Self-report measures were completed by 59 individuals with motor neuro
ne disease (MND) in order to assess whether: (a) MND affects patients'
psychological well-being and quality of life; (b) if greater affectiv
e disorder is associated with greater physical disability; (c) whether
accepting the illness and ways of coping have an impact on psychologi
cal distress, and (d) if beliefs over control of their health shift as
the disease progresses. Results indicated that the effects of MND on
everyday functioning accounted for incidence of depression and low sel
f-esteem. Acceptance of illness was related to severity of symptoms an
d was a significant factor irrespective of level of physical symptomat
ology. Ways of coping with the illness did not relate in any significa
nt way to severity of symptoms. Mild physical impairments were associa
ted with an 'internal' view of control over health.