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Int J Environ Res Public Health. 2021 Dec 15;18(24). doi: 10.3390/ijerph182413237.

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

International journal of environmental research and public health

Joanna Dymecka, Rafał Gerymski, Rafał Tataruch, Mariola Bidzan

Affiliations

  1. Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, 45-040 Opole, Poland.
  2. Faculty of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland.
  3. Department of Clinical and Health Psychology, Institute of Psychology, University of Gdansk, 80-309 Gdansk, Poland.

PMID: 34948845 PMCID: PMC8703876 DOI: 10.3390/ijerph182413237

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.

Keywords: acceptance of illness; disability; fatigue; multiple sclerosis; quality of life; self-efficacy

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