Perfectionism and physical disability predict depression in multiple sclerosis

J Psychosom Res. 2013 Aug;75(2):187-9. doi: 10.1016/j.jpsychores.2013.06.001. Epub 2013 Jun 28.

Abstract

Objective: The relationship between depression and physical disability in multiple sclerosis (MS) is unclear. This investigation examines the interaction between disability and perfectionism in predicting depression in MS.

Methods: Participants (n=51) completed the frost multidimensional perfectionism scale (FMPS), the Chicago multiscale depression inventory (CMDI), and the Expanded Disability Status Scale (EDSS).

Results: Regression revealed that the FMPS×EDSS interaction predicted depression above the variance predicted by each variable alone. Perfectionism predicted depression at high levels of disability.

Conclusion: Our results suggest a means of reconciling inconsistent findings regarding physical disability and depression in MS and offer a potential target for psychotherapy.

Keywords: Depression; Multiple sclerosis; Neuropsychology; Physical disability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depression / complications
  • Depression / psychology*
  • Depressive Disorder / complications
  • Depressive Disorder / psychology*
  • Disability Evaluation
  • Disabled Persons / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications
  • Multiple Sclerosis / psychology*
  • Personality*
  • Psychiatric Status Rating Scales
  • Quality of Life