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Positive everyday experiences interact with social support to predict depression in multiple sclerosis

Published online by Cambridge University Press:  27 July 2010

GRAY A. VARGAS*
Affiliation:
Psychology Department, Penn State University, University Park, Pennsylvania
PETER A. ARNETT
Affiliation:
Psychology Department, Penn State University, University Park, Pennsylvania
*
*Correspondence and reprint requests to: Gray A. Vargas, Department of Psychology, The Pennsylvania State University, 420 Moore Building, University Park, PA 16802-3106. E-mail: gav111@psu.edu

Abstract

Both social support and stress predict depression in multiple sclerosis (MS) patients. Little work has been done on the relationship between positive life experiences and depression in this group. Ninety MS patients completed the Social Support Questionnaire (SSQ), the Hassles and Uplifts Scale (HUS), the Chicago Multiscale Depression Inventory (CMDI), and the Affective Reading Span Task (ARST). The Expanded Disability Status Scale (EDSS) was also used. Separate regression analyses were conducted with the EDSS entered at step 1, ARST memory bias score at step 2, SSQ at step 3, either Hassles or Uplifts at step 4, and the interaction term at step 5 to predict depression. Uplifts interacted significantly with social support to predict depression, but hassles did not. After considering disability level, memory bias, and social support and uplifts main effects, the interaction of uplifts and social support accounted for nearly 5% independent variance in depression (p < .05). These results suggest that the absence of uplifts, combined with low levels of social support, is related to depression in MS patients. More generally, these data indicate that it is important to study the absence of positive experiences along with stress and negative experiences in this population. (JINS, 2010, 16, 1039–1046.)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2010

