The aim of the study was to explore personality traits as predictors of coping with disease-related distress in patients with multiple sclerosis (MS). All patients with clinically definite MS in a city with a population of approximately 100 000 were asked to complete the NEO Personality Inventory and a multidimensional coping inventory (COPE). There was an 83% response rate yielding 49 patients for the study population and 49 controls, matched for age, gender and educational level to the MS-patients, were used as comparison. Only Neuroticism correlated significantly with emotion-focused coping in both groups. Extraversion and Openness to Experience were linked to task-oriented coping strategies in normal controls but not in the MS-group. Agreeableness was associated with avoidance-oriented coping strategies only in the MS-group. Thus, the relation of certain personality characteristics to the choice of strategies for coping with the disease-related distress appear to differ from coping with stressful problems in everyday life. As dispositional characteristics may interfere with adaptive coping responses, analysis of personality traits and coping strategies could contribute while attempting to relieve the consequences of chronic disease on everyday life.
Harper ACet al. (1986) An epidemiological description of physical, social and psychological problems in multiple sclerosis . J Chronic Dis39: 305-310 .
2.
Cervera-Deval Jet al. (1994) Social handicaps of multiple sclerosis and their relation to neurological alterations . Arch Phys Med Rehabil75: 1223-1227 .
3.
Murray TJ. (1995) The psychosocial aspects of multiple sclerosis . Neurol Clin13: 197-223 .
4.
Zeldow PB , Pavlou M. (1984) Physical disability, life stress, and psychosocial adjustment in multiple sclerosis . J Nerv Ment Dis172: 80-84 .
5.
Pakenham KI. (1999) Adjustment to multiple sclerosis: application of a stress and coping model . Health Psychol18: 383-392 .
6.
Mohr DC , Goodkin DE , Gatto N , Van der Wende J. (1997) Depression, coping and level of neurological impairment in multiple sclerosis . Mult Scler3: 254-258 .
7.
McIvor GP , Riklan M , Reznikoff M. (1984) Depression in multiple sclerosis as a function of length and severity of illness, age, remissions, and perceived social support . J Clin Psychol40: 1028-1033 .
Costa PTJ , Somerfield MR , McCrae RR. (1996) Personality and coping: A reconceptualization. In: Zeidner M , Endler NS (eds.). Handbook of coping: Theory, research, applications. John Wiley&Sons, Inc.:New York pp 44-61.
10.
Hewitt PL , Flett GL. (1996) Personality traits and the coping process. In: Zeidner M , Endler NS (eds.). Handbook of coping: Theory, research, applications. John Wiley & Sons, Inc.: New York pp 410-433.
11.
Watson D , Hubbard B. (1996) Adaptational style and dispositional structure: coping in the context of the five-factor model . JPers64: 737-774 .
12.
Cook SW , Heppner PP. (1997) A psychometric study of three coping measures . Educ Psychol Meas57: 906-923 .
13.
Vollrath M , Alnaes R , Torgersen S. (1998) Coping styles predict change in personality disorders . JPersonal Disord12: 198-209 .
14.
Bruder-Mattson JF , Hovanitz CA. (1990) Coping and attributional styles as predictors of depression . JClin Psychol46: 557-565 .
15.
Rohde P , Lewinsohn PM , Tilson M , Seeley JR. (1990) Dimensionality of coping and its relation to depression . J Pers Soc Psychol58: 499-511 .
16.
Rumpf HJ , Wessel K. (1995) Coping pattern and adjustment in multiple sclerosis . Nervenarzt66: 624-629 .
17.
Jean VM , Paul RH , Beatty WW. (1999) Psychological and neuropsychological predictors of coping patterns by patients with multiple sclerosis . J Clin Psychol55: 21-26 .
18.
Pakenham KI , Stewart CA , Rogers A. (1997) The role of coping in adjustment to multiple sclerosis-related adaptive demands . Psychol Health Med2: 197-211 .
19.
Beatty WW , et al. (1998) Correlates of coping style in patients with multiple sclerosis . Mult Scler4: 440-443 .
20.
Bolger N , Zuckerman A. (1995) A framework for studying personality in the stress process . J Pers Soc Psychol69: 890-902 .
