Clinical and Sociodemographic Variables and the Level of Social Support in People with Multiple Sclerosis
DOI:
https://doi.org/10.15225/PNN.2019.8.4.2Keywords
Multiple sclerosis, social support, disabilityAbstract
Introduction. Multiple sclerosis (MS) is a chronic progressive demyelinating disease of the central nervous system which leads to permanent disability. Social support is a resource that is particularly important in the situation of chronic illness.
Aim. The aim of the study was to determine the relationship between clinical and sociodemographic variables and the level of social support in people with multiple sclerosis.
Material and Methods. 137 people diagnosed with MS participated in the study. Extended Disability Status Scale (EDSS), Guy’s Neurological Disability Scale (GNDS) and Berlin Social Support Scales were used in the study.
Results. Perceived social support is not related to clinical variables such as disability or disease symptoms. However, the relationship between the need for support and disability and some symptoms (i.a. cognitive impairment, mood disorders and intestinal problems) was demonstrated. Women, people married, having children and in better financial condition felt greater social support. Women also need more support and more often seek it.
Conclusions. Perceived social support in people with multiple sclerosis is less associated with clinical variables, but more to variables such as gender, marital status or having children. Of the studied types of support, the need for support was most related to the features of the disease. People living with a disability or more severe symptoms need help in daily functioning as well as emotional support. This is also associated with the need for professional support from doctors, psychologists and nurses. (JNNN 2019;8(4):148–156)
References
Baecher-Allan C., Kaskow B.J., Weiner H.L. Multiple Sclerosis: Mechanisms and Immunotherapy. Neuron. 2018;97(4):742–768.
Dymecka J., Bidzan M. Biomedical Variables and Adaptation to Disease and Health-Related Quality of Life in Polish Patients with MS. Int J Environ Res Public Health. 2018;15(12). pii: E2678. doi: 10.3390/ijerph15122678.
Irvine H., Davidson C., Hoy K., Lowe Strong A. Psychosocial adjustment to multiple sclerosis: exploration of identity redefinition. Disabil Rehabil. 2009;31(8):599–606.
Carney P., O’Boyle D., Larkin A., McGuigan C., O’Rourke K. Societal costs of multiple sclerosis in Ireland. J Med Econ. 2018;21(5):425–437.
Dymecka J. Radzenie sobie z własną chorobą u osób ze stwardnieniem rozsianym. W: Bidzan M., Bieleninik Ł., Szulman-Wardal A. (Red.), Niepełnosprawność ruchowa w ujęciu biopsychospołecznym. Wyzwania diagnozy, rehabilitacji i terapii. Wyd. Harmonia Universalis, Gdańsk 2015:153–180.
Sarason I.G., Sarason B.R. Concomitants of social support: attitudes, personality characteristics, and life experiences. J Pers. 1982;50(3):331–344.
Sęk H., Cieślak R. Wsparcie społeczne — sposoby definiowania, rodzaje i źródła wsparcia, wybrane koncepcje teoretyczne. W: Sęk H., Cieślak R. (Red.), Wsparcie społeczne, stres i zdrowie. Wyd. PWN, Warszawa 2004:11–28.
Grochans E., Wieder-Huszla S., Jurczak A., Stanisławska M., Augustyniuk K., Januzik K. Ocena wsparcia społecznego pacjentów ze stwardnieniem rozsianym. Probl Hig Epidemiol. 2008;89(3):419–422.
Williams R.M., Turner A.P., Hatzakis M. et al. Social support among veterans with multiple sclerosis. Rehabilitation Psychology. 2004;49(2):106–113.
Skalska-Izdebska R., Bojczuk T., Hołys E. Jakość życia u osób chorych na stwardnienie rozsiane. Young Sport Science of Ukraine. 2011;3:277–282.
Wrzesińska M.A., Opuchlik K., Kocur J. Ocena umiejscowienia kontroli zdrowia oraz poziomu poczucia własnej skuteczności i optymizmu u chorych na stwardnienie rozsiane. Post Psychiatr Neurol. 2008;17(4):313–318.
Costa D.C., Sá M.J., Calheiros J.M. The effect of social support on the quality of life of patients with multiple sclerosis. Arq Neuropsiquiatr. 2012;70(2):108–113.
