Maciej Wilski1, Jarosław Gabryelski2, Waldemar Brola3, Tasiemski Tomasz4. 1. Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland. Electronic address: mwilski@wp.pl. 2. Division of Rehabilitation Engineering, Institute of Combustion Engines and Transport, Faculty of Machines and Transport, Poznan University Technology, Poland. 3. Department of Neurology, Specialist Hospital, Końskie, Poland; The Faculty of Medicine and Health Science, Institute of Physiotherapy, Jan Kochanowski University, Kielce, Poland. 4. Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland.
Abstract
BACKGROUND: People with multiple sclerosis (MS) report lower health-related quality of life (HRQoL). Improvements in quality of life can be made by identifying the factors that contribute to HRQoL in MS, which are both person specific and disease related. OBJECTIVE: The primary objective of this study was to examine the mutual roles of acceptance, coping, and MS severity on HRQoL. MATERIALS AND METHODS: This study included 382 patients with MS who completed the 29-item Multiple Sclerosis Impact Scale, Coping Inventory for Stressful Situations, and Acceptance of Illness Scale. A standardized questionnaire was used to collect patient clinical and demographics data. General MS severity was determined using the Expanded Disability Status Scale. RESULTS: Six variables, acceptance of illness (β = -0.24, p < 0.001), emotional coping strategy (β = 0.40, p < 0.001), avoidance coping strategy (β = -0.19, p < 0.001), illness duration (β = -0.18, p < 0.001), age at the time of the study (β = 0.14, p = 0.009) and problem coping strategy (β = -0.09, p = 0.05), were found to be the significant correlates of HRQoL in MS. The model that included these variables explained 36% of variance in self-management in MS. CONCLUSION: Psychological variables are more salient correlates of HRQoL in MS than the objective clinical variables, such as the severity or type of MS. Specifically, this study showed that MS patients who accept their illness and use more problem-solving and avoidance coping strategies and less emotional coping strategies assess their HRQoL highly.
BACKGROUND:People with multiple sclerosis (MS) report lower health-related quality of life (HRQoL). Improvements in quality of life can be made by identifying the factors that contribute to HRQoL in MS, which are both person specific and disease related. OBJECTIVE: The primary objective of this study was to examine the mutual roles of acceptance, coping, and MS severity on HRQoL. MATERIALS AND METHODS: This study included 382 patients with MS who completed the 29-item Multiple Sclerosis Impact Scale, Coping Inventory for Stressful Situations, and Acceptance of Illness Scale. A standardized questionnaire was used to collect patient clinical and demographics data. General MS severity was determined using the Expanded Disability Status Scale. RESULTS: Six variables, acceptance of illness (β = -0.24, p < 0.001), emotional coping strategy (β = 0.40, p < 0.001), avoidance coping strategy (β = -0.19, p < 0.001), illness duration (β = -0.18, p < 0.001), age at the time of the study (β = 0.14, p = 0.009) and problem coping strategy (β = -0.09, p = 0.05), were found to be the significant correlates of HRQoL in MS. The model that included these variables explained 36% of variance in self-management in MS. CONCLUSION: Psychological variables are more salient correlates of HRQoL in MS than the objective clinical variables, such as the severity or type of MS. Specifically, this study showed that MS patients who accept their illness and use more problem-solving and avoidance coping strategies and less emotional coping strategies assess their HRQoL highly.
Authors: Tehila Eilam-Stock; Jon Links; Nabil Z Khan; Tamar E Bacon; Guadalupe Zuniga; Lisa Laing; Carrie Sammarco; Kathleen Sherman; Leigh Charvet Journal: Health Psychol Open Date: 2021-10-21