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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2017

01-04-2017 | Original Article

Comparison of Personal Resources in Patients Who Differently Estimate the Impact of Multiple Sclerosis

Authors: Maciej Wilski, PhD, Maciej Tomczak, PhD

Published in: Annals of Behavioral Medicine | Issue 2/2017

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Abstract

Background

Discrepancies between physicians’ assessment and patients’ subjective representations of the disease severity may influence physician-patient communication and management of a chronic illness, such as multiple sclerosis (MS). For these reasons, it is important to recognize factors that distinguish patients who differently estimate the impact of MS.

Purpose

The purpose of this study was to verify if the patients who overestimate or underestimate the impact of MS differ in their perception of personal resources from individuals presenting with a realistic appraisal of their physical condition.

Methods

A total of 172 women and 92 men diagnosed with MS completed Multiple Sclerosis Impact Scale, University of Washington Self Efficacy Scale, Rosenberg Self-Esteem Scale, Body Esteem Scale, Brief Illness Perception Questionnaire, Treatment Beliefs Scale, Actually Received Support Scale, and Socioeconomic resources scale. Physician’s assessment of health status was determined with Expanded Disability Status Scale.

Results

Linear regression analysis was conducted to identify the subsets of patients with various patterns of subjective health and Expanded Disability Status Scale (EDSS) scores. Patients overestimating the impact of their disease presented with significantly lower levels of self-esteem, self-efficacy in MS, and body esteem; furthermore, they perceived their condition more threatening than did realists and underestimators. They also assessed anti-MS treatment worse, had less socioeconomic resources, and received less support than underestimators. Additionally, underestimators presented with significantly better perception of their disease, self, and body than did realists.

