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Titre : | Self-Efficacy as a Longitudinal Predictor of Perceived Cognitive Impairment in Individuals With Multiple Sclerosis (2015) |
Auteurs : | Abbey J. Hughes ; Meghan Beier ; Narineh Hartoonian |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/5, 2015) |
Article en page(s) : | p. 913-919 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autorapport ; Cognition ; Etudes longitudinales ; Fonctions exécutives ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Executive function ; Longitudinal studies ; Multiple sclerosis ; Self efficacy ; Auto-efficacité ; Self report |
Résumé : |
Objectives To determine whether self-efficacy longitudinally predicts 2 types of perceived cognitive impairment (PCI) in multiple sclerosis (MS): general cognitive functioning and executive functioning; and secondarily to assess whether self-efficacy mediates the relationships between depression, fatigue, and PCI. Design Longitudinal analysis of self-report survey data collected over 3 years. Hierarchical regression analyses examined the relationship between self-efficacy and PCI, adjusting for depression and fatigue. Additional analyses tested self-efficacy as a mediator between depression, fatigue, and PCI. Setting Community. Participants Community-dwelling individuals with MS (N=233; age range, 2283y) were recruited from a larger longitudinal survey study of individuals with MS (N=562). Interventions Not applicable. Main Outcome Measures Primary outcome measures were the Applied CognitionGeneral Concerns and the Applied CognitionExecutive Function domains of the Quality of Life in Neurological Disorders (NeuroQoL) measures. Results Self-efficacy was significantly correlated with PCI at baseline (r=.40.53) and 3 years later (r=.36.44). In multivariate regression analyses, self-efficacy was a significant longitudinal predictor of PCI, both for general cognitive functioning (β=.20, P<.01 and executive functioning p self-efficacy partially mediated the relationships between depression fatigue pci.> Conclusions Self-efficacy may influence how individuals with MS perceive their cognitive functioning over time. Interventions that target self-efficacy, particularly early in the disease course, may lead to improvements in PCI, as well as improvements in fatigue and depression. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315000374 |