Mediating Role of Resilience on Quality of Life in Individuals With Multiple Sclerosis: A Structural Equation Modeling Approach
Mediating Role of Resilience on Quality of Life in Individuals With Multiple Sclerosis: A Structural Equation Modeling Approach
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DOI：
10.1016/j.apmr.2020.02.010
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发表时间：
2020-07-01
影响因子：
4.3
通讯作者：
Zia, Asim
中科院分区：
文献类型：
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作者：
Kasser, Susan L.;Zia, Asim
目的：研究多发性硬化症（MS）成人患者疾病相关危险因素、保护因素、应对方式和生活质量恢复力之间的关系。设计：采用结构方程模型的定量描述性研究。设置：对与国家多发性硬化症协会大新英格兰分会相关的社区成员进行在线调查。参与者：271例MS患者的便利样本。干预：不适用。主要结果测量：利兹多发性硬化生活质量（LMSQoL）量表是主要结果。其他进入模型的措施，包括简短的韧性量表（BRS）和应对取向的问题经历（科普）规模建模为2个潜在变量：基于情绪的应对和基于问题的应对。残疾程度、疲劳、步行障碍、害怕跌倒、福尔斯和疼痛被建模为风险因素的潜在变量，而身体活动、自我效能、社会支持、乐观和健康控制点被建模为保护因素的潜在变量。
Objective: To examine the relationship between disease-related risk factors, protective factors, coping, and resilience on quality of life in adults with multiple sclerosis (MS).Design: Quantitative descriptive research employing structural equation modeling.Setting: Online survey fielded to community members associated with the Greater New England Chapter of the National Multiple Sclerosis Society.Participants: Convenience sample of 271 individuals with MS.Intervention: Not applicable.Main Outcome Measures: The Leeds Multiple Sclerosis Quality of Life (LMSQoL) scale was the primary outcome. Other measures entered into the model included the Brief Resilience Scale (BRS) and the Coping Orientation to Problems Experienced (COPE) scale modeled as 2 latent variables: emotion-based coping and problem-based coping. Disability level, fatigue, walking impairment, fear of falling, falls, and pain were modeled as a latent variable for risk factors while physical activity, self-efficacy, social support, optimism, and health locus of control were modeled as a latent variable of protective factors.Results: BRS had a total effect of -0.44 on LMSQoL, significant at P