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References

REFERENCES

Aikens, J.E., Fischer, J.S., Namey, M., & Rudick, R.A. (1997). A replicated prospective investigation of life stress, coping, and depressive symptoms in multiple sclerosis. Journal of Behavioral Medicine, 20, 433445.CrossRefGoogle ScholarPubMed
Arnett, P.A., Barwick, F.H., & Beeney, J.E. (2008). Depression in multiple sclerosis: Review and theoretical proposal. Journal of the International Neuropsychological Society, 14, 691724.CrossRefGoogle ScholarPubMed
Arnett, P.A., Higginson, C.I., Voss, W.D., Bender, W.I., Wurst, J.M., & Tippin, J. (1999). Depression in multiple sclerosis: Relationship to working memory capacity. Neuropsychology, 13, 546556.CrossRefGoogle ScholarPubMed
Arnett, P.A., Higginson, C.I., Voss, W.D., Wright, B., Bender, W.I., Wurst, J.M., et al. . (1999). Depressed mood in multiple sclerosis: Relationship to capacity-demanding memory and attentional functioning. Neuropsychology, 13, 434446.CrossRefGoogle ScholarPubMed
Arnett, P.A., Higginson, C.I., & Randolph, J.J. (2001). Depression in multiple sclerosis: Relationship to planning ability. Journal of the International Neuropsychological Society, 7, 665674.CrossRefGoogle ScholarPubMed
Beeney, J., & Arnett, P.A. (2008). Stress and memory bias interact to predict depression in multiple sclerosis. Neuropsychology, 22, 118126.CrossRefGoogle ScholarPubMed
Bruce, J.M., & Arnett, P.A. (2005). Depressed MS patients exhibit affective memory biases during and after a list learning task that suppresses higher-order encoding strategies. Journal of the International Neuropsychological Society, 11, 514521.CrossRefGoogle Scholar
Clark, L.A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316336.CrossRefGoogle ScholarPubMed
Cohen, S., & Wills, T.A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310357.CrossRefGoogle ScholarPubMed
Daneman, M., & Carpenter, P.A. (1980). Individual differences in working memory and reading. Journal of Verbal Learning and Verbal Behavior, 19, 450466.CrossRefGoogle Scholar
DeLongis, A. (1985). The relationship of everyday stress to health and well-being: Inter- and imraindiridual approaches. Unpublished doctoral dissertation. University of California, Berkeley.Google Scholar
DeLongis, A., Folkman, S., & Lazarus, R.S. (1988). The impact of daily stress on health and mood: Psychological and social resources as mediators. Journal of Personality and Social Psychology, 54, 486495.CrossRefGoogle ScholarPubMed
Devins, G.M., Styra, R., O’Connor, P., Gray, T., Seland, T.P., Klein, G., et al. . (1996). Psychosocial impact of illness intrusiveness moderated by age in multiple sclerosis. Psychology, Health and Medicine, 1, 179191.CrossRefGoogle Scholar
Feinstein, A., O’Conner, P., & Feinstein, K. (2002). Multiple sclerosis, interferon beta 1b and depression. Journal of Neurology, 24, 815820.CrossRefGoogle Scholar
Gilboa, E., & Gotlib, I.H. (1997). Cognitive biases and affect persistence in previously dysphoric and never-dysphoric individuals. Cognition and Emotion, 11, 517538.CrossRefGoogle Scholar
Gilchrist, A.C., & Creed, F.H. (1994). Depression, cognitive impairment, and social stress in multiple sclerosis. Journal of Psychosomatic Research, 38, 193201.CrossRefGoogle ScholarPubMed
Hart, S.L., Vella, L., & Mohr, D.C. (2008). Relationships among depressive symptoms, benefit-finding, optimism, and positive affect in multiple sclerosis patients after psychotherapy for depression. Health Psychology, 27, 230238.CrossRefGoogle ScholarPubMed
Kanner, A.D., Coyne, J.C., Schaefer, C., & Lazarus, R.S. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 4, 139.CrossRefGoogle ScholarPubMed
King, K.E., & Arnett, P.A. (2005). Predictors of dyadic adjustment in multiple sclerosis. Multiple Sclerosis, 11, 700707.CrossRefGoogle ScholarPubMed
Kneebone, I.I., & Dunmore, E. (2004). Attributional style and symptoms of depression in persons with multiple sclerosis. International Journal of Behavioral Medicine, 11, 110115.CrossRefGoogle ScholarPubMed
Kurtzke, J.F. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology, 33, 14441452.CrossRefGoogle ScholarPubMed
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
Lublin, F.D., & Reingold, S.C. (1996). Defining the clinical course of multiple sclerosis: Results of an international survey. Neurology, 46, 907911.CrossRefGoogle ScholarPubMed
MacLeod, A.K., & Byrne, A. (1996). Anxiety, depression and the anticipation of future positive and negative experiences. Journal of Abnormal Psychology, 105, 286289.CrossRefGoogle ScholarPubMed
MacLeod, A.K., & Moore, R. (2000). Positive thinking revisited: Positive cognitions, well-being and mental health. Clinical Psychology & Psychotherapy, 7, 110.3.0.CO;2-S>CrossRefGoogle Scholar
Madu, S.N., & De Jong, E.S. (2002). Changing stress levels through gaining information on stress. Curationis, 25, 2834.CrossRefGoogle ScholarPubMed
Maybery, D.J. (2003). Including interpersonal events on hassle and uplift scales: Verification employing global and molecular events. Stress and Health, 19, 289296.CrossRefGoogle Scholar
Maybery, D.J. (2004). Incorporating interpersonal events within uplift measurement. Social Research Indicators, 68, 3557.CrossRefGoogle Scholar
