Fatigue and Suicidal Ideation in People With Multiple Sclerosis: The Role of Social Support

被引:21
作者
Mikula, Pavol [1 ]
Timkova, Vladimira [1 ]
Linkova, Marcela [1 ]
Vitkova, Marianna [2 ]
Szilasiova, Jarmila [2 ]
Nagyova, Iveta [1 ]
机构
[1] Pavol Jozef Safarik Univ Kosice, Fac Med, Dept Social & Behav Med, Kosice, Slovakia
[2] Pavol Jozef Safarik Univ Kosice, Fac Med, Dept Neurol, Kosice, Slovakia
来源
FRONTIERS IN PSYCHOLOGY | 2020年 / 11卷
关键词
suicidal ideation; social support; fatigue; sleep quality; multiple sclerosis; QUALITY-OF-LIFE; CHRONIC DISEASES; DEPRESSION; ASSOCIATION; ANXIETY; DISABILITY; SCALE; PREVALENCE; INSTRUMENT;
D O I
10.3389/fpsyg.2020.00504
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Fatigue and poor sleep quality are among the most common patient-reported problems associated with multiple sclerosis (MS). Social support, on the other hand, is often found to be positively associated with quality of life in patients with neurological diseases. Studies also show that suicidal ideation (SI) levels in MS are elevated compared to the general population. Thus, the aim of this study is to assess the associations between fatigue, social support, and SI in patients with MS. Out of 184 MS patients asked to participate in this cross-sectional study, 156 agreed (RR 69.8%; 75% female; mean age: 39.95 +/- 9.97 years). Patients filled-in the Multidimensional Fatigue Inventory-20, the Pittsburgh Sleep Quality Index, the Multidimensional Scale of Perceived Social Support and the subscale of the General Health Questionnaire-28 focused on assessing SI. Models were controlled for age, gender, disease duration, functional disability, and sleep quality. Data were analyzed using multiple linear regressions. SI was positively associated with lower sleep quality and four types of fatigue: general, mental, reduced activity, and reduced motivation (p < 0.05). Physical fatigue was not significantly associated with SI. Social support was negatively associated with SI in all models. The final models under study explained from 24.3 to 29.7% of the total variance in SI. SI yielded associations with both sleep quality and fatigue, with the exception of physical fatigue. Information provided by physicians on sleep management, and a psychosocial intervention focused on people who provide support for patients with MS (family, friends, and significant others) may reduce levels of SI.
引用
收藏
页数:7
相关论文
共 50 条
[21]   Alexithymia and attachment on mental health of people with multiple sclerosis: The mediating role of perceived social support and loneliness [J].
Doostdari, Farnaz ;
Kianimoghadam, Amir Sam ;
Arzpeyma, Mahyar ;
Fatollahzadeh, Saina ;
Mohammadi, Nassim Zakibakhsh ;
Masjedi-Arani, Abbas ;
Hajmanouchehri, Reza .
JOURNAL OF EDUCATION AND HEALTH PROMOTION, 2024, 13 (01)
[22]   Fatigue heralding multiple sclerosis [J].
Berger, Joseph R. ;
Pocoski, Jennifer ;
Preblick, Ronald ;
Boklage, Susan .
MULTIPLE SCLEROSIS JOURNAL, 2013, 19 (11) :1526-1532
[23]   Use of health services in people with multiple sclerosis with and without fatigue [J].
Johansson, S. ;
Ytterberg, C. ;
Gottberg, K. ;
Holmqvist, L. Widen ;
von Koch, L. .
MULTIPLE SCLEROSIS JOURNAL, 2009, 15 (01) :88-95
[24]   What is the protective role of perceived social support and religiosity in suicidal ideation in young adults? [J].
Duenas, Jorge-Manuel ;
Fernandez, Matheus ;
Morales-Vives, Fabia .
JOURNAL OF GENERAL PSYCHOLOGY, 2020, 147 (04) :432-447
[25]   The effect on the anxiety level of the social support given to multiple sclerosis patients [J].
Altinkaynak Yilmaz, Tuba ;
Ozdelikara, Afitap .
PERSPECTIVES IN PSYCHIATRIC CARE, 2022, 58 (01) :411-417
[26]   Social support in multiple sclerosis: Associations with quality of life, depression, and anxiety [J].
Ratajska, Adrianna ;
Glanz, Bonnie I. ;
Chitnis, Tanuja ;
Weiner, Howard L. ;
Healy, Brian C. .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2020, 138
[27]   The Contribution of Illness Beliefs, Coping Strategies, and Social Support to Perceived Physical Health and Fatigue in Multiple Sclerosis [J].
Bassi, Marta ;
Grobberio, Monica ;
Negri, Luca ;
Cilia, Sabina ;
Minacapelli, Eleonora ;
Niccolai, Claudia ;
Pattini, Marianna ;
Pietrolongo, Erika ;
Quartuccio, Maria Esmeralda ;
Viterbo, Rosa Gemma ;
Allegri, Beatrice ;
Amato, Maria Pia ;
Benin, Miriam ;
De Luca, Giovanna ;
Falautano, Monica ;
Gasperini, Claudio ;
Patti, Francesco ;
Trojano, Maria ;
Delle Fave, Antonella .
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS, 2021, 28 (01) :149-160
[28]   High prevalence of fatigue in contemporary patients with multiple sclerosis [J].
Broch, Line ;
Simonsen, Cecilia Smith ;
Flemmen, Heidi Oyen ;
Berg-Hansen, Pal ;
Skardhamar, Ashild ;
Ormstad, Heidi ;
Celius, Elisabeth Gulowsen .
MULTIPLE SCLEROSIS JOURNAL-EXPERIMENTAL TRANSLATIONAL AND CLINICAL, 2021, 7 (01)
[29]   Risk factors for suicidal ideation among the older people living alone in rural region of China A path analysis [J].
Hu, Caiyun ;
Zhao, Dongdong ;
Gong, Fengfeng ;
Zhao, Yuanyuan ;
Li, Jie ;
Sun, Yehuan .
MEDICINE, 2020, 99 (29) :E21330
[30]   Quality of life and social support in patients with multiple sclerosis [J].
Jaracz, Krystyna ;
Pawlak, Mikolaj ;
Gorna, Krystyna ;
Kolcz, Blazeja ;
Woloszyn, Dorota ;
Kozubski, Wojciech .
NEUROLOGIA I NEUROCHIRURGIA POLSKA, 2010, 44 (04) :358-365