Therapeutic adherence and coping strategies in patients with multiple sclerosis: An observational study

Francesco Corallo, Lilla Bonanno, Marcella Di Cara, Carmela Rifici, Edoardo Sessa, Gian Gaetano D'Aleo, Viviana Lo Buono, Giuseppe Venuti, Placido Bramanti, Silvia Marino

Research output: Contribution to journalArticle

Abstract

Multiple sclerosis (MS) is a chronic demyelinating autoimmune disorder affecting the central nervous system and targets the myelin sheaths around nerves. Local problem: Medical advances have enabled patients to lead a better quality of life (QoL) than before. However, because of its chronicity and unpredictability, it remains a very challenging disease for both patients and their families, as it involves the continued use of medication to slow down progression. The aim of this study is to assess drug adherence in patients with MS. In particular, we will examine how the way drugs are administered (oral or injective) affects compliance with therapy, including the correlation with coping strategies and the QoL of each patient.We enrolled 88 patients with MS, divided into 2 groups according to therapy (injective or oral). The Morisky Medication Adherence scale was administered to evaluate adherence to treatment, the MS QoL 54 to estimate mental and physical health, and Brief coping orientation to problems experienced Inventory for coping strategies.The results showed that in both groups the patients showed a good therapeutic alliance and trust in treatment. In particular, a correlation has been found between therapeutic adherence, adaptive coping strategies, and mental health when drug therapy is administered by injection. In conclusion, this result suggests that for patients receiving injection treatment to have greater adherence to therapy, appropriate coping strategies and good mental health must be developed in order for patients receiving injection therapy to have greater adherence to therapy; they need to develop appropriate coping strategies and good mental health to address this mode of administration successfully.

Original languageEnglish
Pages (from-to)e16532
JournalMedicine
Volume98
Issue number29
DOIs
Publication statusPublished - Jul 1 2019

ASJC Scopus subject areas

  • Medicine(all)

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