Maybery, D.J., Jones-Ellis, J., Neale, J., & Arentz, A. (2006). The Positive Event Scale: Measuring uplift frequency and intensity in an adult sample. Social Indicators Research, 78, 6183.CrossRefGoogle Scholar
McCabe, M.P., McKern, S., & McDonald, E. (2004). Coping and psychological adjustment among people with multiple sclerosis. Journal of Psychosomatic Research, 56, 355361.CrossRefGoogle ScholarPubMed
McCabew, M.P., & De Judicibus, M. (2005). The effects of economic disadvantage on psychological well-being and quality of life among people with multiple sclerosis. Journal of Health Psychology, 10, 163173.CrossRefGoogle ScholarPubMed
McDonald, W.I., Compston, A., Edan, G., Goodkin, D., Hartung, H., Lublin, F.D., et al. . (2001). Recommended diagnostic criteria for multiple sclerosis: Guidelines from the International Panel on the diagnosis of multiple sclerosis. Annals of Neurology, 50, 121127.CrossRefGoogle ScholarPubMed
McIvor, G.P., Riklan, M., & Reznikoff, M. (1984). Depression in multiple sclerosis as a function of length and severity of illness, age, remissions, and perceived social support. Journal of Clinical Psychology, 40, 10281033.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Mohr, D.C., & Goodkin, D.E. (1999). Treatment of depression in multiple sclerosis: Review and meta-analysis. Clinical Psychology: Science and Practice, 6, 19.Google Scholar
Mohr, D.C., Goodkin, D.E., Bacchetti, P., et al. . (2000). Psychological stress and the subsequent appearance of new brain MRI lesions in MS. Neurology, 55, 5561.CrossRefGoogle ScholarPubMed
Mohr, D.C., Hart, S.L., Julian, L., Catledge, C., Honos-Webb, L., Vella, L., et al. . (2005). Telephone-administered psychotherapy for depression. Archives of General Psychiatry, 62, 10071014.CrossRefGoogle ScholarPubMed
Moore, A.C., MacLeod, A.K., Barnes, D., & Langdon, D.W. (2006). Future-directed thinking and depression in relapsing-remitting multiple sclerosis. British Journal of Health Psychology, 11(Pt 4), 663675.CrossRefGoogle ScholarPubMed
Moran, P.J., & Mohr, D.C. (2005). The validity of Beck Depression Inventory and Hamilton Rating Scale for Depression items in the assessment of depression among patients with multiple sclerosis. Journal of Behavioral Medicine, 28, 3541.CrossRefGoogle ScholarPubMed
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, 386401.CrossRefGoogle ScholarPubMed
Nyenhuis, D.L., Rao, S.M., Zajecka, J., Luchetta, T., Bernardin, L., & Garron, D.C. (1995). Mood disturbance versus other symptoms of depression in multiple sclerosis. Journal of the International Neuropsychological Society, 1, 291296.CrossRefGoogle ScholarPubMed
Pakenham, K.I. (1999). Adjustment to multiple sclerosis: Application of a stress and coping model. Health Psychology, 18, 383392.CrossRefGoogle ScholarPubMed
Patten, S.B., & Metz, L.M. (1997). Depression in multiple sclerosis. Psychotherapy and Psychosomatics, 66, 286292.CrossRefGoogle ScholarPubMed
Patten, S.B., Metz, L.M., & Reimer, M.A. (2000). Biopsychosocial correlates of lifetime major depression in a multiple sclerosis population. Multiple Sclerosis, 6, 115120.CrossRefGoogle Scholar
Phillips, L.J., & Stuifbergen, A.K. (2008). The influence of positive experiences on depression and quality of life in persons with multiple sclerosis. Journal of Holistic Nursing, 26, 4148.CrossRefGoogle ScholarPubMed
Poser, C.M., Paty, D.W., Scheinberg, L., McDonald, W.I., Davis, F.A., Ebers, G.C., et al. . (1983). New diagnostic criteria for multiple sclerosis: Guidelines for research protocols. Annals of Neurology, 13, 227231.CrossRefGoogle ScholarPubMed
Ron, M.A., & Logsdail, S.J. (1989). Psychiatric morbidity in multiple sclerosis: A clinical and MRI study. Psychological Medicine, 19, 887895.CrossRefGoogle ScholarPubMed
Sadovnick, A.D., Remick, R.A., Allen, J., Swartz, E., Yee, I.M., Eisen, K., et al. . (1996). Depression and multiple sclerosis. Neurology, 46, 628632.CrossRefGoogle ScholarPubMed
Sarason, I.G., Levine, H.M., Basham, R.B., & Sarason, B.R. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127139.CrossRefGoogle Scholar
Schwartz, C., & Frohner, R. (2005). Contribution of demographic, medical, and social support variables in predicting the mental health dimension of quality of life among people with multiple sclerosis. Health and Social Work, 30, 203212.CrossRefGoogle ScholarPubMed
Schwartz, L., & Kraft, G.H. (1999). The role of spouse responses to disability and family environment in multiple sclerosis. American Journal of Physical Medicine and Rehabilitation, 78, 525532.CrossRefGoogle ScholarPubMed
Solari, A., Amato, M.P., Bergamaschi, R., Logroscino, G., Citterio, A., Bochicchio, D., et al. . (1993). Accuracy of self-assessment of the minimal record of disability in patients with multiple sclerosis. Acta Neurologica Scandinavica, 87, 4346.CrossRefGoogle ScholarPubMed
Timbremont, B., & Braet, C. (2004). Cognitive vulnerability in remitted depressed children and adolescents. Behaviour Research and Therapy, 42, 423437.CrossRefGoogle ScholarPubMed
Warren, S.A., Warren, K.G., & Cockerill, R. (1991). Emotional stress and coping in multiple sclerosis (MS) exacerbations. Journal of Psychosomatic Research, 35, 3747.CrossRefGoogle ScholarPubMed
Weller, L., & Avinir, O. (1993). Hassles, uplifts, and quality of sleep. Perceptual and Motor Skills, 76, 571576.CrossRefGoogle ScholarPubMed