Conclusion

Self-assessment of MS-related symptoms is associated with specific perception of personal resources in coping with the disease. These findings may facilitate communication with patients and point to new directions for future research on adaptation to MS.
Literature
1.
Asimakopoulou KG, Skinner TC, Spimpolo J, Marsh S, Fox C. Unrealistic pessimism about risk of coronary heart disease and stroke in patients with type 2 diabetes. Patient Educ Couns. 2008; 71(1): 95–101.CrossRefPubMed
2.
Beckham JC, Rice JR, Talton SL, Helms MJ, Young LD. Relationship of cognitive constructs to adjustment in rheumatoid arthritis patients. Cogn Ther Res. 1994; 18: 479–96.CrossRef
3.
Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006; 60: 631–7.CrossRefPubMed
4.
Brown, ES, Khan, DA, Nejtek, VA. The psychiatric side effects of corticosteroids. Ann Allerg Asthma Im. 1999; 83(6): 495–504.CrossRef
5.
6.
Cervone D. Personality architecture: Within-person structures and processes. Ann Rev Psychol. 2005; 56: 423–452.CrossRef
7.
Cervone D, Mor N, Orom H, Shadel WG, Scott WD. Self-efficacy beliefs and the architecture of personality. In: Baumeister RF, Vohs KD, eds. Handbook of self-regulation: Research, theory, and applications. Guilford Press, New York; 2004: 188–210.
8.
Costelloe L, O’Rourke K, Kearney H, et al. The patient knows best: significant change in the physical component of the multiple sclerosis impact scale (MSIS-29 physical). J Neurol Neurosurg Psychiatry. 2007; 78: 841–844.CrossRefPubMedPubMedCentral
9.
de Ridder D, Fournier M, Bensing J. Does optimism affect symptom report in chronic disease?: What are its consequences for self-care behaviour and physical functioning? J Psychosom Res. 2004; 56(3): 341–350.CrossRefPubMed
10.
Feldman PJ, Cohen S, Doyle WL, Skoner DP, Gwaltney JM. The impact of personality on the reporting of unfounded symptoms and illness. J Pers Soc Psychol. 1999; 77: 370–8.CrossRefPubMed
11.
Forbes A, While A, Mathes L, Griffiths P. Health problems and health-related quality of life in people with multiple sclerosis. Clin Rehabil. 2006; 20(1): 67–78.
12.
Fournier M, de Ridder D, Bensing J. Optimism and adaptation to multiple sclerosis: What does optimism mean? J Behav Med. 1999; 22(4): 303–326.CrossRefPubMed
13.
Fournier M, de Ridder, D, Bensing, J. How optimism contributes to the adaptation of chronic illness. A prospective study into the enduring effects of optimism on adaptation moderated by the controllability of chronic illness. Pers Indiv Differ. 2002; 33(7): 1163–1183.CrossRef
14.
Franzoi SL, Shields SA. The body esteem scale: multidimensional structure and sex differences in a college population. J Person Assess. 1984; 48(2): 173–178.CrossRef
15.
Gallo LC, Smith TW, Cox CM. Socioeconomic status, psychosocial processes, and perceived health: An interpersonal perspective. Ann Behav Med. 2006, 31(2):109–119.CrossRefPubMed
16.
Gonder-Frederick LA, Cox D J. Symptom perception, symptom beliefs, and blood glucose discrimination in the self-treatment of insulin-dependent diabetes. In: Skelton JA, Croyle RT, eds. Mental representation in health and illness. Springer US; 1991: 220–246.CrossRef
17.
Gray OM, McDonnell GV, Hawkins SA. Tried and tested: the psychometric properties of the multiple sclerosis impact scale (MSIS-29) in a population-based study. Mult Scler. 2009; 15(1): 75–80.CrossRefPubMed
18.
Hobart J, Freeman J, Thompson A. Kurtzke scales revisited: the application of psychometric methods to clinical intuition. Brain. 2000; 123: 1027–1040.CrossRefPubMed
19.
Hobart J, Lamping D, Fitzpatrick R, et al. The multiple sclerosis impact scale (MSIS-29) a new patient-based outcome measure. Brain. 2001; 124: 962–73.CrossRefPubMed
20.
Hoogervorst EL, Zwemmer J, Jelles B, Polman CH, Uitdehaag BM. Multiple Sclerosis Impact Scale (MSIS-29): Relation to established measures of impairment and disability. Mult Scler. 2004; 10(5): 569–574.CrossRefPubMed
21.
http://uwcorr.washington.edu/publications/SES_MSversion_Final_Scales_Distribute.pdf Accessibility verified January 14, 2016.
22.
Jopson NM, Moss-Morris R. The role of illness severity and illness representations in adjusting to multiple sclerosis. J Psychosom Res. 2003; 54(6): 503–511.CrossRefPubMed
23.
Kragt, JJ, Nielsen, JM, Van Der Linden, FAH, Polman, CH, Uitdehaag, BMJ. Disease progression in multiple sclerosis: Combining physicians’ and patients’ perspectives? Mult Scler J. 2011; 17(2): 234–240.CrossRef
24.
Kurtzke JF. Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology. 1983; 33: 1444–52.CrossRefPubMed
25.
Lublin FD, Reingold SC. Defining the clinical course of multiple sclerosis results of an international survey. Neurology. 1996; 46(4): 907–911.CrossRefPubMed
