title: "Putting one foot in front of the other": a qualitative study of emotional experiences and help-seeking in women with multiple sclerosis.
abstract: Treatments for depression and anxiety in multiple sclerosis (MS) are effective but evidence suggests that individuals do not always seek help for emotional difficulties. This study explored how ten women with MS (aged 30-64), recruited via a hospital based MS clinic, coped with and understood their emotions. The semi-structured interviews were analysed using interpretative phenomenological analysis. Eight participants discussed the analytic process and themes. Four overarching themes emerged: Disclosure stress, Uncomfortable dependence, Facing deterioration and One step at a time. The women struggled emotionally with many aspects of living with MS yet coping alone provided a way of defying MS and maintaining independence and control. The women needed emotional support but reported thinking others either did not notice or understand; their emotions often felt invisible. More holistic care from services was desired. Non help-seeking for distress was partially influenced by a desire to keep things "normal" and a lack of knowledge regarding service provision.
authors.affiliation: Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, S10 2TN, UK, j.blundelljones@gmail.com.
authors.forename: Joanna
authors.initials: J
authors.lastname: Blundell Jones
authors.forename: Sue
authors.initials: S
authors.lastname: Walsh
authors.forename: Claire
authors.initials: C
authors.lastname: Isaac
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D004644:Emotions; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D001523:Mental Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research