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Illness perception, treatment beliefs, self‐esteem, and self‐efficacy as correlates of self‐management in multiple sclerosis
Author(s) -
Wilski M.,
Tasiemski T.
Publication year - 2016
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.12465
Subject(s) - multiple sclerosis , self efficacy , timeline , clinical psychology , self management , psychology , medicine , perception , disease , physical therapy , psychiatry , social psychology , archaeology , machine learning , neuroscience , computer science , history
Objective Self‐management of a disease is considered one of the most important factors affecting the treatment outcome. The research on the correlates of self‐management in multiple sclerosis ( MS ) is limited. The aim of this study was to determine if personal factors, such as illness perception, treatment beliefs, self‐esteem and self‐efficacy, are correlates of self‐management in MS . Materials and methods This cross‐sectional study included 210 patients with MS who completed Multiple Sclerosis Self‐Management Scale – Revised, Brief Illness Perception Questionnaire, Treatment Beliefs Scale, Rosenberg Self‐Esteem Scale, and Generalized Self‐Efficacy Scale. The patients were recruited from a MS rehabilitation clinic. Demographic data and illness‐related problems of the study participants were collected with a self‐report survey. Correlation and regression analyses were performed to determine associations between variables. Results Four factors: age at the time of the study ( β = 0.14, P = 0.032), timeline ( β = 0.16, P = 0.018), treatment control ( β = 0.17, P = 0.022), and general self‐efficacy ( β = 0.19, P = 0.014) turned out to be the significant correlates of self‐management in MS . The model including these variables explained 25% of variance in self‐management in MS . Conclusion Personal factors, such as general self‐efficacy, perception of treatment control and realistic MS timeline perspective, are more salient correlates of self‐management in MS than the objective clinical variables, such as the severity, type, and duration of MS .