Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life

Multiple sclerosis (MS) symptoms and unpredictability can damage patient well-being. This study is aimed to investigate the relation between sociodemographic and clinical characteristics and the use of coping strategies as well as social support on health-related quality of life (HRQOL). We evaluate...

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Autores: Gil González, Irene, Martín Rodríguez, Agustín, Conrad, Rupert, Pérez San Gregorio, María de los Ángeles
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2022
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/152365
Acceso en línea:https://hdl.handle.net/11441/152365
https://doi.org/10.1080/13548506.2022.2077395
Access Level:acceso abierto
Palabra clave:Multiple Sclerosis
Coping Strategies
Social Support
Health Related Quality of Life
Risk and protective factors
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spelling Coping with multiple sclerosis: reconciling significant aspects of health-related quality of lifeGil González, IreneMartín Rodríguez, AgustínConrad, RupertPérez San Gregorio, María de los ÁngelesMultiple SclerosisCoping StrategiesSocial SupportHealth Related Quality of LifeRisk and protective factorsMultiple sclerosis (MS) symptoms and unpredictability can damage patient well-being. This study is aimed to investigate the relation between sociodemographic and clinical characteristics and the use of coping strategies as well as social support on health-related quality of life (HRQOL). We evaluated 314 MS outpatients of Virgen Macarena University Hospital in Sevilla/Spain (mean age 45 years, 67.8% women) twice over an 18-months period by Brief COPE Questionnaire (COPE-28), Multidimensional Scale of Perceived Social Support (MSPSS) and 12-Item Short Form Health Survey (SF-12). Female gender was significantly related to religion (r= 0.175, p< 0.001), self-distraction (r= 0.160, p< 0.001) and self-blame (r= 0.131, p< 0.05). Age correlated positively with religion (r= 0.240, p< 0.001), and self-blame (r= 0.123, p< 0.05). Progressive MS as well as functional impairment (EDSS) showed a positive relation with denial (r= 0.125, p< 0.05; r= 0.150, p< 0.001). Longer duration since diagnosis was related to lower perceived support from family (r= −0.123, p< 0.05). EDSS (β= −0.452, p< 0.001) was the strongest negative predictor of physical HRQOL followed by age (β= −0.123, p< 0.001), whereas family support was a protective factor (β= 0.096, p< 0.001). Denial (β= −0.132, p< 0.05), self-blame (β= −0.156, p< 0.05), female gender (β= −0.115, p< 0.05) and EDSS (β= −0.108, p< 0.05) negatively impacted on mental HRQOL 18 months later, whereas positive reframing (β= 0.142, p< 0.05) was a protective factor. Our study could identify sociodemographic and clinical variables associated with dysfunctional coping strategies, such as self-blame and denial, which specifically predict worse mental HRQOL as opposed to positive reframing. Diminishing dysfunctional coping and supporting cognitive reframing may contribute to improve HRQOL in MS.Ministerio de Educación, Cultura y Deporte FPU 17/04240Consejería de Transformación Económica, Industria, Conocimiento y Universidades de la Junta de Andalucía US-1379382European Regional Development Fund (ERDF) US-1379382Taylor and Francis GroupPersonalidad, Evaluación y Tratamiento PsicológicosMinisterio de Educación, Cultura y Deporte (MECD). EspañaEuropean Regional Development Fund (ERDF)Consejería de Transformación Económica, Industria, Conocimiento y Universidades. Junta de Andalucía2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/152365https://doi.org/10.1080/13548506.2022.2077395reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésPsychology, Health and Medicine, 28 (5), 1167-1180.FPU 17/04240US-1379382https://www.tandfonline.com/doi/full/10.1080/13548506.2022.2077395info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1523652026-06-17T12:51:07Z
dc.title.none.fl_str_mv Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
title Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
spellingShingle Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
Gil González, Irene
Multiple Sclerosis
Coping Strategies
Social Support
Health Related Quality of Life
Risk and protective factors
title_short Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
title_full Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
title_fullStr Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
title_full_unstemmed Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
title_sort Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life
dc.creator.none.fl_str_mv Gil González, Irene
Martín Rodríguez, Agustín
Conrad, Rupert
Pérez San Gregorio, María de los Ángeles
author Gil González, Irene
author_facet Gil González, Irene
Martín Rodríguez, Agustín
Conrad, Rupert
Pérez San Gregorio, María de los Ángeles
author_role author
author2 Martín Rodríguez, Agustín
Conrad, Rupert
Pérez San Gregorio, María de los Ángeles
author2_role author
author
author
dc.contributor.none.fl_str_mv Personalidad, Evaluación y Tratamiento Psicológicos
Ministerio de Educación, Cultura y Deporte (MECD). España
European Regional Development Fund (ERDF)
Consejería de Transformación Económica, Industria, Conocimiento y Universidades. Junta de Andalucía
dc.subject.none.fl_str_mv Multiple Sclerosis
Coping Strategies
Social Support
Health Related Quality of Life
Risk and protective factors
topic Multiple Sclerosis
Coping Strategies
Social Support
Health Related Quality of Life
Risk and protective factors
description Multiple sclerosis (MS) symptoms and unpredictability can damage patient well-being. This study is aimed to investigate the relation between sociodemographic and clinical characteristics and the use of coping strategies as well as social support on health-related quality of life (HRQOL). We evaluated 314 MS outpatients of Virgen Macarena University Hospital in Sevilla/Spain (mean age 45 years, 67.8% women) twice over an 18-months period by Brief COPE Questionnaire (COPE-28), Multidimensional Scale of Perceived Social Support (MSPSS) and 12-Item Short Form Health Survey (SF-12). Female gender was significantly related to religion (r= 0.175, p< 0.001), self-distraction (r= 0.160, p< 0.001) and self-blame (r= 0.131, p< 0.05). Age correlated positively with religion (r= 0.240, p< 0.001), and self-blame (r= 0.123, p< 0.05). Progressive MS as well as functional impairment (EDSS) showed a positive relation with denial (r= 0.125, p< 0.05; r= 0.150, p< 0.001). Longer duration since diagnosis was related to lower perceived support from family (r= −0.123, p< 0.05). EDSS (β= −0.452, p< 0.001) was the strongest negative predictor of physical HRQOL followed by age (β= −0.123, p< 0.001), whereas family support was a protective factor (β= 0.096, p< 0.001). Denial (β= −0.132, p< 0.05), self-blame (β= −0.156, p< 0.05), female gender (β= −0.115, p< 0.05) and EDSS (β= −0.108, p< 0.05) negatively impacted on mental HRQOL 18 months later, whereas positive reframing (β= 0.142, p< 0.05) was a protective factor. Our study could identify sociodemographic and clinical variables associated with dysfunctional coping strategies, such as self-blame and denial, which specifically predict worse mental HRQOL as opposed to positive reframing. Diminishing dysfunctional coping and supporting cognitive reframing may contribute to improve HRQOL in MS.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/152365
https://doi.org/10.1080/13548506.2022.2077395
url https://hdl.handle.net/11441/152365
https://doi.org/10.1080/13548506.2022.2077395
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Psychology, Health and Medicine, 28 (5), 1167-1180.
FPU 17/04240
US-1379382
https://www.tandfonline.com/doi/full/10.1080/13548506.2022.2077395
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Taylor and Francis Group
publisher.none.fl_str_mv Taylor and Francis Group
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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