What Biopsychosocial Factors Explain Self-management Behaviors in Multiple Sclerosis? The Role of Demographics, Cognition, Personality, and Psychosocial and Physical Functioning

Gromisch, Elizabeth S.; Neto, Lindsay O.; Turner, Aaron P.

doi:10.1016/j.apmr.2021.05.012

Cited by 20 publications

(11 citation statements)

References 27 publications

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“…Evaluations were conducted between June 2019 and September 2020. As previously reported (Gromisch et al, 2021), participants were on average 51.03 years old ( SD = 12.23) and had 15.21 years ( SD = 2.29) of education. The majority of the sample were women (74.1%), married (52.7%), White (85.7%), and non-Hispanic (92.0%).…”

Section: Methodssupporting

confidence: 70%

“…The current study was a secondary analysis of a cross-sectional self-management project that was conducted at the Mandell Center for Multiple Sclerosis Care and Neuroscience Research (Gromisch et al, 2021). Briefly, participants ( N = 112) were eligible if they were diagnosed with MS, between the ages of 18 and 89, spoke English, and had been relapse-free for the past two months.…”

Section: Methodsmentioning

confidence: 99%

“…As part of the parent study (Gromisch et al, 2021), participants also completed the Hospital Anxiety and Depression Scale (HADS; Zigmond & Snaith, 1983), Illness Intrusiveness Ratings Scale (IIRS; Devins, 2010), Modified Fatigue Impact Scale-5 (MFIS-5; Ritvo et al, 2015), Multiple Sclerosis Quality of Life-29 (MSQOL-29; Rosato et al, 2016), Pain Effects Scale (Ritvo et al, 2015), Perceived Deficits Questionnaire (PDQ; Ritvo et al, 2015), Symbol Digit Modalities test (SDMT; Smith, 1982), Rey Auditory Verbal Learning test (RAVLT; Strauss et al, 2006), and the Memory for Intentions test (MIST; Raskin et al, 2010). However, these measures were not included in the current analyses.…”

Section: Methodsmentioning

confidence: 99%

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What factors are associated with resilience in persons with multiple sclerosis? The role of personality traits.

Gromisch

Turner

Gangi

et al. 2022

Rehabilitation Psychology

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Purpose/Objective: While personality traits have been well-documented to be related to resilience in several populations, they have yet to be explored in people with multiple sclerosis (PwMS). As such, this study aimed to understand how personality traits are associated with MS-related resilience after considering the independent contributions of self-efficacy, a significant component of the biopsychosocial model of resilience in MS, and demographic and disease characteristics. Research Method/Design: Participants (N = 112) were PwMS who completed a 1-time cross-sectional study. Resilience was measured using the MS Resiliency Scale, while personality traits and self-efficacy were assessed using the NEO-Five Factor Inventory-3 and University of Washington Self-Efficacy Scale, respectively. An ordinary least squares linear regression was run to examine the relationship between resilience, personality traits, self-efficacy, and demographic and disease characteristics. Results: Self-efficacy (b = .40, 95% CI [.17, .63], p < .001) and neuroticism (b = −.35, 95% CI [−.51, −.19], p < .001), as well as being married (b = .06, 95% CI [.12, 8.00], p = .044) were significantly related to resilience. While extraversion, conscientiousness, and agreeableness were associated with resilience on a bivariate level, they were not significant in the multivariate model. Conclusions/Implications: This study highlights how neuroticism, along with self-efficacy and marital status, plays a role in MS-related resilience. While further research is needed, these findings may help inform future resilience-building interventions or identify individuals at greater risk for lower levels of resilience.

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Section: Methodssupporting

confidence: 70%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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What factors are associated with resilience in persons with multiple sclerosis? The role of personality traits.

Gromisch

Turner

Gangi

et al. 2022

Rehabilitation Psychology

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“…The study was approved by the Trinity Health of New England Institutional Review Board and the detailed study procedures for the original study are described elsewhere. 16 The following demographics were extracted for the current analyses: age, gender, race/ethnicity, years of education, and MS history. Level of physical disability was evaluated using the self-reported Patient Determined Disease Steps (PDDS), in which participants rate their MS severity on a scale of 0 (normal) to 8 (bedridden).…”

Section: Methodsmentioning

confidence: 99%

“…This study was a secondary analysis of a larger observational study investigating self-reported self-management behaviors conducted at the Mandell Center for Multiple Sclerosis at Mount Sinai Rehabilitation Hospital, Trinity Health of New England. 16 Briefly, participants were PwMS between the ages of 18 and 89 years, English-speaking, and were relapsefree for the past 2 months. For the purposes of this study, participants who underwent a study assessment were included if they had physical therapy between 2017 and 2020.…”

Section: Participantsmentioning

confidence: 99%

The Role of Cognitive Impairment on Physical Therapy Attendance and Outcomes in Multiple Sclerosis

Gomes

Ruiz

Raskin

et al. 2021

Journal of Neurologic Physical Therapy

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Background and Purpose: Many persons with multiple sclerosis (PwMS) experience cognitive impairments, which may affect their ability to engage in physical therapy. There is limited information on how cognitive impairments are associated with PwMS' ability to participate and improve their functional outcomes. This study aimed to assess the relationship between cognitive functioning and PwMS' attendance, total goal attainment, and functional improvement following physical therapy intervention. Methods: Participants (n = 45) were PwMS who participated in a larger self-management study and enrolled in physical therapy within the past 2 years. Objective cognitive functioning was examined using tests of prospective memory, retrospective memory, working memory, and processing speed, along with a self-report measure. Bivariate analyses were conducted to examine the relationship between cognitive functioning and each physical therapy outcome (session attendance, attaining goals, and changes in functional outcome measures), followed by logistic regressions with age, education, gender, and disability level as covariates. Results: Difficulty learning new verbal information was associated with a greater likelihood of "no showing" one or more of their physical therapy sessions. Reductions in working memory and processing

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Perceived health- related quality of life in persons with multiple sclerosis with and without a vascular comorbidity

Neto,

Ruiz,

Gromisch

2023

Qual Life Res

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What Biopsychosocial Factors Explain Self-management Behaviors in Multiple Sclerosis? The Role of Demographics, Cognition, Personality, and Psychosocial and Physical Functioning

Cited by 20 publications

References 27 publications

What factors are associated with resilience in persons with multiple sclerosis? The role of personality traits.

What factors are associated with resilience in persons with multiple sclerosis? The role of personality traits.

The Role of Cognitive Impairment on Physical Therapy Attendance and Outcomes in Multiple Sclerosis

Perceived health- related quality of life in persons with multiple sclerosis with and without a vascular comorbidity

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