Cross-Sectional Examination of the Associations Between Symptoms, Community Integration, and Mental Health in Multiple Sclerosis
| Autor: | Anna L. Kratz, Dawn M. Ehde, Mark P. Jensen, George H. Kraft, Marisol A. Hanley, Travis L. Osborne |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male 030506 rehabilitation Weakness medicine.medical_specialty Multiple Sclerosis SF-36 Cross-sectional study Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Community integration Article 03 medical and health sciences Disability Evaluation 0302 clinical medicine Surveys and Questionnaires medicine Humans Psychiatry Aged Aged 80 and over Expanded Disability Status Scale business.industry Multiple sclerosis Rehabilitation Middle Aged medicine.disease Mental health Cross-Sectional Studies Mental Health Disease Progression Female medicine.symptom 0305 other medical science business Community Integration 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 97(3) |
| ISSN: | 1532-821X |
| Popis: | Objective To determine the frequency and severity of 8 symptoms in persons with multiple sclerosis (MS) and to examine the association between these symptoms and community integration and mental health. Design Cross-sectional survey that assessed 8 symptoms (pain, fatigue, imbalance, numbness, weakness, shortness of breath, vision loss, and memory loss), disease progression (self-report version of the Expanded Disability Status Scale), community integration, and mental health. Setting Community. Participants Adults with self-reported MS who responded to a mailed survey (N=180). Interventions Not applicable. Main Outcome Measures The presence and intensity of symptoms were measured with a symptoms checklist. Community integration was assessed with the Community Integration Questionnaire, and mental health was measured by the Mental Health Index of the Medical Outcomes Study 36-Item Short-Form Health Survey. Results The average number of symptoms reported was 5.07±2.18. The most common symptoms (fatigue, weakness, and imbalance) were also rated as the most severe. Not all symptoms were associated with level of disease progression or with MS subtype. Symptoms related to mobility were more likely to be associated with these variables. The 8 symptoms as a whole accounted for significant amounts of variance (range, 13%–21%) in measures of community integration and mental health, with specific symptoms making differential independent contributions to these measures. Conclusions This study demonstrates that most individuals with MS report a number of bothersome symptoms. Type of MS or level of progression does not tell the whole story regarding the impact of symptoms. |
| Databáze: | OpenAIRE |
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