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Cited by 11Multiple Sclerosis Research StudiesCancer survivorship and carePsychometric Methodologies and Testing

Improving the Quality of Life of Multiple Sclerosis Patients through Coping Strategies in Routine Medical Practice

Devy, Richard, Lehert, Philippe, Varlan, Etienne, Genty, Marc, Edan, Gilles·2015·Neurological Sciences
DOI 10.1007/s10072-014-1900-8
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Abstract

Multiple sclerosis (MS) has a major impact on quality of life (QoL). Coping strategies which may influence QoL have not been identified. Furthermore, there is no coping scale designed to measure coping in MS patients and concise enough for routine medical practice. We used 46 items and 7 coping dimensions; we successively reduced the minimum number of dimensions through confirmatory factor analysis (CFA) and Rasch modelling. The resulting scale was submitted to psychometric validation via an independent cross-sectional analysis. After administration to 331 MS patients, we eliminated 10 of the 46 initial items; a CFA iterative algorithm identified a positive coping (PC) group and a negative coping (NC) group; an iterative reduction algorithm led to a final 10 items questionnaire, which was tested in an independent, new cross-sectional sample of 457 patients. Psychometric tests, including the Rasch model and CFA, successfully validated the scale, confirming the two dimensions and the absence of differential item functioning. The correlation between coping and QoL increased to 0.59 and 0.62 for NC and PC, respectively, compared with 0.33 found with existing scales. Our findings justify a one-dimensional overall coping scale (PC + NC). The effect of coping on QoL can be evaluated simply by adding together a positive and a negative coping strategy, for which we developed a short 10-item scale, which can be considered as an effective means of measuring the impact of coping on QoL and is ideal in routine medical practice.

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  • Such coping strategies are associated with poor physical and psychological quality of life, worse psychosocial adjustment, and greater depressive symptoms in people with multiple sclerosis.

    “Such coping strategies [16] are associated with poor physical and psychological QoL [17,18,19], worse psychosocial adjustment [18,20], and greater depressive symptoms in pwMS [21,22,23].”

    From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [17]

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References 22 · Cited by 11

Authors
Devy, R., Lehert, P., Varlan, E., Genty, M., & Edan, G.
Affiliations
  • The University of Melbourne (AU)
  • Merck Serono S.A.S. (France) (FR)
  • Inserm (FR)
Corresponding author
Devy, Richard
ORCID
Venue
Neurological Sciences
Publisher
Springer Science and Business Media LLC
Published
2014-07-27
Volume
36
Issue
1
Pages
85-90
ISSN
  • 1590-1874 (ISSN-L)
  • 1590-3478
DOI
10.1007/s10072-014-1900-8
OpenAlex
W2054570274
Cited by
11
References
22
Citations by year
2024: 2 · 2022: 2 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 3
FWCI
0.74
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Neurological Sciences (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • Digital Access to Libraries (submittedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
multiple sclerosis, coping strategies, quality of life, psychometric validation, Rasch model, confirmatory factor analysis, differential item functioning, positive and negative coping, short questionnaire
MeSH terms
Adaptation, Psychological, Adult, Algorithms, Cross-Sectional Studies, Factor Analysis, Statistical, Feasibility Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Multiple Sclerosis, Psychometrics, Quality of Life, Surveys and Questionnaires, Linear Models

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