Abstract:
BACKGROUND:Pain can interfere with the daily functioning of persons with multiple sclerosis (PwMS). Furthermore, beliefs about pain and activity engagement are reliably associated with persons' experience of chronic pain. This study aimed to explore the extent to which different aspects of PwMS' activity engagement is related to pain-related illness intrusiveness, and whether certain coping and support systems mediate that relationship. METHODS:Participants (N = 161) were PwMS with at least mild pain who were recruited electronically through the North American Research Committee on MS (NARCOMS). Pain-related illness intrusiveness was measured using a modified version of the Illness Intrusiveness Ratings Scale (IIRS). Activity engagement was assessed with Section III of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Correlations analyses were followed by multiple hierarchical regressions, with disability and depression symptom severity as covariates. Exploratory mediation analyses were then conducted with the subscales of the MS Resiliency Scale (MSRS). RESULTS:Pain-related illness intrusiveness was significant correlated with activities away from home (r = -0.37, p < .001), social activities (r = -0.26, p = .001), and household chores (r = -0.16, p < 0.05). After controlling for covariates, pain-related illness intrusiveness exclusively remained a significant predictor of activities away from home. Coping strategies from MSRS mediated the effect of pain-related illness intrusiveness on activities away from home (b = -0.01, p < .05), which represents a relatively small effect (R2med = 0.07). CONCLUSIONS:These findings highlight the influence that PwMS' pain experience can have on engagement in activities away from home and the indirect effects of positive coping strategies on that relationship.
journal_name
Mult Scler Relat Disordjournal_title
Multiple sclerosis and related disordersauthors
Gromisch ES,Kerns RD,Beauvais Jdoi
10.1016/j.msard.2019.101882subject
Has Abstractpub_date
2020-02-01 00:00:00pages
101882eissn
2211-0348issn
2211-0356pii
S2211-0348(19)30953-8journal_volume
38pub_type
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
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journal_title:Multiple sclerosis and related disorders
pub_type: 杂志文章,评审
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更新日期:2016-07-01 00:00:00
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journal_title:Multiple sclerosis and related disorders
pub_type:
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journal_title:Multiple sclerosis and related disorders
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.msard.2019.06.024
更新日期:2019-10-01 00:00:00
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journal_title:Multiple sclerosis and related disorders
pub_type: 杂志文章
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journal_title:Multiple sclerosis and related disorders
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更新日期:2019-01-01 00:00:00
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journal_title:Multiple sclerosis and related disorders
pub_type: 杂志文章
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更新日期:2020-01-07 00:00:00
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