Explanation of psychological problems and coping behaviors among women with multiple sclerosis: A qualitative study

Multiple sclerosis (MS) is the most prevalent neurologic disabling disease in young ages accompanied by psychological side effects. Recently prevalence of MS has been rising in Iran. The aim of the present study was to explanation of psychological problems and coping behaviors among women with multiple sclerosis.

This was a qualitative study. In all 15 women with MS participated in study. Patients were selected in a convenience sampling method. Semi-structured interview was used for data collection. The data were collected until saturation achieved. After coding, the data was analyzed through conventional content analysis.

In general, five themes emerged from analysis as psychological problems. These were poor life skills, inadequate (avoidant) coping strategies, depression and emotional- cognitive distortions, relationship problems and fear of solitude including emotional dysregulation, marital, family and social relationships, cultural beliefs and MS stigmatization. In addition, extra five themes emerged as coping behaviors. These were, spiritual-religious coping, acquiring moral values, confidence on god strength and belief in eternal life, search of meaning and being purposeful, active (problem-focused) coping strategies.

The findings suggest that to overcome problems among women with MS, developing a comprehensive caring intervention and coping strategies are needed insuring that they include active (problem-focused), and spiritual-religious coping strategies.