Pain acts through fatigue to affect participation in individuals with multiple sclerosis.
Purpose: The symptoms of multiple sclerosis (MS) often cause physical and mental dysfunction, which interferes with a person's ability to participate in life's roles. Identification of the strength of the contributors to participation would help prioritize intervention approaches for its improvement...
| Publicado en: | Quality of Life Research Vol. 25; no. 2; pp. 477 - 492 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112404013&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112404013 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Feb2016 vid: 25 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 112404013 112404013 NLM26254802 112404013 10.1007/s11136-015-1098-0 NLM26254802 112404013 ppf: 477 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Pain acts through fatigue to affect participation in individuals with multiple sclerosis. aug: au: Shahrbanian, Shahnaz Duquette, Pierre Ahmed, Sara Mayo, Nancy Mayo, Nancy E affil: Notre-Dame Hospital (CHUM), University of Montreal, Montreal Canada sug: subj: Multiple Sclerosis Psychosocial Factors Quality of Life Psychosocial Factors Pain Psychosocial Factors Pain Measurement Methods Fatigue Psychosocial Factors Female Male Physical Fitness Exercise Adult Cross Sectional Studies Funding Source Human Adult: 19-44 years Female Male ab: Purpose: The symptoms of multiple sclerosis (MS) often cause physical and mental dysfunction, which interferes with a person's ability to participate in life's roles. Identification of the strength of the contributors to participation would help prioritize intervention approaches for its improvement. The objective of this study was to estimate the extent to which pain and other MS-related symptoms, physical function, psychological variables, and individual characteristics predict participation in people with MS.Methods: This was a cross-sectional study. Study sample was a center-stratified random sample of 188 persons with MS. Subjects completed a battery of self-report and performance-based measures that assessed participation and domains affecting participation. To model the relationships among variables, a conceptual framework based on the Wilson and Cleary model was tested. Structural equation modeling aimed at identification of the predictors of participation within the hypothesized theoretical model.Results: Fatigue (β = 0.63, p < 0.0001), physical function (β = 0.37, p < 0.0001), and psychological variables (β = 0.15, p = 0.04) were found to be as significant direct predictors of participation. Pain (β = 0.4, p < 0.0001) and age (β = 0.12, p < 0.0001) were significant indirect predictors through fatigue and physical function, respectively. Together these effects explained 88 % of the variance of participation, 35 % of the variance in psychological variables, and 29 % of the variance in physical function.Conclusion: Fatigue, physical function, pain, and psychological variables were most important contributors for participation in persons with MS. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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