Physical activity, self-efficacy, and quality of life in multiple sclerosis
Physical activity, self-efficacy, and quality of life in multiple sclerosis
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DOI：
10.1007/s12160-007-9006-7
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发表时间：
2008-02-01
影响因子：
3.8
通讯作者：
Snook, Erin M.
中科院分区：
文献类型：
--
作者：
Motl, Robert W.;Snook, Erin M.
背景多发性硬化(MS)患者的生活质量(QOL)受到影响。在MS患者中，自我效能感和体力活动与生活质量呈正相关，从社会认知的角度来看，体力活动与生活质量之间的关系可能是间接的，并被自我效能感所解释。目的检验体育活动通过自我效能感与生活质量间接相关的假设。方法对133名确诊为MS的患者进行Godin闲暇时间锻炼问卷、多发性硬化症自我效能量表和多发性硬化症影响量表的调查。结果路径分析表明，体力活动越多的MS患者在功能和控制方面的自我效能感越高，功能和控制的自我效能感与QOL中更多的生理和心理成分相关。结论我们的研究结果支持体育锻炼作为一种可能的可改变的行为，通过提高MS患者的自我效能感来缓解QOL的下降。
Background Quality of life (QOL) is compromised among individuals with multiple sclerosis (MS). Self-efficacy and physical activity have been positively associated with QOL in persons with MS, and based on a social cognitive perspective, the relationship between physical activity and QOL might be indirect and accounted for by self-efficacy.Purpose We tested the hypothesis that physical activity would be indirectly associated with QOL through a pathway that included self-efficacy.Methods Participants were 133 individuals with a definite diagnosis of MS who completed the Godin Leisure-Time Exercise Questionnaire, Multiple Sclerosis Self-Efficacy scale, and Multiple Sclerosis Impact Scale.Results Path analysis indicated that those with MS who were more physically active had greater self-efficacy for function and control, and self-efficacy for function and control were associated with greater physical and psychological components of QOL.Conclusions Our findings support physical activity as a possible modifiable behavior for mitigating reductions of QOL by improving self-efficacy in individuals with MS.