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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
Psychological and physical predictors of illness intrusiveness in patients with multiple sclerosis
Stacey Snyder1, Frederick W Foley, Eileen Farrell
1Ferkauf Graduate School of Psychology, Yeshiva University, United States.
Abstract:
Physical disability as well as psychological factors may contribute to illness intrusiveness. The aim of this study was to determine if level of disability, anxiety, and depression predicted illness intrusiveness in patients with multiple sclerosis (MS). A second aim of this study was to determine if anxiety and depression moderated the impact of disability on illness intrusiveness. MS (N=185) patients were recruited from a MS outpatient clinic that was part of a major medical center in New Jersey. Hierarchical linear regressions demonstrated that disability, anxiety, and depression each independently predicted illness intrusiveness. Anxiety and depression were not shown to moderate the impact of disability on illness intrusiveness. Implications of results from the first aim suggest that reducing psychological distress such as anxiety and depression may also reduce illness intrusiveness in patients with MS.
Insights
In patients with multiple sclerosis (MS), higher levels of physical disability, anxiety, and depression independently predicted greater illness intrusiveness. Reducing psychological distress may help manage MS symptom perception.
Area of Science:
- Neurology
- Psychology
- Rehabilitation Medicine
Background:
- Illness intrusiveness, the extent to which a chronic illness disrupts one's life, is influenced by both physical and psychological factors.
- Understanding these contributing factors is crucial for developing effective management strategies for patients with chronic conditions like multiple sclerosis (MS).
Purpose of the Study:
- To investigate the predictive relationship between the level of physical disability, anxiety, and depression on illness intrusiveness in patients with multiple sclerosis (MS).
- To examine whether anxiety and depression moderate the effect of disability on illness intrusiveness in the MS population.
Main Methods:
- A cohort of 185 patients diagnosed with multiple sclerosis (MS) was recruited from an MS outpatient clinic.
- Hierarchical linear regression analyses were employed to assess the relationships between disability, psychological factors, and illness intrusiveness.
Main Results:
- Physical disability, anxiety, and depression were each found to be independent predictors of illness intrusiveness in patients with MS.
- No significant moderating effect of anxiety or depression was observed on the relationship between disability and illness intrusiveness.
Conclusions:
- The findings highlight that psychological distress, specifically anxiety and depression, plays a significant role in the experience of illness intrusiveness for MS patients.
- Interventions aimed at reducing anxiety and depression may be beneficial in mitigating illness intrusiveness and improving the quality of life for individuals living with MS.
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