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Titre : | Mediating Role of Resilience on Quality of Life in Individuals With Multiple Sclerosis: A Structural Equation Modeling Approach (2020) |
Auteurs : | Susan L. Kasser ; Asim Zia |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 7, 2020) |
Article en page(s) : | p. 1152-1161 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.02.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs de protection ; Facteurs de risque ; Qualité de vie ; Sclérose en plaques |
Résumé : |
Objective
To examine the relationship between disease-related risk factors, protective factors, coping, and resilience on quality of life in adults with multiple sclerosis (MS). Design Quantitative descriptive research employing structural equation modeling. Setting Online survey fielded to community members associated with the Greater New England Chapter of the National Multiple Sclerosis Society. Participants Convenience sample of 271 individuals with MS. Intervention Not applicable. Main Outcome Measures The Leeds Multiple Sclerosis Quality of Life (LMSQoL) scale was the primary outcome. Other measures entered into the model included the Brief Resilience Scale (BRS) and the Coping Orientation to Problems Experienced (COPE) scale modeled as 2 latent variables: emotion-based coping and problem-based coping. Disability level, fatigue, walking impairment, fear of falling, falls, and pain were modeled as a latent variable for risk factors while physical activity, self-efficacy, social support, optimism, and health locus of control were modeled as a latent variable of protective factors. Results BRS had a total effect of 0.44 on LMSQoL, significant at P<.001. protective factors also directly and significantly increased qol effect size p emotion-based coping problem-based had insignificant effects on qol. risk a complex influence mediated by resilience coping. total of quality life at whereas higher decreased both indirectly the likelihood with slightly size. model fit data reasonably well explained variance in people ms.> Conclusions The model suggests that developing interventions that increase protective factors and broaden and build resilience may contribute to improved quality of life in individuals with MS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320301489 |