{
  "abstract": "Background Neuromyelitis optica spectrum disorders (NMOSD) and myelin oligodendrocyte glycoprotein antibody-associated diseases (MOGAD) impose psychological burdens on patients. Chronic illnesses create challenges for both patients and their partners, who also play a crucial role in managing disease-related stress. Despite its relevance, little is known about the role of dyadic coping (DC) in these conditions. This study investigates DC in NMOSD and MOGAD, aiming to provide clinical recommendations.Methods The CoMMOnsense-Study is a cross-sectional, prospective study of 59 NMOSD and 50 MOGAD patients and their respective partners, recruited from 15 centres of the German Neuromyelitis Optica Study Group registry. Participants completed self-report questionnaires on DC, depression, anxiety and quality of relationship. Correlation analyses were performed to compare findings based on antibody status. Subsequently, multivariate regression analyses were conducted to identify relevant predictors of DC.Results Patients with NMOSD and MOGAD demonstrated higher levels of depressive symptoms (NMOSD: p=0.007; MOGAD: p=0.023) and stress communication scores (NMOSD: p=0.022; MOGAD: p=0.013) than their partners. Negative coping was low across all subgroups (Stanine 1). Despite high DC and relationship quality, discrepancies were observed in the coping perceptions between partners.Conclusions Coping is highly shared within partnerships affected by NMOSD and MOGAD, while discrepancies in coping perceptions and protective buffering suggest the presence of unfavourable coping mechanisms. Reducing protective buffering and illness-related distortions shows potential areas for enhancing DC.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Anna Walz"
    },
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Daria Tkachenko"
    },
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Martin W Hümmert"
    },
    {
      "affiliations": [
        "Neuroscience Clinical Research Centre (NCRC), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany",
        "Experimental and Clinical Research Centre, a cooperation between the Max Delbrück Centre for Molecular Medicine in the Helmholtz Association and Charité - Universitätsmedizin Berlin, Berlin, Germany",
        "Department of Neurology, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany"
      ],
      "name": "Patrick Schindler"
    },
    {
      "affiliations": [
        "Neuroscience Clinical Research Centre (NCRC), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany",
        "Experimental and Clinical Research Centre, a cooperation between the Max Delbrück Centre for Molecular Medicine in the Helmholtz Association and Charité - Universitätsmedizin Berlin, Berlin, Germany"
      ],
      "name": "Judith Bellmann-Strobl"
    },
    {
      "affiliations": [
        "Neuroscience Clinical Research Centre (NCRC), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany",
        "Experimental and Clinical Research Centre, a cooperation between the Max Delbrück Centre for Molecular Medicine in the Helmholtz Association and Charité - Universitätsmedizin Berlin, Berlin, Germany",
        "Department of Neurology, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany"
      ],
      "name": "Friedemann Paul"
    },
    {
      "affiliations": [
        "Department of Neurology, Medical Faculty and University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany"
      ],
      "name": "Orhan Aktas"
    },
    {
      "affiliations": [
        "Department of Neurology, Medical Faculty and University Hospital, Heinrich Heine University Düsseldorf, Düsseldorf, Germany",
        "Department of Neurology, Centre for Neurology and Neuropsychiatry, LVR-Klinikum, Heinrich Heine University Düsseldorf, Düsseldorf, Germany"
      ],
      "name": "Marius Ringelstein"
    },
    {
      "affiliations": [
        "Department of Neurology, School of Medicine, Technical University Munich, Klinikum Rechts der Isar, Munich, Germany"
      ],
      "name": "Katrin Giglhuber"
    },
    {
      "affiliations": [
        "Department of Neurology, School of Medicine, Technical University Munich, Klinikum Rechts der Isar, Munich, Germany"
      ],
      "name": "Clarissa Zappe"
    },
    {
      "affiliations": [
        "Department of Neurology, Christian-Albrechts-University Kiel, Kiel, Germany"
      ],
      "name": "Frank Leypoldt"
    },
    {
      "affiliations": [
        "Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine Main Neuroscience Network (rmn2), University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany"
      ],
      "name": "Felix Lüssi"
    },
    {
      "affiliations": [
        "Department of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany"
      ],
      "name": "Ilya Ayzenberg"
    },
    {
      "affiliations": [
        "Department of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany"
      ],
      "name": "Carolin Schwake"
    },
    {
      "affiliations": [
        "Department of Neurology, Martha-Maria Hospital Halle-Doelau, Halle (Saale), Germany"
      ],
      "name": "Ulrike Wallwitz"
    },
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Julian Reza Kretschmer"
    },
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Franziska Bütow"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Regensburg, Regensburg, Germany"
      ],
      "name": "Klemens Angstwurm"
    },
    {
      "affiliations": [
        "Department of Neurology, University Medical Center Göttingen, Göttingen, Germany"
      ],
      "name": "Leila Husseini"
    },
    {
      "affiliations": [
        "Department of Neurology and Institute of Neuroimmunology and MS (INIMS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany"
      ],
      "name": "Vivien Häußler"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Leipzig, Leipzig, Germany"
      ],
      "name": "Florian Then Bergh"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Würzburg, Würzburg, Germany"
      ],
      "name": "Axel Haarmann"
    },
    {
      "affiliations": [
        "Department of Neurology, University of Würzburg, Würzburg, Germany"
      ],
      "name": "Dominik Lehrieder"
    },
    {
      "affiliations": [
        "Department of Neurology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany",
        "Department of Neurology, University Hospital Giessen and Marburg, Marburg, Germany"
      ],
      "name": "Clemens Warnke"
    },
    {
      "affiliations": [
        "Institute of Clinical Neuroimmunology, LMU University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany"
      ],
      "name": "Tania Kümpfel"
    },
    {
      "affiliations": [
        "Institute of Clinical Neuroimmunology, LMU University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany"
      ],
      "name": "Daniel Engels"
    },
    {
      "affiliations": [
        "Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Tanja Zimmermann"
    },
    {
      "affiliations": [
        "Department of Neurology, Hannover Medical School, Hannover, Germany"
      ],
      "name": "Corinna Trebst"
    },
    {
      "affiliations": [],
      "name": "On behalf of the Neuromyelitis Optica Study Group (NEMOS)"
    }
  ],
  "title": "Dyadic Coping of NMOSD and MOGAD patients and their partners: a sociological and psychological examination of strategies (CoMMOnsense-Study)",
  "uid": "4a5d7449-b047-59fc-983d-92722088bc30"
}