

  • Weiss, T. (2004). Correlates of posttraumatic growth in husbands of breast cancer survivors. Psycho-Oncology, 13, 260–268.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Claire L. Isaac.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ackroyd, K., Fortune, D.G., Price, S. et al. Adversarial Growth in Patients with Multiple Sclerosis and their Partners: Relationships with Illness Perceptions, Disability and Distress. J Clin Psychol Med Settings 18, 372–379 (2011). https://doi.org/10.1007/s10880-011-9265-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-011-9265-0

Keywords

Navigation