S-033 | Coping Strategies in People with Multiple Sclerosis: Impact of Cognitive Impairment

S-033 | Coping Strategies in People with Multiple Sclerosis: Impact of Cognitive Impairment 150 150 SAN 2024 Annual Meeting

Cognition, Behavior, and Memory
Author: Lara Bardoneschi | Email: larambard@gmail.com


Lara Bardoneschi1°2°, Maria Sol Roman1°2°, Juan Iglesias Passada,  Florencia Daniele, Matias Herrera Fernandez, Marcelo Medina, Maria Laura Saladino,  Fernando Caceres, Sandra Vanotti

INERE. Instituto de Neurociencias Restaurativas, Buenos Aires, Argentina
Universidad de Buenos Aires. Facultad de Psicología, Instituto de investigaciones en Psicología, Buenos Aires, Argentina
Clínica Delta, Buenos Aires, Argentina

Introduction: Given the impact of a chronic condition that can lead to cognitive impairments, the effectiveness of coping strategies adopted by people with MS (PwMS) can be crucial for their adjustment process. Objective: To explore relationships between coping responses and cognition in PwMS. Method: 80 PwMS (78% women; 86% relapsing-remitting, 16% progressive) were included, mean age: 43.81±9.64, education: 14.73±2.98, and years of disease duration: 11.1±8.46. Cognitive assessment: Processing speed: Symbol Digit Modalities Test (SDMT); Verbal memory: California Verbal Learning Test-I (CVLT-I); Visuospatial memory: Brief Visuospatial Memory Test-Revised (BVMT-R). Coping responses were assessed with Coping Response Inventory-Adult (CRI-A) and categorized as problem-focused or emotion-focused, both cognitive and behavioral. Statistical Analysis: Descriptive analysis and Pearson correlations were conducted. Results: Better verbal memory and processing speed were correlated with problem-focused coping strategies, both cognitive (verbal memory r=0.499, p<0.001; processing speed r=0.265, p=0.017) and behavioral (verbal memory r=0.450, p<0.001; processing speed r=0.273, p=0.014). Conversely, lower verbal memory is associated with cognitive emotion-focused coping strategies (r=-0.304, p=0.006). Conclusions: PwMS with better-preserved verbal memory and processing speed tend to adopt cognitive problem-focused coping strategies, indicating a more active approach to challenges.

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