Fatigue, Physical Disability and Self-Efficacy as Predictors of the Acceptance of Illness and Health-Related Quality of Life in Patients with Multiple Sclerosis

Joanna Dymecka, Rafał Gerymski, Rafał Tataruch and Mariola Bidzan
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Joanna Dymecka: Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, 45-040 Opole, Poland
Rafał Gerymski: Department of Health Psychology and Quality of Life, Institute of Psychology, Opole University, 45-040 Opole, Poland
Rafał Tataruch: Faculty of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland
Mariola Bidzan: Department of Clinical and Health Psychology, Institute of Psychology, University of Gdansk, 80-309 Gdansk, Poland

IJERPH, 2021, vol. 18, issue 24, 1-11

Abstract: Multiple sclerosis (MS) is a chronic progressive demyelinating disease of the central nervous system that leads to permanent disability and many neurological symptoms, making everyday functioning difficult. The predictors of the acceptance of illness and the health-related quality of life in people with MS include the degree of disability, neurological symptoms and psychosocial factors, such as personal resources. The aim of our study is to determine the relationships among disability, fatigue, self-efficacy, acceptance of illness and quality of life. The study group consisted of 137 people diagnosed with multiple sclerosis—73 women and 64 men. EDSS, GNDS, LSES, AIS and MSIS-29 were used in the present study. The results show that all tested variables were significantly correlated with each other. Disability and fatigue were significant predictors of both the physical and psychological aspects of patients’ quality of life. Self-efficacy was a significant predictor of both the acceptance of illness and the psychological aspect of patients’ quality of life. Based on the current research study, it can be concluded that factors of a biomedical nature explain other aspects of struggling with the disease, rather than psychological resources.

Keywords: multiple sclerosis; fatigue; disability; self-efficacy; acceptance of illness; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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