21.
Scheier MF , Weintraub JK , Carver CS. (1986) Coping with stress: Divergent strategies of optimists and pessimists . J Pers Soc Psychol51: 1257-1264 .
22.
Fontaine KR , Manstead ASR , Wagner H. (1993) Optimism, perceived control over stress and coping . Eur J Pers7: 267-281 .
23.
Endler NS , Parker JDA. (1990) Multidimensional assessment of coping: a critical evaluation . J Pers Soc Psychol58: 844-854 .
24.
Russo J , Katon W , Lin E , Von-Korff M. (1997) Neuroticism andextraversionaspredictorsofhealthoutcomein depressed primary care patients . Psychosomatics38: 339-348 .
25.
Hooker K , Frazier LD , Monahan DJ. (1994) Personality and coping among caregivers of spouses with dementia . Gerontologist34: 386-392 .
26.
McCormick RA , Dowd ET , Quirk S , Zegarra JH. (1998) The rerlationship of NEO-PI performance to coping styles, patterns of use, and triggers for use among substance abusers . Addict Behav23: 497-507 .
27.
O'Brian TB , Delongis A. (1996) The interactional context of problem-, emotion-, and relationship-focused coping: the role of the Big Five personality factors . JPers64: 775-810 .
28.
Lysaker PH , Bell MD , Kaplan E , Bryson G. (1998) Personality and psychosocial dysfunction in schizophrenia: the association of extraversion and neuroticism to deficits in work performance . Psychiatry Res80: 61-68 .
29.
Uehara T , et al. (1999) Relationship between stress coping and personality in patients with major depressive disorder . Psychother Psychosom68: 26-30 .
30.
de Carvalho SA , Andrade MJ , Tavares MA , de Freitas JL. (1998) Spinal cord injury and psychological response . Gen Hosp Psychiatry20: 353-359 .
31.
Quirk SW , McCormick RA. (1998) Personality subtypes, coping styles, symptom correlates, and substances of choice among a cohort of substance abusers . Assessment5: 157-169 .
32.
Savastano Met al. (1996) Illness behaviour, personality traits, anxiety, and depression in patients with Meniere's disease . JOtolaryngol25: 329-333 .
33.
Poser CMet al. (1983) New diagnostic criteria for multiple sclerosis: guidelines for research protocols . Ann Neurol13: 227-231 .
34.
Kurtzke JF. (1983) Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS) . Neurology33: 1444-1452 .
35.
Kallasmaa T , Pulver A. (2000) The structure and properties of the Estonian COPE inventory . Pers Individ Differences, in press.
36.
Costa PT, Jr. , McCrae RR. (1989): The NEO-PI/NEO-FFI Manual Supplement. Odessa, FL .
37.
Pulver A , Allik J , Pulkkinen L , Hämäläinen M. (1995) A Big Five personality inventory in two non-Indo-European languages . Eur J Pers9: 109-124 .
38.
Folkman S , Lazarus RS. (1980) An analysis of coping in a middle-aged community sample . J Health Soc Behav21: 219-239 .
39.
Aldwin CM , Revenson TA. (1987) Does coping help? A reexamination of the relation between coping and mental health . J Pers Soc Psychol53: 337-348 .
40.
Jean VM , Beatty WW , Paul RH , Mullins L. (1997) Coping with general and disease-related stressors by patients with multiple sclerosis: relationships to psychological distress . Mult Scler3: 191-196 .
41.
Rao SM , Leo GJ , Bernardin L , Unverzagt F. (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction . Neurology41: 685-691 .
42.
Rao SMet al. (1991) Cognitive dysfunction in multiple sclerosis. II. Impact on employment and social functioning . Neurology41: 692-696 .
43.
Schubert DS , Foliart RH. (1993) Increased depression in multiple sclerosis patients. A meta-analysis . Psychosomatics34: 124-130 .
44.
Vercoulen JHet al. (1996) Themeasurementoffatiguein patients with multiple sclerosis. A multidimensional comparison with patients with chronic fatigue syndrome and healthy subjects . Arch Neurol53: 642-649 .
