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Disability, coping and quality of life in individuals with muscular dystrophy: a prospective study over five years
Abstract
PURPOSE: The present study investigates progressive muscular dystrophy over a five year period. The purpose is twofold: to describe changes over time and to investigate relations between disability, coping and quality of life. METHOD: The study group comprised 45 adults (16 men and 29 women), with an average age of 44 years. All were assessed in 1991 and 1996, with the following instruments: the ADL staircase, the Self-report ADL, the Mental Adjustment to Cancer scale, the Sickness Impact Profile and the Psychosocial well-being questionnaire (Kaasa). RESULTS: Increasing disability was accompanied by an increase in dependence on others and a significant deterioration of health-related quality of life and with regard to 'Satisfaction'. The predominant type of coping was 'Fighting spirit', whilst 'Fatalism' showed the greatest decline over time. 'Ambulation' and the ADL staircase correlated with 'Physical index' on the SIP. Correlations between disability, coping and quality of life were moderate. The results can serve as a basis for planning and evaluation of recurring rehabilitation for persons with MD.
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Psychological variables such as illness beliefs, coping methods and psychological flexibility account for variance in quality of life in muscle disease.
“Psychological variables such as illness beliefs,6 8 coping methods9–11 and psychological flexibility12 have been shown to account for variance in QoL.”
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Hermans, M. C. E. (2013) · doi:10.26481/dis.20130621mh
Damen, M. J., Mul, K., van Engelen, B. G. M., Voermans, N. C., & Tieleman, A. A. (2025) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2571068
Chronic Breathing Difficulties
Thomas, S. M., & Veerabathiran, R. (2025) · Springer eBooks · doi:10.1007/978-3-031-40858-8_540-1
Metadata
- Authors
- Nätterlund, B., Gunnarsson, L.-G., & Ahlström, G.
- Affiliations
- Uppsala University (SE)
- Örebro University Hospital (SE)
- Linköping University (SE)
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2000-01
- Volume
- 22
- Issue
- 17
- Pages
- 776-785
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2142610955
- Cited by
- 71
- References
- 51
- Citations by year
- 2025: 3 · 2024: 1 · 2022: 2 · 2021: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 1
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Genetics (clinical) › Neurogenetic and Muscular Disorders Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- muscular dystrophy, disability, coping, health-related quality of life, activities of daily living, ambulation, fatalism, fighting spirit, psychosocial well-being, rehabilitation planning, adults with chronic illness
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Disability Evaluation, Female, Humans, Male, Muscular Dystrophies, Prospective Studies, Quality of Life, Surveys and Questionnaires, Self-Assessment
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