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Published in: Journal of Clinical Psychology in Medical Settings 3-4/2017

Open Access 01-12-2017

The Relational Impact of Multiple Sclerosis: An Integrative Review of the Literature Using a Cognitive Analytic Framework

Authors: Joanna Blundell Jones, Sue Walsh, Claire Isaac

Published in: Journal of Clinical Psychology in Medical Settings | Issue 3-4/2017

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Abstract

This integrative literature review uses cognitive analytic therapy (CAT) theory to examine the impact of a chronic illness, multiple sclerosis (MS), on relationships and mental health. Electronic searches were conducted in six medical and social science databases. Thirty-eight articles met inclusion criteria, and also satisfied quality criteria. Articles revealed that MS-related demands change care needs and alter relationships. Using a CAT framework, the MS literature was analysed, and five key patterns of relating to oneself and to others were identified. A diagrammatic formulation is proposed that interconnects these patterns with wellbeing and suggests potential “exits” to improve mental health, for example, assisting families to minimise overprotection. Application of CAT analysis to the literature clarifies relational processes that may affect mental health among individuals with MS, which hopefully will inform how services assist in reducing unhelpful patterns and improve coping. Further investigation of the identified patterns is needed.
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Metadata
Title
The Relational Impact of Multiple Sclerosis: An Integrative Review of the Literature Using a Cognitive Analytic Framework
Authors
Joanna Blundell Jones
Sue Walsh
Claire Isaac
Publication date
01-12-2017
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 3-4/2017
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-017-9506-y

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