The relationship between psychopathology, psychosocial adjustment, social support and quality of life in multiple sclerosis

Authors : Vahap Ozan KOTAN, Zeynep KOTAN, Birgül AYDIN, Özlem TAŞKAPILIOĞLU, Berna ALKAN, Güven ÖZKAYA, Aslı SARANDÖL, Ömer Faruk TURAN, Selçuk Kırlı

Pages : 20-28

Doi:10.18621/eurj.382894

View : 19 | Download : 9

Publication Date : 2019-01-04

Article Type : Research Paper

Abstract :Objectives:   Multiple Sclerosis insert ignore into journalissuearticles values(MS); is a chronic disease which affects physical,psychological and social functioning of patients. In this study we aim to indicate psychiatric comorbidity, some psychosocial factors and their associations with quality of life in patients with MS. Methods: A total of 227 patients underwent psychiatric examination and the following scales were applied: Socio-demographic data form, Hospital Anxiety and Depression Scale insert ignore into journalissuearticles values(HADS);, Multiple Sclerosis Quality of Life-54 insert ignore into journalissuearticles values(MSQOL-54);, Psychosocial Adjustment to Illness Scale-Self report insert ignore into journalissuearticles values(PAIS-SR); and Multidimensional Scale of Perceived Social Support insert ignore into journalissuearticles values(MSPSS);. Results: Among 227 patients with MS, 67.8% insert ignore into journalissuearticles values(n = 154); had psychiatric diagnosis; 24.2% insert ignore into journalissuearticles values(n = 55); had depression,19.8% insert ignore into journalissuearticles values(n = 45); had adjustment disorder, 14.9% insert ignore into journalissuearticles values(n = 34); had anxiety disorder, 7.1% insert ignore into journalissuearticles values(n=16); had dysthymic disorder and 1.8% insert ignore into journalissuearticles values(n = 4); had bipolar disorder. Patients with a psychiatric diagnosis had lower scores in role limitations due to emotional problems, emotional well-being, health perceptions, social function, cognitive function, health distress and mental health composite of MSQOL-54. PAIS-SR and MSPSS scores were significantly lower in MS patients with a psychiatric diagnosis. PAIS-SR scores were negatively correlated with role limitations-emotional, emotional well-being, social function, sexual function, satisfaction with sexual function, physical health composite and mental health composite scores of MSQOL-54. MSPSS total score was positively correlated with emotional well-being score of MSQOL-54. Conclusions:  In MS patients, there is a high prevalence of psychopathology and it is associated with quality of life, perceived social support and psychosocial adjustment of the patients. Quality of life is reduced especially in emotional and mental aspects in patients with a psychiatric diagnosis. Diagnosis and treatment of psychopathology in MS patients seems crucial to decrease disease burden. 
Keywords : Multiple sclerosis, psychopathology, psychosocial adjustment, socials upport, quality of life