What explains high life satisfaction in men living with Duchenne muscular dystrophy? A preliminary study to inform psychological intervention
Open accessAbstract
Introduction: There are increasing numbers of men with Duchenne muscular dystrophy (mDMD). For those who struggle to live with the condition, psychological interventions may be helpful. However, it is unclear how these should be tailored for mDMD. To inform intervention, this study assessed whether 2 well‐validated psychological models (Leventhal's Self‐Regulatory Model; Psychological Flexibility Model) could explain variation in life satisfaction (LS). Methods: Sixteen mDMD, aged 18–43 years, completed an online survey comprised of questionnaire measures of LS, mood, and both psychological models: Illness Perceptions (Leventhal's Self‐Regulatory Model); engagement in meaningful activity, and acceptance/awareness of difficult thoughts and feelings (Psychological Flexibility Model). A median split enabled comparison of high and low LS groups. Results: Those with higher LS were characterized by the ability to undertake personally meaningful activity in acceptance of difficult thoughts and feelings. Conclusions: Results supported the Psychological Flexibility Model. However, methodological limitations mean that these findings should be considered preliminary. Muscle Nerve 56: 163–166, 2017.
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There is evidence that ACT processes such as psychological flexibility predict functioning and quality of life in MND and other progressive, incurable and/or life-limiting conditions, including muscle disorders, Duchenne muscular dystrophy and palliative care populations.
“there is evidence that ACT processes such as psychological flexibility predict functioning and quality of life in MND [25] and other progressive, incurable and/or life-limiting conditions, including muscle disorders [26–28], Duchenne muscular dystrophy [29] and palliative care populations [30].”
From A randomised controlled trial of acceptance and commitment therapy plus usual care compared to usual care alone for improving psychological health in people with motor neuron disease (COMMEND): study protocol. (2022) · cites this paper as [29]
The Results report that psychological-flexibility measures differentiated men with Duchenne muscular dystrophy who had high versus low life satisfaction. The study does not establish that these processes predict functioning, and its group comparison does not establish prospective prediction of quality of life. (LLM, conf=0.84)
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Psychological flexibility: Positive implications for mental health and life satisfaction
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“The hypothesis that psychological flexibility would have a direct effect on life satisfaction was supported and is consistent with past research (Wicksell, Renofalt et al., 2008; Graham, Gouick et al., 2016; Graham and Rose, 2017).”
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“Theoretically, the ability to pursue valued goals in the presence of unwanted private events has a positive impact on life satisfaction (Graham et al., 2016; Graham and Rose, 2017).”
Background
- Authors
- Graham, C. D., & Rose, M. R.
- Affiliations
- University of Leeds (GB)
- King's College Hospital (GB)
- Corresponding author
- Graham, Christopher D.
- Venue
- Muscle & Nerve
- Publisher
- Wiley
- Published
- 2017-03-31
- Volume
- 56
- Issue
- 1
- Pages
- 163-166
- ISSN
- 0148-639X (ISSN-L)
- 1097-4598
- OpenAlex
- W2560816310
- Cited by
- 14
- References
- 22
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- Locations
- Muscle & Nerve (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (submittedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Keywords
- Duchenne muscular dystrophy, life satisfaction, psychological flexibility, self-regulatory model, illness perception, meaningful activities, psychological intervention, mood
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Models, Psychological, Online Systems, Personal Satisfaction, Psychotherapy, Surveys and Questionnaires, Case-Control Studies, Muscular Dystrophy, Duchenne, Young Adult
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