The stress-buffering effects of hope on adjustment to multiple sclerosis

Madan, Sindia and Pakenham, Kenneth I. (2014) The stress-buffering effects of hope on adjustment to multiple sclerosis. International Journal of Behavioral Medicine, 21 6: 877-890. doi:10.1007/s12529-013-9384-0

Author Madan, Sindia
Pakenham, Kenneth I.
Title The stress-buffering effects of hope on adjustment to multiple sclerosis
Journal name International Journal of Behavioral Medicine   Check publisher's open access policy
ISSN 1070-5503
Publication date 2014-01-17
Year available 2014
Sub-type Article (original research)
DOI 10.1007/s12529-013-9384-0
Open Access Status
Volume 21
Issue 6
Start page 877
End page 890
Total pages 14
Place of publication New York, NY, United States
Publisher Springer New York
Collection year 2015
Language eng
Formatted abstract
Background: Hope is an important resource for coping with chronic illness; however, the role of hope in adjusting to multiple sclerosis (MS) has been neglected, and the mechanisms by which hope exerts beneficial impacts are not well understood.

Purpose: This study aims to examine the direct and stress-moderating effects of dispositional hope and its components (agency and pathways) on adjustment to MS.

Method: A total of 296 people with MS completed questionnaires at time 1 at 12 months later and time 2. Focal predictors were stress, hope, agency and pathways, and the adjustment outcomes were anxiety, depression, positive affect, positive states of mind and life satisfaction.

Results: Results of regression analyses showed that as predicted, greater hope was associated with better adjustment after controlling for the effects of time 1 adjustment and relevant demographics and illness variables. However, these direct effects of hope were subsumed by stress-buffering effects. Regarding the hope components, the beneficial impacts of agency emerged via a direct effects mechanism, whereas the effects of pathways were evidenced via a moderating mechanism.

Conclusion: Findings highlight hope as an important protective coping resource for coping with MS and accentuate the roles of both agency and pathways thinking and their different modes of influence in this process.
Keyword Multiple sclerosis
Quality of life
Stress buffering
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Psychology Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 1 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 21 Oct 2014, 03:08:06 EST by System User on behalf of School of Psychology