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Fatigue, Physical Disability and Self-Efficacy as Predictors of the Acceptance of Illness and Health-Related Quality of Life in Patients with Multiple Sclerosis

Author

Listed:
  • Joanna Dymecka

    (Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, 45-040 Opole, Poland)

  • Rafał Gerymski

    (Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, 45-040 Opole, Poland)

  • Rafał Tataruch

    (Faculty of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland)

  • Mariola Bidzan

    (Department of Clinical and Health Psychology, Institute of Psychology, University of Gdansk, 80-309 Gdansk, Poland)

Abstract

Multiple sclerosis (MS) is a chronic progressive demyelinating disease of the central nervous system that leads to permanent disability and many neurological symptoms, making everyday functioning difficult. The predictors of the acceptance of illness and the health-related quality of life in people with MS include the degree of disability, neurological symptoms and psychosocial factors, such as personal resources. The aim of our study is to determine the relationships among disability, fatigue, self-efficacy, acceptance of illness and quality of life. The study group consisted of 137 people diagnosed with multiple sclerosis—73 women and 64 men. EDSS, GNDS, LSES, AIS and MSIS-29 were used in the present study. The results show that all tested variables were significantly correlated with each other. Disability and fatigue were significant predictors of both the physical and psychological aspects of patients’ quality of life. Self-efficacy was a significant predictor of both the acceptance of illness and the psychological aspect of patients’ quality of life. Based on the current research study, it can be concluded that factors of a biomedical nature explain other aspects of struggling with the disease, rather than psychological resources.

Suggested Citation

  • Joanna Dymecka & Rafał Gerymski & Rafał Tataruch & Mariola Bidzan, 2021. "Fatigue, Physical Disability and Self-Efficacy as Predictors of the Acceptance of Illness and Health-Related Quality of Life in Patients with Multiple Sclerosis," IJERPH, MDPI, vol. 18(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13237-:d:703282
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    References listed on IDEAS

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    1. Felton, Barbara J. & Revenson, Tracey A. & Hinrichsen, Gregory A., 1984. "Stress and coping in the explanation of psychological adjustment among chronically ill adults," Social Science & Medicine, Elsevier, vol. 18(10), pages 889-898, January.
    2. Barnwell, Alison M. & Kavanagh, David J., 1997. "Prediction of psychological adjustment to multiple sclerosis," Social Science & Medicine, Elsevier, vol. 45(3), pages 411-418, August.
    3. Joanna Dymecka & Mariola Bidzan, 2018. "Biomedical Variables and Adaptation to Disease and Health-Related Quality of Life in Polish Patients with MS," IJERPH, MDPI, vol. 15(12), pages 1-20, November.
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