The role of helplessness as mediator between neurological disability, emotional instability, experienced fatigue and depression in patients with multiple sclerosis
| Autor: | S.P. van der Werf, Peter Joseph Jongen, Andrea W M Evers, Gijs Bleijenberg |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Learned helplessness Models Psychological Emotional Instability Disability Evaluation Multiple Sclerosis Relapsing-Remitting Helplessness Learned Cognitive neurosciences [UMCN 3.2] Effective Primary Care and Public Health [EBP 3] medicine Humans Personality Disabled Persons Affective Symptoms Psychiatry Fatigue Depression (differential diagnoses) Aged media_common Chronic inflammation and autoimmunity [UMCN 4.2] Expanded Disability Status Scale Depression Data Collection Multiple sclerosis Sick Role Cognition Middle Aged Multiple Sclerosis Chronic Progressive medicine.disease Mood Neurology Female Determinants of Health and Disease [EBP 1] Neurology (clinical) Microbial pathogenesis and host defense [UMCN 4.1] Psychology |
| Zdroj: | Multiple Sclerosis Journal, 9, 1, pp. 89-94 Multiple Sclerosis Journal, 9, 89-94 |
| ISSN: | 1352-4585 |
| DOI: | 10.1191/1352458503ms854oa |
| Popis: | Item does not contain fulltext The aim of this study was to test, in patients with multiple sclerosis (MS), whether the concept of helplessness might improve the understanding of the relationship between disease severity (neurological impairment) and personality characteristics (emotional instability) on one hand, and depressive mood and fatigue severity on the other hand. Data pertain to 89 patients with a definite diagnosis of MS (Expanded Disability Status Scale [EDSS] ratings: 1-8). Helplessness, fatigue severity, depressive mood and emotional instability were rated with validated questionnaires. Model testing revealed that more neurological impairment and more emotional instability were associated with more helplessness, while higher levels of helplessness were associated with more fatigue and depressive mood. The initially observed direct relationship between EDSS and fatigue disappeared. Emotional instability also had a direct significant relationship with depressive mood, and depressive mood had only a small relationship with fatigue severity. The results indicated that helplessness affected both depressive mood and fatigue severity and that fatigue was not merely a symptom of depressive mood. The correlation between neurological impairment and fatigue severity was largely explained by the mediating effect of helplessness. These findings suggest that MS patients troubled by disabling fatigue might benefit from a psychological intervention targeting unfavourable illness cognitions. |
| Databáze: | OpenAIRE |
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