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Cited by 78Multiple Sclerosis Research StudiesMindfulness and Compassion InterventionsCancer survivorship and care

Health-related quality of life in multiple sclerosis: Links to acceptance, coping strategies and disease severity

Wilski, Maciej, Gabryelski, Jarosław, Brola, Waldemar, Tomasz, Tasiemski·2019·Disability and health journal
DOI 10.1016/j.dhjo.2019.06.003
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Abstract

Background People with multiple sclerosis (MS) report lower health-related quality of life (HRQoL). Improvements in quality of life can be made by identifying the factors that contribute to HRQoL in MS, which are both person specific and disease related.Objective The primary objective of this study was to examine the mutual roles of acceptance, coping, and MS severity on HRQoL.Materials and methods This study included 382 patients with MS who completed the 29-item Multiple Sclerosis Impact Scale, Coping Inventory for Stressful Situations, and Acceptance of Illness Scale. A standardized questionnaire was used to collect patient clinical and demographics data. General MS severity was determined using the Expanded Disability Status Scale.Results Six variables, acceptance of illness (β = -0.24, p < 0.001), emotional coping strategy (β = 0.40, p < 0.001), avoidance coping strategy (β = -0.19, p < 0.001), illness duration (β = -0.18, p < 0.001), age at the time of the study (β = 0.14, p = 0.009) and problem coping strategy (β = -0.09, p = 0.05), were found to be the significant correlates of HRQoL in MS. The model that included these variables explained 36% of variance in self-management in MS.Conclusion Psychological variables are more salient correlates of HRQoL in MS than the objective clinical variables, such as the severity or type of MS. Specifically, this study showed that MS patients who accept their illness and use more problem-solving and avoidance coping strategies and less emotional coping strategies assess their HRQoL highly.

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  • Most studies have focused on habitual ways to manage stressors but not on specific multiple sclerosis-related stressors such as diagnosis.

    “most studies have focused on habitual ways to manage stressors [24,25] but not on specific MS-related stressors (e.g., diagnosis, impact of early intensive treatment).”

    From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [25]

  • The impact of multiple sclerosis on quality of life can be affected by disease-related factors such as disability level or MS type, and individual factors such as social support, education, age or employment.

    “The impact of MS on QoL can be affected by numerous disease-related factors, such as disability level or MS type, and individual factors such as social support, education, age or employment.15–18”

    From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [15]

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Authors
Wilski, M., Gabryelski, J., Brola, W., & Tomasz, T.
Affiliations
  • Poznań University of Technology (PL)
  • Jan Kochanowski University (PL)
Corresponding author
Wilski, Maciej
ORCID
Venue
Disability and health journal
Publisher
Elsevier BV
Published
2019-10
Volume
12
Issue
4
Pages
608-614
ISSN
  • 1876-7583 (ISSN-L)
  • 1936-6574
DOI
10.1016/j.dhjo.2019.06.003
OpenAlex
W2958939935
Cited by
78
References
53
Citations by year
2026: 9 · 2025: 10 · 2024: 16 · 2023: 8 · 2022: 15 · 2021: 11 · 2020: 9
FWCI
6.44
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Disability and health journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Ministry of Science and Higher Education
  • Poznan University of Physical Education (BS/2015)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
multiple sclerosis, health-related quality of life, acceptance of illness, coping strategies, emotional coping, avoidance coping, problem-solving coping, disease severity, disease duration, self-management, psychological factors
MeSH terms
Self-Management, Activities of Daily Living, Adaptation, Psychological, Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Avoidance Learning, Emotions, Female, Persons with Disabilities, Disabled Persons, Health, Humans, Male, Middle Aged, Multiple Sclerosis, Problem Solving, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Young Adult

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