The effect of cognitive performance on self-management behavior of multiple sclerosis patients

Basit Öğe Kaydı
dc.authoridPetek Balcı, Belgin/0000-0001-5190-7380
dc.authoridKoseoglu, Mesrure/0000-0003-0469-0064
dc.authoridEfendi, Hüsnü/0000-0002-9143-3893
dc.authoridUNAL, Aysun/0000-0002-7702-8437
dc.authorscopusid13402698500
dc.authorscopusid16069377400
dc.authorscopusid23984071100
dc.authorscopusid57211906388
dc.authorscopusid55357599400
dc.authorscopusid24340580900
dc.authorscopusid15760308100
dc.authorwosidPetek Balcı, Belgin/CAG-6344-2022
dc.contributor.authorEfendi, Hüsnü
dc.contributor.authorÜnal, Aysun
dc.contributor.authorAkçalı, Aylin
dc.contributor.authorAltunan, Bengü
dc.contributor.authorBingöl, Ayhan
dc.contributor.authorAltunrende, Burcu
dc.contributor.authorBeckmann, Yeşim
dc.contributor.authorGündoğdu, Aslı Aksoy
dc.date.accessioned2023-04-20T08:01:14Z
dc.date.available2023-04-20T08:01:14Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractBackground: Difficulties of self-management in people with MS (pwMS) is considered as one of the most important factors contributing to low rehabilitation efficacy, more severe long-term complications and increase in healthcare costs. Despite the emergence of research in the last decade documenting causes, types, and course of cognitive difficulties in MS disease subtypes, limited evidence is available in the literature for direct comparison of self-management and cognitive deficits. In this study we aimed to investigate the relationship between cognitive performance and self-management in pwMS. Methods: PwMS who applied to neurology out-patient clinics of seven different centers were included into study. Multiple Sclerosis Self-Management Scale- Revised (MSSM-R) was used for the assessment of self-management behaviors and Multiple Sclerosis inventory cognition scale (MUSIC) was used for the assessment of cognitive performance and fatigue. Results: In this study, 194 (144 female and 50 male) pwMS participated (mean age = 38.9 years). The course of the disease was RRMS in 173 patients and mean EDSS was 2.0. 68.5% of the participants were married, 32.5% were employed, and 57.2% had secondary education. The MSSM-R mean score of the study group was 42.6 +/- 10.4 (1-81). There was a positive correlation between MSSM-R and MUSIC-cog scores (r = 0.21, p = 0.003). A hierarchical multiple regression revealed that income level (beta = 0.196, t = 2.692, p = 0.008) and cognitive performance (beta = 0.167, t = 2.063, p = 0.041) together with control variables (gender, age, educational status, employment status, duration of disease, EDSS and fatigue) explained 5.5% of the variance in self-management. Conclusion: Cognitive performance is a predictor of self-management in pwMS. Better self-management behavior is also related with employment and income level in pwMS. Studies evaluating patients' cognitive abilities and evaluating the effectiveness of adapted self-management training programs are needed.
dc.identifier.doi10.1016/j.msard.2022.103880
dc.identifier.issn2211-0348
dc.identifier.issn2211-0356
dc.identifier.pmid35613508
dc.identifier.scopus2-s2.0-85130256475
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.msard.2022.103880
dc.identifier.urihttps://hdl.handle.net/20.500.11776/10814
dc.identifier.volume63
dc.identifier.wosWOS:000808580300002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGündoğdu, Aslı Aksoy
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofMultiple Sclerosis and Related Disorders
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMultiple Sclerosis
dc.subjectSelf-Management
dc.subjectCognition
dc.subjectFatigue
dc.subjectDisability
dc.subjectEmployment Status
dc.subjectDisease
dc.subjectImpairment
dc.subjectAbilities
dc.subjectPeople
dc.titleThe effect of cognitive performance on self-management behavior of multiple sclerosis patients
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
Tıp Fakültesi Koleksiyonu