dc.creator | Gil González, Irene | es |
dc.creator | Martín Rodríguez, Agustín | es |
dc.creator | Conrad, Rupert | es |
dc.creator | Pérez San Gregorio, María de los Ángeles | es |
dc.date.accessioned | 2023-12-11T15:00:10Z | |
dc.date.available | 2023-12-11T15:00:10Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Gil González, I., Martín Rodríguez, A., Conrad, R. y Pérez San Gregorio, Á. (2022). Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life. Psychology, Health and Medicine, 28 (5), 1167-1180. https://doi.org/10.1080/13548506.2022.2077395. | |
dc.identifier.issn | 1354-8506 (impreso) | es |
dc.identifier.issn | 1465-3966 (electrónico) | es |
dc.identifier.uri | https://hdl.handle.net/11441/152365 | |
dc.description.abstract | 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. | es |
dc.description.sponsorship | Ministerio de Educación, Cultura y Deporte FPU 17/04240 | es |
dc.description.sponsorship | Consejería de Transformación Económica, Industria, Conocimiento y Universidades de la Junta de Andalucía US-1379382 | es |
dc.description.sponsorship | European Regional Development Fund (ERDF) US-1379382 | |
dc.format | application/pdf | es |
dc.language.iso | eng | es |
dc.publisher | Taylor and Francis Group | es |
dc.relation.ispartof | Psychology, Health and Medicine, 28 (5), 1167-1180. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Multiple Sclerosis | es |
dc.subject | Coping Strategies | es |
dc.subject | Social Support | es |
dc.subject | Health Related Quality of Life | es |
dc.subject | Risk and protective factors | es |
dc.title | Coping with multiple sclerosis: reconciling significant aspects of health-related quality of life | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/acceptedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos | es |
dc.relation.projectID | FPU 17/04240 | es |
dc.relation.projectID | US-1379382 | es |
dc.relation.publisherversion | https://www.tandfonline.com/doi/full/10.1080/13548506.2022.2077395 | es |
dc.identifier.doi | 10.1080/13548506.2022.2077395 | es |
dc.journaltitle | Psychology, Health and Medicine | es |
dc.publication.volumen | 28 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 1167 | es |
dc.publication.endPage | 1180 | es |
dc.contributor.funder | Ministerio de Educación, Cultura y Deporte (MECD). España | es |
dc.contributor.funder | European Regional Development Fund (ERDF) | es |
dc.contributor.funder | Consejería de Transformación Económica, Industria, Conocimiento y Universidades. Junta de Andalucía | es |