Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 4/2011

01-12-2011

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

Authors: Katie Ackroyd, Dónal G. Fortune, Siân Price, Stephen Howell, Basil Sharrack, Claire L. Isaac

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2011

Login to get access

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.
Literature
go back to reference Abraído-Lanza, A. F., Guier, C., & Colón, R. M. (1998). Psychological thriving among latinas with chronic illness. Journal of Social Issues, 54, 405–424.CrossRef Abraído-Lanza, A. F., Guier, C., & Colón, R. M. (1998). Psychological thriving among latinas with chronic illness. Journal of Social Issues, 54, 405–424.CrossRef
go back to reference Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899–922.PubMedCrossRef Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899–922.PubMedCrossRef
go back to reference 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 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
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Doraiswamy, P. M., & Rao, S. M. (2004). Treating cognitive deficits in multiple sclerosis: Are we there yet? Neurology, 63, 1552.PubMed Doraiswamy, P. M., & Rao, S. M. (2004). Treating cognitive deficits in multiple sclerosis: Are we there yet? Neurology, 63, 1552.PubMed
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141–184.CrossRef Hagger, M. S., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141–184.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26, 1041–1053.PubMedCrossRef Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26, 1041–1053.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An Expanded Disability Status Scale (EDSS). Neurology, 33, 1444–1452.PubMed Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An Expanded Disability Status Scale (EDSS). Neurology, 33, 1444–1452.PubMed
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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. 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.
go back to reference Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353–2376.CrossRef Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353–2376.CrossRef
go back to reference Mohr, D. C., & Cox, D. S. (2001). Multiple sclerosis: Empirical literature for the clinical health psychologist. Journal of Clinical Psychology, 57, 479–499.PubMedCrossRef Mohr, D. C., & Cox, D. S. (2001). Multiple sclerosis: Empirical literature for the clinical health psychologist. Journal of Clinical Psychology, 57, 479–499.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Sharrack, B., & Hughes, R. A. (1999). Scale development and Guy’s Neurological Disability Scale. Journal of Neurology, 246, 226.PubMedCrossRef Sharrack, B., & Hughes, R. A. (1999). Scale development and Guy’s Neurological Disability Scale. Journal of Neurology, 246, 226.PubMedCrossRef
go back to reference Sharrack, B., & Jenkins, T. (2010). Disease modifying therapies in multiple sclerosis. International Journal of Clinical Practice, 64, 532–534.PubMedCrossRef Sharrack, B., & Jenkins, T. (2010). Disease modifying therapies in multiple sclerosis. International Journal of Clinical Practice, 64, 532–534.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins College Publishers. Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins College Publishers.
go back to reference Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.PubMedCrossRef Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.PubMedCrossRef
go back to reference Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.CrossRef Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.CrossRef
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference Weiss, T. (2004). Correlates of posttraumatic growth in husbands of breast cancer survivors. Psycho-Oncology, 13, 260–268.PubMedCrossRef Weiss, T. (2004). Correlates of posttraumatic growth in husbands of breast cancer survivors. Psycho-Oncology, 13, 260–268.PubMedCrossRef
Metadata
Title
Adversarial Growth in Patients with Multiple Sclerosis and their Partners: Relationships with Illness Perceptions, Disability and Distress
Authors
Katie Ackroyd
Dónal G. Fortune
Siân Price
Stephen Howell
Basil Sharrack
Claire L. Isaac
Publication date
01-12-2011
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2011
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-011-9265-0

Other articles of this Issue 4/2011

Journal of Clinical Psychology in Medical Settings 4/2011 Go to the issue