Volume 19, Number 6 (2-2016)                   hmj 2016, 19(6): 449-456 | Back to browse issues page


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The relationship of psychological factors, demographic features and disease characteristics with self-management of multiple sclerosis patients. hmj. 2016; 19 (6) :449-456
URL: http://hmj.hums.ac.ir/article-1-1555-en.html

Abstract:   (907 Views)

Introduction: Self-management is an important act of controlling the adverse outcomes in multiple sclerosis as a chronic and debilitating disease. This study was aimed to consider the relationship of psychological factors, demographic features and disease characteristics with self-management behaviors and predicting it among patients with multiple sclerosis.

Methods: In the correlational study, among the patients with multiple sclerosis who attended to the Iranian Multiple Sclerosis Association in Tehran, 193 patients were selected by a purposeful compliance procedure. Data were gathered with The Multiple Sclerosis Self-Management Scale, The Depression Anxiety and Stress Scales and the Demographical/Disease Characteristics Questionnaire, then were analyzed by multiple regression in the stepwise method by SPSS 18.

Correspondence:

Issac Rahimian Boogar, PhD.

Department of Clinical Psychology, Faculty of Psychology & Educational Sciences, Semnan University.

Semnan, Iran

Tel:+98 232 3623300

Email:

i_rahimian@semnan.ac.ir

Results: Socioeconomic status and female gender had significantly positive relationship and role in prediction of self-management behaviors in patients with multiple sclerosis and also depression and anxiety had significantly negative relationship and role in prediction of self-management behaviors among these patients (F= (4,188)=36.61, P<0.001) and these four factors totally were explain 43% (R2=0.43) of self-management (P<0.001). Literacy, Marriage status, treatment type, age, disease duration and stress didn’t have a significant role in prediction of self-management behaviors among these patients (P>0.05).

Conclusion: Depression and anxiety are important risk factors for decreased self-management among patients with multiple sclerosis. On the other hand, higher level of literacy and female gender are important factors for increased self-management among these patients. It is consequential, that pay attention to these factors in designing and implementing tailored programs of self-management and self-care promotion for controlling this disease.

Full-Text [PDF 530 kb]   (434 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/06/7 | Accepted: 2016/06/7 | Published: 2016/06/7

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