多发性硬化症患者的疾病感知,疲劳,控制位置,自我效能和应对策略的结构关系:一个横截面研究

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Amir Akbari Esfahani¹, Abbas Pourshahbaz², Behrooz Dolatshahi¹

¹Department of Clinical Psychology, Faculty of Behavioral Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

BMC public health

|May 20, 2024

概括

疾病感知显著影响多发性硬化症 (MS) 患者的疲劳严重程度. 自我有效性和内部健康控制位置是关键调解因素,这表明心理因素对于管理多发性硬化症疲劳至关重要.

科学领域:

神经学神经学
心理学心理学心理学
康复康复康复康复

背景情况:

多发性硬化症 (MS) 患者经常经历明显的疲劳和改变疾病感知,对他们的生活质量 (QoL) 产生负面影响.
了解影响疲劳的因素对于开发有效的干预措施来改善MS的QOL至关重要.
疾病感知和心理变量是管理MS相关疲劳的潜在目标.

研究的目的:

研究自我效能,控制位置,应对策略和结果预期的调解作用.
检查多发性硬化症 (MS) 患者的疾病感知和疲劳严重程度之间的关系.
确定影响MS患者疲劳的心理因素.

主要方法:

一项涉及172名多发性硬化症患者的横截面研究.
通过自我报告问卷收集的数据包括疾病感知,自我有效性,控制位置,应对策略,结果预期,身体活动,患者激活和疲劳严重程度.
使用线性和多重回归的统计分析.

主要成果:

疾病感知直接和间接预测疲劳严重程度,解释了62%的差异.
自我有效性,身体活动水平,内部健康控制位置,患者激活和负面应对策略调解了这种关系.
控制的内部健康位置,自我有效性和负面应对策略展示了最重要的调解效应.

结论:

一个全面的治疗方案,解决心理因素是必要的,以管理MS相关的疲劳.
针对自我有效性和控制位置的干预措施可以有效地减少MS患者的疲劳严重程度.
心理干预对于提高MS患者疲劳的福祉和治疗效率至关重要.

关键词:

疲劳疲劳疲劳疲劳疲劳调解分析调解分析多发性硬化症是多发性硬化症.感知感知感知感知

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