Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-19T02:12:38.884Z Has data issue: false hasContentIssue false

The psychological impact of motor neurone disease

Published online by Cambridge University Press:  09 July 2009

K. E. Hogg
Affiliation:
Departments of Psychology and Neurology, Institute of Psychiatry, London
L. H. Goldstein*
Affiliation:
Departments of Psychology and Neurology, Institute of Psychiatry, London
P. N. Leigh
Affiliation:
Departments of Psychology and Neurology, Institute of Psychiatry, London
*
1Address for correspondence: Dr Laura H. Goldstein, Department of Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF

Synopsis

Self-report measures were completed by 59 individuals with motor neurone disease (MND) in order to assess whether: (a) MND affects patients' psychological well-being and quality of life; (b) if greater affective disorder is associated with greater physical disability; (c) whether accepting the illness and ways of coping have an impact on psychological distress, and (d) if beliefs over control of their health shift as the disease progresses. Results indicated that the effects of MND on everyday functioning accounted for incidence of depression and low self-esteem. Acceptance of illness was related to severity of symptoms and was a significant factor irrespective of level of physical symptomatology. Ways of coping with the illness did not relate in any significant way to severity of symptoms. Mild physical impairments were associated with an ‘internal’ view of control over health.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bergner, M., Bobbitt, R. A., Pollard, W. E., Martin, D. P. & Gilson, B. S. (1976). The Sickness Impact Profile: validation of a health status measure. Medical Care 14, 5767.CrossRefGoogle ScholarPubMed
Betts, T. A. (1988). Epilepsy and behaviour. In A Textbook of Epilepsy, 3rd edn. (ed. Laidlaw, J., Richens, A. and Oxley, J.), pp. 350385. Churchill Livingstone: Edinburgh.Google Scholar
Brown, W. A. & Mueller, P. S. (1970). Psychological function in individuals with amyotrophic lateral sclerosis (ALS). Psychosomatic Medicine 32, 141152.CrossRefGoogle ScholarPubMed
Buckman, R. (1988). I Don't Know What to Say. How to Help and Support Someone Who is Dying. Papermac: London.Google Scholar
Butler, R. N. & Lewis, M. I. (1973). Ageing and Mental Health. Mosby: St Louis.Google Scholar
David, A. S. & Gillham, R. A. (1986). Neuropsychological study of motor neurone disease. Psychosomatics 27, 441445.CrossRefGoogle Scholar
Felton, B. J. & Revenson, T. A. (1984). Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. Journal of Consulting and Clinical Psychology 52, 343353.CrossRefGoogle ScholarPubMed
Folkman, S. & Lazarus, R. A. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology 48, 150170.CrossRefGoogle ScholarPubMed
Gallassi, R., Montagna, P., Ciardulli, C., Lorusso, S., Mussuto, V. & Stracciari, A. (1985). Cognitive impairment in motor neurone disease. Acta Neurologica Scandinavica 71, 480484.CrossRefGoogle Scholar
Gallassi, R., Montagna, P., Morreale, A., Lorusso, S., Tinuper, P., Daidone, R. & Lugaresi, E. (1989). Neuropsychological, electroencephalogram and brain computed tomography findings in motor neurone disease. European Neurology 29, 115120.CrossRefGoogle Scholar
Garber, J. & Seligman, M. (eds.) (1980). Human Helplessness: Theory and Applications. Academic Press: New York.Google Scholar
Gould, B. S., Houpt, J. L. & Norris, F. H. (1977). Psychological characteristics of patients with amyotrophic lateral sclerosis (ALS). Psychosomatic Medicine 39, 299303.Google Scholar
Juergens, S. M., Kurland, L. T., Okazaki, H. & Mulder, D. W. (1982). ALS in Rochester, Minnesota, 1925–1977. Neurology (NY) 30, 465470.Google Scholar
Kew, J. J. M., Goldstein, L. H., Leigh, P. N., Abrahams, S., Cosgrave, N., Passingham, R. E., Frackowiak, R. S. J. & Brooks, D. J. (1993). The relationship between abnormalities of cognitive function and cerebral activation in amyotrophic lateral sclerosis: a neuropsychological and positron emission tomography study. Brain 116, 13991423.CrossRefGoogle ScholarPubMed
Lambert, V. A. (1981). Factors Affecting Psychological Well-being in Rheumatoid Arthritic Women. Ph.D. thesis, San Francisco School of Nursing: University of California.Google Scholar
Larson, R. (1978). Thirty years of research on the subjective well-being of older Americans. Journal of Gerontology 33, 109129.CrossRefGoogle ScholarPubMed
Lazarus, R. S. & Folkman, S. (1984). Coping and adaptation. In The Handbook of Behavioural Medicine (ed. Gentry, W. D.), pp. 282325. Guildford Press: New York.Google Scholar
MacCarthy, B. & Brown, R. (1989). Psychosocial factors in Parkinson's disease. British Journal of Clinical Psychology 28, 4152.CrossRefGoogle ScholarPubMed
Moos, R. H. (1982). Coping with acute health crises. In Handbook of Clinical Health Psychology (ed. Millon, T., Green, C. and Meagher, R.), pp. 129151. Plenum: New York.CrossRefGoogle Scholar
Patrick, D. L., Sitampalam, Y., Somerville, S. M., Carter, W. B. & Bergner, M. (1985). A cross-cultural comparison of health status values. American Journal of Public Health 75, 14021407.CrossRefGoogle ScholarPubMed
Rosen, A. D. (1978). Amyotrophic lateral sclerosis: clinical features and prognosis. Archives of Neurology 36, 638642.CrossRefGoogle Scholar
Rosenberg, M. (1967). Society and the Adolescent Self-Image. Princeton University Press: Princeton, New York.Google Scholar
Spitzer, W. O. (1987). State of science 1986: quality of life and functional status as target variables for research. Journal of Chronic Diseases 40, 465571.CrossRefGoogle ScholarPubMed
SPSS (1988). SPSS/PC+. SPSS Inc.: Chicago.Google Scholar
Swash, M. & Ingram, D. (1988). Preclinical and Subclinical events in motor neurone disease. Journal of Neurology, Neurosurgery and Psychiatry 51, 165168.CrossRefGoogle Scholar
Wallston, B. S., Wallston, K. A., Kaplan, G. D. & Maides, S. A. (1976). Development and validation of the Health Locus of Control (H LC) Scale. Journal of Consulting and Clinical Psychology 44, 580585.CrossRefGoogle Scholar
Woods, R. T. & Britton, P. G. (1985). Clinical Psychology with the Elderly. Croom Helm: Beckenham.Google Scholar
Zigmond, A. S. & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica 67, 361370.CrossRefGoogle ScholarPubMed