多发性硬化症患者体育活动与应对压力的关系:一种适度调解模型,将自我效能和残疾水平作为变量
Maciej Wilski1, Waldemar Brola2, Magdalena Koper1
1Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland.
International journal of clinical and health psychology : IJCHP
|October 16, 2023
概括
身体活动可以提高多发性硬化症 (MS) 患者的应对压力,特别是那些残疾程度较高的患者,通过提高自我效能来提高应对压力. 这种关系在患有较低多发性硬化症相关残疾的人群中不那么明显.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 越来越多的证据将体育活动与在多发性硬化症 (MS) 中改善应对压力的联系起来.
- 影响MS患者这种关系的具体因素仍未得到充分研究.
- 了解调解员和主持人对于优化干预至关重要.
研究的目的:
- 检查MS患者习惯性体力活动与应对效率之间的关联.
- 研究自我效能在身体活动与应对关系中的调解作用.
- 探索残疾水平对这种关联的缓解效应.
主要方法:
- 与351名被诊断患有多发性硬化症的参与者进行横截面研究.
- 使用了经过验证的身体活动问卷 (戈丁休时间运动问卷),自我效能 (通用自我效能量表) 和应对能力 (Mini-COPE库存) 的问卷.
- 使用扩展残疾状况表 (EDSS) 评估残疾严重程度;采用调节调解分析.
主要成果:
- 身体活动与中高水平残疾人的自我效能有着积极的相关性.
- 更高的自我效能与更有效的应对压力策略有关.
- 身体活动和自我效能之间的关联在高残疾人群中是显著的,但在低残疾人群中却没有.
结论:
- 身体活动对MS患者的心理社会功能有积极的影响,特别是那些严重残疾的人.
- 自我有效性和改善应对压力可能会调解体育活动的好处.
- 促进身体活动的干预措施可能对与MS相关的残疾较高的人特别有益.
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