The relationship between psychopathology, psychosocial adjustment, social support and quality of life in multiple sclerosis

Year 2019, Volume: 5 Issue: 1, 20 - 28, 04.01.2019

Vahap Ozan Kotan , Zeynep Kotan , Birgül Aydın Özlem Taşkapılıoğlu Berna Alkan , Güven Özkaya , Aslı Sarandöl Ömer Faruk Turan Selçuk Kırlı

https://doi.org/10.18621/eurj.382894

Cited By: 4

Abstract

Objectives: Multiple
Sclerosis (MS) is a chronic disease which affects physical,psychological and
social functioning of patients. In this study we aim to indicate psychiatric
comorbidity, some psychosocial factors and their associations with quality of
life in patients with MS.

Methods: A total of 227 patients
underwent psychiatric examination and the following scales were applied:
Socio-demographic data form, Hospital Anxiety and Depression Scale (HADS),
Multiple Sclerosis Quality of Life-54 (MSQOL-54), Psychosocial Adjustment to
Illness Scale-Self report (PAIS-SR) and Multidimensional Scale of Perceived
Social Support (MSPSS).

Results: Among 227 patients with MS,
67.8% (n = 154) had psychiatric diagnosis; 24.2% (n = 55) had depression,19.8%
(n = 45) had adjustment disorder, 14.9% (n = 34) had anxiety disorder, 7.1%
(n=16) had dysthymic disorder and 1.8% (n = 4) had bipolar disorder. Patients
with a psychiatric diagnosis had lower scores in role limitations due to
emotional problems, emotional well-being, health perceptions, social function,
cognitive function, health distress and mental health composite of MSQOL-54.
PAIS-SR and MSPSS scores were significantly lower in MS patients with a
psychiatric diagnosis. PAIS-SR scores were negatively
correlated with role limitations-emotional, emotional well-being, social
function, sexual function, satisfaction with sexual function, physical health
composite and mental health composite scores of MSQOL-54. MSPSS total score was
positively correlated with emotional well-being score of MSQOL-54.

Conclusions: In MS patients, there is a high prevalence of psychopathology and it is
associated with quality of life, perceived social support and psychosocial
adjustment of the patients. Quality of life is reduced especially in emotional
and mental aspects in patients with a psychiatric diagnosis. Diagnosis and
treatment of psychopathology in MS patients seems crucial to decrease disease
burden. 

Keywords

Multiple sclerosis, psychopathology, psychosocial adjustment, socials upport, quality of life

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