The role of appraisal and coping style in relation with societal participation in fatigued patients with multiple sclerosis: a cross-sectional multiple mediator analysis

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• 作者：Lizanne Eva van den Akker ; Heleen Beckerman…
• 关键词：Multiple sclerosis ; Appraisal ; Coping ; Participation ; Multiple mediator model
• 刊名：Journal of Behavioral Medicine
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：39
• 期：5
• 页码：855-865
• 全文大小：569 KB
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Health Psychology
  Clinical Psychology
  Public Health
  
• 出版者：Springer Netherlands
• ISSN：1573-3521
• 卷排序：39

文摘

To determine the relationship between appraisal and societal participation in fatigued patients with Multiple Sclerosis (MS), and whether this relation is mediated by coping styles. 265 severely-fatigued MS patients. Appraisal, a latent construct, was created from the General Self-Efficacy Scale and the helplessness and acceptance subscales of the Illness Cognition Questionnaire. Coping styles were assessed using the Coping Inventory Stressful Situations (CISS21) and societal participation was assessed using the Impact on Participation and Autonomy. A multiple mediator model was developed and tested by structural equation modeling on cross-sectional data. We corrected for confounding by disease-related factors. Mediation was determined using a product-of-coefficients approach. A significant relationship existed between appraisal and participation (β = 0.21, 95 % CI 0.04–0.39). The pathways via coping styles were not significant. In patients with severe MS-related fatigue, appraisal and societal participation show a positive relationship that is not mediated by coping styles.