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Psychological factors associated with self-management in multiple sclerosis
Maciej Wilski1, Piotr Kocur2, Waldemar Brola3,4
1Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland.
Acta Neurologica Scandinavica
|March 3, 2020
Summary
Patient self-management in multiple sclerosis (MS) is linked to optimism and self-efficacy. Healthcare professionals play a key role in encouraging MS self-management behaviors.
Area of Science:
- Neurology
- Psychology
- Health Sciences
Background:
- Patient engagement improves clinical outcomes in multiple sclerosis (MS).
- Understanding psychological factors associated with MS self-management can enhance patient activation.
- Key psychological factors include self-efficacy, illness acceptance, optimism, and health locus of control (HLC).
Purpose of the Study:
- To examine the association between cognitive factors and self-management in patients with MS.
- Investigate the role of self-efficacy, acceptance of illness, optimism, and HLC in MS self-management.
Main Methods:
- Cross-sectional study design.
- 382 patients with MS completed the MS Self-Management Scale-Revised and psychological questionnaires.
- Hierarchical multiple regression analysis was used to assess associations.
Main Results:
- Optimism, self-efficacy, and external HLC (power of others) were positively associated with MS self-management.
- Internal HLC was surprisingly negatively associated with self-management.
- These psychological factors, along with disease duration and disability, explained 30% of the variance in self-management.
Conclusions:
- MS self-management is associated with a perception of healthcare professional control, higher self-efficacy, and optimism.
- Lower internal HLC was unexpectedly linked to better self-management.
- Healthcare professionals are crucial in promoting self-management activities and psychological interventions for MS patients.
Keywords:
health locus of controlillness acceptancemultiple sclerosisoptimismself-efficacyself-managementMore Related Videos
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