Mental Toughness, Emotional Competencies, and Depression in Multiple Sclerosis

Mental Toughness, Emotional Competencies, and Depression in Multiple Sclerosis

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DOI 10.20900/jpbs.20250014
刊名
JPBS
年,卷(期) 2025, 10(5)
作者
作者单位

Department of Education and Psychology, Shahid Ashrafi Esfahani University, Esfahan 8179949999, Iran ;
Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Esfahan 8174673461, Iran ;
Department of Education and Psychology, University of Isfahan, Esfahan 8174673441, Iran ;
Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel 4002, Switzerland;
annette ;
Center for Affective, Stress and Sleep Disorders, Psychiatric Hospital of the University of Basel, Basel 4002, Switzerland ;

摘要
Background: Persons with multiple sclerosis (PwMS) reported lower emotional competencies (EC) and higher symptoms of depression (SD), compared to the general population. Mental Toughness (MT) reflects a person’s mental attitude to control their life, to stay committed to their aims, to perceive changes in life as a challenge, and to have confidence in their strengths. Research among the general population showed that MT had the potential to counterbalance SD. Here, we tested whether MT was related to SD and EC among a sample of PwMS. Methods: A total of 1079 PwMS (mean age: 34.6 years; 81.1% females; median EDSS: 2) completed a series of self-rating questionnaires on sociodemographic and illness-related information, SD, EC, and MT. Results: Higher scores for MT were associated with lower scores for SD (r = −0.61), and with higher scores for EC (r = 0.53), while higher SD scores were associated with lower EC (r = −0.42), The conditional effect model showed that higher MT scores were directly associated with higher EC scores, while the indirect association via depression was negligeable. Conclusions: Among a large sample of PwMS, scores for MT, SD, and EC were intertwined. Further, MT was directly associated with SC. Given that standardized CBT intervention programs for MT, EC, and SD are available for the general population, to increase the well-being of PwMS, such interventions might also be suitable. The beauty of the study is that the present study appears to be one of the first studies to link MT and EC in a neurological population.
Abstract
Background: Persons with multiple sclerosis (PwMS) reported lower emotional competencies (EC) and higher symptoms of depression (SD), compared to the general population. Mental Toughness (MT) reflects a person’s mental attitude to control their life, to stay committed to their aims, to perceive changes in life as a challenge, and to have confidence in their strengths. Research among the general population showed that MT had the potential to counterbalance SD. Here, we tested whether MT was related to SD and EC among a sample of PwMS. Methods: A total of 1079 PwMS (mean age: 34.6 years; 81.1% females; median EDSS: 2) completed a series of self-rating questionnaires on sociodemographic and illness-related information, SD, EC, and MT. Results: Higher scores for MT were associated with lower scores for SD (r = −0.61), and with higher scores for EC (r = 0.53), while higher SD scores were associated with lower EC (r = −0.42), The conditional effect model showed that higher MT scores were directly associated with higher EC scores, while the indirect association via depression was negligeable. Conclusions: Among a large sample of PwMS, scores for MT, SD, and EC were intertwined. Further, MT was directly associated with SC. Given that standardized CBT intervention programs for MT, EC, and SD are available for the general population, to increase the well-being of PwMS, such interventions might also be suitable. The beauty of the study is that the present study appears to be one of the first studies to link MT and EC in a neurological population.
关键词
multiple sclerosis; mental toughness; symptoms of depression; emotional competencies; conditional effect model
KeyWord
multiple sclerosis; mental toughness; symptoms of depression; emotional competencies; conditional effect model
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Laleh Sadeghi Bahmani,Vahid Shaygannejad,Leila Esmaeili,Omid Mirmosayyeb,Mahshad Afsharzadeh,Annette Beatrix Brühl,Serge Brand,Dena Sadeghi-Bahmani*. Mental Toughness, Emotional Competencies, and Depression in Multiple Sclerosis [J]. Journal of Psychiatry and Brain Science. 2025; 10; (5). - .

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