Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support.
Physical activity and quality of life in multiple sclerosis: intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support.
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DOI：
10.1080/13548500802241902
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发表时间：
2009-01
期刊：
影响因子：
--
通讯作者：
Gliottoni RC
中科院分区：
文献类型：
--
作者：
Motl RW;McAuley E;Snook EM;Gliottoni RC
在多发性硬化症(MS)患者中，体力活动与生活质量(QOL)的小幅改善有关。这种关系可能是间接的，并通过残疾、疲劳、情绪、疼痛、自我效能和社会支持等因素发挥作用。本研究对292名确诊为MS的个体样本(N=292)的体力活动和生活质量之间的关系变量进行了检验。参与者佩戴加速计7天，然后完成对体力活动、QOL、残疾、疲劳、情绪、疼痛、自我效能和社会支持的自我报告测量。使用Mplus 3.0中的协方差模型对数据进行分析。模型对数据有很好的拟合度(χ2=51.33，df=18，p<；0.001，标化均方残差=0.03，比较拟合度=0.98)。身体活动较多者的残疾(γ=-0.50)、抑郁(γ=-0.31)、疲劳(γ=-0.46)和疼痛(γ=-0.19)水平较低，而社会支持(γ=0.20)、管理多发性硬化症的自我效能(γ=0.41)和定期体育活动的自我效能(γ=0.49)水平较高。反过来，那些抑郁(β=-0.37)、焦虑(β=-0.15)、疲劳(β=-0.16)和疼痛(β=-0.08)水平较低、社会支持水平(β=0.26)和控制多发性硬化(β=0.17)自我效能水平较高的患者报告的生活质量水平较高。观察到的关系模式支持这样一种可能性，即体育活动通过抑郁、疲劳、疼痛、社会支持和管理MS的自我效能感间接与MS患者的生活质量改善有关。
Physical activity has been associated with a small improvement in quality of life (QOL) among those with multiple sclerosis (MS). This relationship may be indirect and operate through factors such as disability, fatigue, mood, pain, self-efficacy and social support. The present study examined variables that might account for the relationship between physical activity and QOL in a sample (N = 292) of individuals with a definite diagnosis of MS. The participants wore an accelerometer for 7 days and then completed self-report measures of physical activity, QOL, disability, fatigue, mood, pain, self-efficacy and social support. The data were analysed using covariance modelling in Mplus 3.0. The model provided an excellent fit for the data (χ2 = 51.33, df = 18, p < 0.001, standardised root mean squared residual = 0.03, comparative fit index = 0.98). Those who were more physically active reported lower levels of disability (γ = -0.50), depression (γ = -0.31), fatigue (γ = -0.46) and pain (γ = -0.19) and higher levels of social support (γ = 0.20), self-efficacy for managing MS (γ = 0.41), and self-efficacy for regular physical activity (γ = 0.49). In turn, those who reported lower levels of depression (β = -0.37), anxiety (β = -0.15), fatigue (β = -0.16) and pain (β = -0.08) and higher levels of social support (β = 0.26) and self-efficacy for controlling MS (β = 0.17) reported higher levels of QOL. The observed pattern of relationships supports the possibility that physical activity is indirectly associated with improved QOL in individuals with MS via depression, fatigue, pain, social support and self-efficacy for managing MS.
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影响因子：
3.8
作者：
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