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  • Psychosocial Factors That Influence Quality of Life and Potential for Self-Management in Multiple Sclerosis

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    Author(s)
    Wollin, Judy
    Fulcher, Gary
    McDonald, Elizabeth
    Spencer, Nancy
    Y. Mortlock, Miranda
    Bourne, Maureen
    D. Simmons, Rex
    Griffith University Author(s)
    Wollin, Judy A.
    Year published
    2010
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    Abstract
    Optimizing quality of life (QOL) and self-management in people with multiple sclerosis (MS) is increasingly seen as a worthwhile goal. This study aimed to investigate factors that affect QOL in MS. A large national sample of Australians with MS (n = 1848) generated from the Australian Multiple Sclerosis Longitudinal Study completed a survey addressing disease duration and severity, self-efficacy, depression, perceived stress, social support, QOL, and self-management. We tested a model of self-help in which antecedent variables are influenced by mediating variables, which in turn affects outcome variables. In the current ...
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    Optimizing quality of life (QOL) and self-management in people with multiple sclerosis (MS) is increasingly seen as a worthwhile goal. This study aimed to investigate factors that affect QOL in MS. A large national sample of Australians with MS (n = 1848) generated from the Australian Multiple Sclerosis Longitudinal Study completed a survey addressing disease duration and severity, self-efficacy, depression, perceived stress, social support, QOL, and self-management. We tested a model of self-help in which antecedent variables are influenced by mediating variables, which in turn affects outcome variables. In the current study, the antecedent variables were disease duration and disease severity; the mediating variables were self-efficacy, depression, perceived stress, and social support; and the outcome variables were QOL and self-management. We also tested the hypothesis that disease severity, depression, and perceived stress would correlate inversely with QOL and potential for self-management, whereas self-efficacy and perceived level of social support would correlate positively with QOL and potential for self-management. The results indicated that the antecedent variables did not correlate with the mediating variables, with one exception: a negative correlation was found between disease severity and social support. No correlations were found between social support and QOL or self-management. However, significant correlations were found between depression, self-efficacy, stress, and social support and QOL. No correlations were found between either the antecedent or the mediating variables and self-management. The results confirm previous findings of statistically significant correlations between psychosocial factors and QOL.
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    Journal Title
    International Journal of MS Care
    Volume
    12
    DOI
    https://doi.org/10.7224/1537-2073-12.3.133
    Copyright Statement
    © 2010 Consortium of Multiple Sclerosis Centers (CMSC). The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
    Subject
    Neurology and Neuromuscular Diseases
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/36815
    Collection
    • Journal articles

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