Quality of life in adults with multiple sclerosis: a systematic review.
Quality of life in adults with multiple sclerosis: a systematic review.
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DOI：
10.1136/bmjopen-2020-041249
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发表时间：
2020-11-30
期刊：
影响因子：
2.9
通讯作者：
Pérez-San-Gregorio MÁ
中科院分区：
文献类型：
--
作者：
Gil-González I;Martín-Rodríguez A;Conrad R;Pérez-San-Gregorio MÁ
近年来，多发性硬化（MS）患者的生活质量（QoL）在临床研究和实践中越来越受到重视。在此背景下，本系统性综述旨在提供MS成人QoL的临床、社会人口统计学和心理社会风险和保护因素的广泛概述，并分析改善QoL的心理干预措施。在Scopus、Web of Science和ProQuest电子数据库中进行文献检索。文档类型仅限于2014年1月1日至2019年1月31日期间发表的英文文章。使用编码表从所选文章中提取信息，然后进行定性合成。检索识别出4886条记录。重复删除和筛选后，106篇文章符合定性合成的纳入和排除标准，并进行了研究质量评估。残疾，疲劳，抑郁，认知障碍和失业被一致确定为生活质量的危险因素，而较高的自尊，自我效能，韧性和社会支持被证明是保护。该综述分析了广泛的生活质量心理干预方法，如正念，认知行为疗法，自助团体和自我管理。大多数干预措施成功改善了生活质量的各个方面。充分的生物心理社会评估是至关重要的治疗风险和促进保护因素，以改善生活质量的MS患者在一般护理实践。
In recent years, quality of life (QoL) in multiple sclerosis (MS) has been gaining considerable importance in clinical research and practice. Against this backdrop, this systematic review aimed to provide a broad overview of clinical, sociodemographic and psychosocial risk and protective factors for QoL in adults with MS and analyse psychological interventions for improving QoL. The literature search was conducted in the Scopus, Web of Science and ProQuest electronic databases. Document type was limited to articles written in English, published from January 1, 2014, to January 31, 2019. Information from the selected articles was extracted using a coding sheet and then qualitatively synthesised. The search identified 4886 records. After duplicate removal and screening, 106 articles met the inclusion and exclusion criteria for qualitative synthesis and were assessed for study quality. Disability, fatigue, depression, cognitive impairment and unemployment were consistently identified as QoL risk factors, whereas higher self-esteem, self-efficacy, resilience and social support proved to be protective. The review analysed a wide spectrum of approaches for QoL psychological intervention, such as mindfulness, cognitive behavioural therapy, self-help groups and self-management. The majority of interventions were successful in improving various aspects of QoL. Adequate biopsychosocial assessment is of vital importance to treat risk and promote protective factors to improve QoL in patients with MS in general care practice.
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DOI：
10.17712/nsj.2017.4.20170273
发表时间：
2017-10
期刊：
Neurosciences (Riyadh, Saudi Arabia)
影响因子：
--
作者：
Algahtani HA;Shirah BH;Alzahrani FA;Abobaker HA;Alghanaim NA;Manlangit JS Jr
通讯作者：
Manlangit JS Jr
影响因子：
4
作者：
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Tremlett, Helen
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10.3233/wor-152202
发表时间：
2015-01-01
影响因子：
2.3
作者：
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通讯作者：
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影响因子：
5.1
作者：
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通讯作者：
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DOI：
10.1080/00207284.2016.1260457
发表时间：
2017-01-01
影响因子：
1.3
作者：
Blair, Mervin;Ferreria, Grace;Morrow, Sarah A.
通讯作者：
Morrow, Sarah A.