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Volume 30, Issue 1 (Continuously Updated 2024)
IJPCP 2024, 30(1): 0-0 |
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Sharifi P, Roaya M A, Dehghan M. The Moderating Role of Illness Identity in the Relationship between Pain Self-Efficacy and Quality of Life in Patients with Multiple Sclerosis. IJPCP 2024; 30 (1) : 4475.1
URL: http://ijpcp.iums.ac.ir/article-1-4238-en.html
URL: http://ijpcp.iums.ac.ir/article-1-4238-en.html
1- Department of Psychology, Faculty of Letters and Humanities, Urmia University, Urmia, Iran.
2- Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
3- Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. ,dehghan.mo@iums.ac.ir
2- Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
3- Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. ,
Abstract: (172 Views)
Objectives In managing multiple sclerosis (MS), attention to patients’ quality of life (QoL), in addition to physical symptoms, is crucial for clinicians. This study aimed to investigate the antecedents of QoL in individuals with MS by examining the moderating role of illness identity in the relationship between pain self-efficacy (PSE) and QoL.
Methods This is a correlational study with a cross-sectional design. The study population consists of all people with MS referred to Sina and Asia hospitals in Tehran, Iran, from November 2023 to June 2024, of whom 166 patients participated in the study. Data were collected using the World Health Organization Quality of Life- Brief Version, Pain Self-Efficacy Questionnaire, and Illness Identity Questionnaire. Data analysis was done by using Pearson’s correlation test, hierarchical regression analysis, independent t-test, and one-way ANOVA.
Results The results showed the positive and significant correlation of PSE (r=0.50, P=0.001) and the identity type “enrichment” (r=0.17, P=0.027) with QoL, while the identity type “engulfment” had a negative and significant correlation with QoL (r=-0.27, P=0.001). After adjusting for age, three variables of pain self-efficacy (β=0.26, P<0.01), enrichment (β=0.46, P<0.001), and engagement (β=-0.47, P<0.001) also significantly predicted the QoL.Only the “engulfment” identity type moderated the relationship between PSE and QoL (P<0.001). No significant differences were found in QoL based on educational level, marital status, MS type, or disease duration.
Conclusion The PSE and the illness identity types of engulfment and enrichment play a significant role in predicting the QoL of patients with MS. The illness identity type “engulfment” can moderate the relationship between PSE and QoL in these patients. These factors should be considered in designing interventions for MS patients to improve their QoL.
Methods This is a correlational study with a cross-sectional design. The study population consists of all people with MS referred to Sina and Asia hospitals in Tehran, Iran, from November 2023 to June 2024, of whom 166 patients participated in the study. Data were collected using the World Health Organization Quality of Life- Brief Version, Pain Self-Efficacy Questionnaire, and Illness Identity Questionnaire. Data analysis was done by using Pearson’s correlation test, hierarchical regression analysis, independent t-test, and one-way ANOVA.
Results The results showed the positive and significant correlation of PSE (r=0.50, P=0.001) and the identity type “enrichment” (r=0.17, P=0.027) with QoL, while the identity type “engulfment” had a negative and significant correlation with QoL (r=-0.27, P=0.001). After adjusting for age, three variables of pain self-efficacy (β=0.26, P<0.01), enrichment (β=0.46, P<0.001), and engagement (β=-0.47, P<0.001) also significantly predicted the QoL.Only the “engulfment” identity type moderated the relationship between PSE and QoL (P<0.001). No significant differences were found in QoL based on educational level, marital status, MS type, or disease duration.
Conclusion The PSE and the illness identity types of engulfment and enrichment play a significant role in predicting the QoL of patients with MS. The illness identity type “engulfment” can moderate the relationship between PSE and QoL in these patients. These factors should be considered in designing interventions for MS patients to improve their QoL.
Article number: 4475.1
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2024/08/9 | Accepted: 2024/11/30 | Published: 2024/07/31
Received: 2024/08/9 | Accepted: 2024/11/30 | Published: 2024/07/31
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