Evid Based Nurs 12:124 doi:10.1136/ebn.12.4.124
  • Qualitative

Women who coped successfully with progressive MS learned to confront their diagnosis and live with its unpredictable changes


How are 7 precursors of change expressed in women who are coping effectively with progressive multiple sclerosis (MS), and how do they change in intensity over time?


Qualitative study.


A midwestern state in the USA.


10 women who were 46–68 years of age (mean age 56 y); had progressive-relapsing, secondary progressive, or primary progressive MS for ⩾8 years (mean 17 y); did not have current major depression; and were assessed (by self or physician) as coping successfully with the disease.


For each precursor of change, women were asked about the intensity of the precursor currently and at diagnosis, and to account for the change between the time of diagnosis and now. Interviews were transcribed and analysed thematically.

Main findings

Expressions of each of the 7 precursors to change are described. (1) Sense of necessity. Women felt a sense of necessity more intensely at the time of diagnosis; they urgently wanted to know what was going to happen to them. This feeling subsided with time as they learned how the disease changed from day to day. They learned to accept it. (2) Willingness to experience anxiety or difficulty. This precursor was stronger at …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article