Ziarko M. Zmaganie się ze stresem choroby przewlekłej. Wyd. Naukowe Wydziału Nauk Społecznych UAM, Poznań 2014.
Kurtzke J.F. Natural history and clinical outcome measures for multiple sclerosis studies. Why at the present time does EDSS scale remain a preferred outcome measure to evaluate disease evolution? Neurol Sci. 2000;21(6):339–341.
Dymecka J., Bidzan M., Rautszko R., Bidzan-Bluma I., Atroszko P. Skala Niesprawności Neurologicznej Szpitala Guy jako istotne narzędzie do oceny objawów występujących u osób z SM. Niepełnosprawność — zagadnienia, problemy, rozwiązania. 2017;1(22):85–106.
Łuszczyńska A., Kowalska M., Mazurkiewicz M., Schwarzer R. Berlińskie Skale Wsparcia Społecznego (BSSS): Wyniki wstępnych badań nad adaptacją skal i ich własnościami psychometrycznymi. Stud Psychol. 2006;44(3):17–27.
O’Brien M.T. Multiple sclerosis: the role of social support and disability. Clin Nurs Res. 1993;2(1):67–85.
Kamenov K., Cabello M., Caballero F.F. et al. Factors Related to Social Support in Neurological and Mental Disorders. PLoS One. 2016;11(2):e0149356.
Hyarat S.Y., Subih M., Rayan A., Salami I., Harb A. Health Related Quality of Life Among Patients With Multiple Sclerosis: The Role of Psychosocial Adjustment to Illness. Arch Psychiatr Nurs. 2019;33(1):11–16.
Chao S.F. Functional disability and depressive symptoms: longitudinal effects of activity restriction, perceived stress, and social support. Aging Ment Health. 2014;18(6):767–776.
Haduch I., Hawro T., Miniszewska J., Chodkiewicz J., Sysa-Jędrzejowska A. Wsparcie społeczne a ogólny stan zdrowia psychicznego chorych na łuszczycę. Dermatol Klin. 2008;10(1):9–13.
McCabe M.P., Ebacioni K.J., Simmons R., McDonald E., Melton L. Unmet education, psychological and peer support needs of people with multiple sclerosis. J Psychosom Res. 2015;78(1):82–87.
Arnett P.A., Barwick F.H., Beeney J.E. Depression in multiple sclerosis: review and theoretical proposal. J Int Neuropsychol Soc. 2008;14(5):691–724.
de la Vega R., Molton I.R., Miró J., Smith A.E., Jensen M.P. Changes in perceived social support predict changes in depressive symptoms in adults with physical disability. Disabil Health J. 2019;12(2):214–219.
Jensen M.P., Smith A.E., Bombardier C.H., Yorkston K.M., Miró J., Molton I.R. Social support, depression, and physical disability: age and diagnostic group effects. Disabil Health J. 2014;7(2):164–172.
Bambara J.K., Turner A.P., Williams R.M., Haselkorn J.K. Perceived social support and depression among Veterans with multiple sclerosis. Disabil Rehabil. 2011;33(1):1–8.
Kraft G.H., Freal J.E., Coryell J.K. Disability, disease duration, and rehabilitation service needs in multiple sclerosis: patient perspectives. Arch Phys Med Rehabil. 1986;67(3):164–168.
Anens E., Emtner M., Zetterberg L., Hellström K. Physical activity in subjects with multiple sclerosis with focus on gender differences: a survey. BMC Neurol. 2014;14:47.
Procidano M.E. Międzykulturowy pomiar wsparcia społecznego: postępy, problemy i perspektywy. W: Sęk H., Cieślak R. (Red.), Wsparcie społeczne, stres i zdrowie. Wyd. PWN, Warszawa 2004:91–105.
Greenglass E. Różnice wynikające z ról płciowych, wsparcie społeczne i radzenie sobie ze stresem. W: Sęk H., Cieślak R. (Red.), Wsparcie społeczne, stres i zdrowie. Wyd. PWN, Warszawa 2004:138–150.
Gulick E.E. Social support among persons with multiple sclerosis. Res Nurs Health. 1994;17(3):195–206.
Renner F., Cuijpers P., Huibers M.J. The effect of psychotherapy for depression on improvements in social functioning: a meta-analysis. Psychol Med. 2014;44(14):2913–2926.
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