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Depression, Positive and Negative Affect, Optimism and Health-Related Quality of Life in Recently Diagnosed Multiple Sclerosis Patients: The Role of Identity, Sense of Coherence, and Self-efficacy

Author

Listed:
  • Emanuela Calandri

    (University of Torino)

  • Federica Graziano

    (Cosso Foundation)

  • Martina Borghi

    (Cosso Foundation
    San Luigi Gonzaga Hospital)

  • Silvia Bonino

    (University of Torino
    Cosso Foundation)

Abstract

The study aimed to describe the levels of depression, positive and negative affect, optimism and health-related quality of life (HRQOL) in a group of recently diagnosed multiple sclerosis (MS) patients (up to 3 years since the diagnosis), taking into account gender, age, and disease duration differences, and to investigate the possible role of identity, sense of coherence (SOC), and self-efficacy in MS (SEMS) on patients’ depression, positive and negative affect, optimism, and HRQOL. The cross-sectional study involved 90 MS patients (61% women; age: M = 37, SD = 12) with an Expanded Disability Status Scale score between 1 and 4 (mild to moderate disability). Patients completed measures of depression (CESD-10), positive and negative affect (PANAS), optimism (LOT-R), HRQOL (SF-12), identity motives, SOC, and SEMS. Depression scores were near the cut-off level for clinically significant depressive symptoms, and negative affect was higher and HRQOL was lower than those in the general population. Women and younger patients reported better adjustment as time passes since the diagnosis. Results of multiple regressions indicated that higher SOC was related to higher mental health, lower negative affect and lower depression. Higher SEMS was predictive of greater positive affect and lower negative affect, whereas higher identity satisfaction was predictive of higher positive affect and optimism and lower depression. The results suggest the usefulness of addressing identity redefinition, SOC and self-efficacy in psychological interventions aimed at promoting patients’ adjustment to MS.

Suggested Citation

  • Emanuela Calandri & Federica Graziano & Martina Borghi & Silvia Bonino, 2018. "Depression, Positive and Negative Affect, Optimism and Health-Related Quality of Life in Recently Diagnosed Multiple Sclerosis Patients: The Role of Identity, Sense of Coherence, and Self-efficacy," Journal of Happiness Studies, Springer, vol. 19(1), pages 277-295, January.
    • Handle: RePEc:spr:jhappi:v:19:y:2018:i:1:d:10.1007_s10902-016-9818-x
    DOI: 10.1007/s10902-016-9818-x
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    References listed on IDEAS

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    1. Boeije, Hennie R. & Duijnstee, Mia S. H. & Grypdonck, Mieke H. F. & Pool, Aart, 2002. "Encountering the downward phase: biographical work in people with multiple sclerosis living at home," Social Science & Medicine, Elsevier, vol. 55(6), pages 881-893, September.
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    Cited by:

    1. Edward C. Chang & Shangwen Yi & Jiting Liu & Shanmukh V. Kamble & Yujia Zhang & Bowen Shi & Yangming Ye & Yuan Fang & Kailin Cheng & Jianjie Xu & Jingyi Shen & Mingqi Li & Olivia D. Chang, 2020. "Coping Behaviors as Predictors of Hedonic Well-Being in Asian Indians: Does Being Optimistic Still Make a Difference?," Journal of Happiness Studies, Springer, vol. 21(1), pages 289-304, January.
    2. Małgorzata Szcześniak & Andrzej Potemkowski & Waldemar Brola & Zdzisław Kroplewski & Roman Ryszard Szałachowski & Marek Zak & Maciej Wilski & Piotr Sobolewski & Halina Bartosik-Psujek & Katarzyna Kapi, 2022. "The Big Five Personality Traits and Positive Orientation in Polish Adults with Multiple Sclerosis: The Role of Meaning in Life," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    3. Peluso, Alessandro M. & Pichierri, Marco & Pino, Giovanni, 2021. "Age-related effects on environmentally sustainable purchases at the time of COVID-19: Evidence from Italy," Journal of Retailing and Consumer Services, Elsevier, vol. 60(C).
    4. Kailin Cheng & Jiangqun Liao, 2023. "Coping with Coronavirus Pandemic: Risk Perception Predicts Life Optimism," Journal of Happiness Studies, Springer, vol. 24(1), pages 351-371, January.
    5. María Mercedes Reguera-García & Cristina Liébana-Presa & Lorena Álvarez-Barrio & Lisa Alves Gomes & Elena Fernández-Martínez, 2020. "Physical Activity, Resilience, Sense of Coherence and Coping in People with Multiple Sclerosis in the Situation Derived from COVID-19," IJERPH, MDPI, vol. 17(21), pages 1-13, November.

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