Loneliness in Multiple Sclerosis: Possible Antecedents and Correlates
Loneliness in Multiple Sclerosis: Possible Antecedents and Correlates
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DOI：
10.1097/rnj.0000000000000128
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发表时间：
2019-01-01
影响因子：
1.3
通讯作者：
Motl, Robert W.
中科院分区：
文献类型：
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作者：
Balto, Julia M.;Pilutti, Lara A.;Motl, Robert W.
目的探讨多发性硬化症（MS）患者孤独感的患病率及其可能的前因和相关因素。设计MS（n = 63）和健康成人（n = 21）的横断面比较研究。方法采用孤独感自评量表、孤独感的前因和相关因素进行数据收集，并进行统计学分析。结果与MS有显着更高的孤独分数比健康成年人（p < .05），这是由就业状况解释。可能的前因包括婚姻状况（p <0.05）、上肢功能（r=-0.28，p <0.03）、社会残疾频率（r=-0.49，p <0.00）、社会残疾限制（r=-0.38，p <0.00）和个人残疾限制（r=-0.29，p <0.03）。社交障碍频率（β =-0.41，p <0.001）和婚姻状况（β =-0.23，p <0.046）解释了孤独感得分的25%。可能的相关因素包括抑郁（r= 0.49，p <0.00）、认知疲劳（r= 0.34，p <0.01）、心理社会疲劳（r= 0.30，p <0.02）和心理生活质量（r= 0.44，p <0.00）。结论我们提供了MS患者孤独的证据，这与可能的前因有关（例如，婚姻状况和残疾限制）和相关因素（例如，抑郁和疲劳）。
Purpose The prevalence and possible antecedents and correlates of loneliness in multiple sclerosis (MS) was examined. Design Cross-sectional, comparative study of MS (n = 63) and healthy adults (n = 21). Methods Data were collected using self-reports of loneliness and antecedents and correlates and analyzed using inferential statistics. Findings Those with MS had significantly higher loneliness scores than healthy adults (p < .05), and this was explained by employment status. Possible antecedents included marital status (p < .05), upper extremity function (r= -.28, p < .03), social disability frequency (r= -.49, p < .00), social disability limitations (r= -.38, p < .00), and personal disability limitations (r= -.29, p < .03). Social disability frequency (beta = -.41, p < .001) and marital status (beta = -.23, p < .046) accounted for 25% of the variance in loneliness scores. Possible correlates included depression (r= .49, p < .00), cognitive fatigue (r= .34, p < .01), psychosocial fatigue (r= .30, p < .02), and psychological quality of life (r= .44, p < .00). Conclusions We provide evidence of loneliness in persons with MS, and this is associated with possible antecedents (e.g., marital status and disability limitations) and correlates (e.g., depression and fatigue).