26.
McGuigan C, Hutchinson M. The multiple sclerosis impact scale (MSIS-29) is a reliable and sensitive measure. J Neurol Neurosurg Psychiatry. 2004; 75(2): 266–269.PubMedPubMedCentral
27.
Miglioretti M, Mazzini L, Oggioni GD, Testa L, Monaco F. Illness perceptions, mood and health-related quality of life in patients with amyotrophic lateral sclerosis. J Psychosom Res. 2008; 65(6): 603–609.CrossRefPubMed
28.
Mora PA, Halm E, Leventhal H, Ceric F. Elucidating the relationship between negative affectivity and symptoms: The role of illness-specific affective responses. Ann Behav Med. 2007; 34(1):77–86.CrossRefPubMed
29.
Murray TJ. The psychosocial aspects of multiple sclerosis. Neurol Clin. 1995; 13: 197–223.PubMed
30.
Pennebaker, JW. The psychology of physical symptoms. New York: Springer; 1982.
31.
Pennebaker JW. Psychological factors influencing the reporting of physical symptoms. In: Stone AA, Turkkan JS, Bachrach CA, Jobe JB, Kurtzman HS, Cain Vs, eds. The science of self-report: Implications for research and practice. New York: Lawrence Erlbaum Associates; 2000: 299–315.
32.
Pennebaker, JW, Brittingham, GL. Environmental and sensory cues affecting the perception of physical symptoms. In: Baum, A, Singer, JE, eds. Advances in Environmental Psychology: Environmental Health. New York: Erlbaum, Hillsdale; 1982.
33.
Petrie, KJ, Weinman, JA. Perceptions of health and illness: current research and applications. Amsterdam: Taylor and Francis; 1997.
34.
Phillips, MM, Cornell, CE, Raczynski, JM, Gilliland, MJ. Symptom Perception. In: Raczynski, JM, DiClemente, RJ, eds. Handbook of health promotion and disease prevention. Springer Science & Business Media; 2013: 75–94.
35.
Reed GM, Kemeny ME, Taylor SE, Visscher BR. Negative HIV Specific expectancies and AIDS-related bereavement as predictors of symptom onset in asymptomatic HIV-positive gay men. Health Psychol. 1999; 18: 354–63.CrossRefPubMed
36.
Riazi A, Hobart JC, Lamping DL, Fitzpatrick R, Thompson AJ. Multiple Sclerosis Impact Scale (MSIS-29): Reliability and validity in hospital based samples. J Neurol Neurosurg Psychiatry. 2002; 73: 701/704.CrossRefPubMedPubMedCentral
37.
Riazi A, Hobart JC, Lamping DL, Fitzpatrick R, Thompson AJ. Evidence-based measurement in multiple sclerosis: The psychometric properties of the physical and psychological dimensions of three quality of life rating scales. Mult Scler. 2003; 9: 411–419.CrossRefPubMed
38.
Ridder, D, Schreurs, K, Bensing, J. The relative benefits of being optimistic: Optimism as a coping resource in multiple sclerosis and Parkinson's disease. Brit J Health Psych. 2000; 5(2): 141–155.CrossRef
39.
Rosenberg M. Society and the adolescent self-image. Middletown, CT: Wesleyan University Press; 1989.
40.
Rudick RA, Miller D, Clough JD, Gragg LA, Farmer RG. Quality of life in multiple sclerosis. Arch Neurol. 1992; 49: 1237–1242.CrossRefPubMed
41.
Schandry R, Leopold C, Vogt M. Symptom reporting in asthma patients and insulin-dependent diabetics. Biol Psychol. 1996; 42: 231–44.CrossRefPubMed
42.
Schulz U, Schwarzer R. Soziale Unterstu¨tzung bei der Krankheitsbewa¨ltigung. Die Berliner Social Support Skalen (BSSS) [Social support in coping with illness: the Berlin Social Support Scales (BSSS)]. Diagnostica. 2003; 49: 73–82.CrossRef
43.
Senn TE, Walsh JL, Carey MP. The mediating roles of perceived stress and health behaviors in the relation between objective, subjective, and neighborhood socioeconomic status and perceived health. Ann Behav Med. 2014; 48(2):215–224.CrossRefPubMedPubMedCentral
44.
Sharrack B, Hughes RA, Soudain S, Dunn G. The psychometric properties of clinical rating scales used in multiple sclerosis. Brain. 1999; 122: 141–159.CrossRefPubMed
45.
Spain LA, Tubridy N, Kilpatrick TJ, Adams SJ, Holmes ACN. Illness perception and health-related quality of life in multiple sclerosis. Acta Neurol Scand. 2007; 116(5): 293–299.CrossRefPubMed
46.
Spiegel, JS, Leake, B, Speigel, TM, et al. What are we measuring? An examination of self-reported functional status measures. Arth Rheum. 1988; 31: 721–728.CrossRef
47.
Stokes R, Frederick-Recascino C. Women’s perceived body image: Relations with personal happiness. J Women Aging. 2003; 15(1): 17–29.CrossRefPubMed
48.
Strupp, J, Hartwig, A, Golla, H, Galushko, M, Pfaff, H, Voltz, R. Feeling severely affected by Multiple Sclerosis: What does this mean? Palliative Med. 2012; 26(8): 1001–1010.CrossRef
49.
Taylor SE, Brown JD. Illusion and well-being: A social psychological perspective on mental health. Psychol Bull. 1988; 103: 193–210.CrossRefPubMed
50.
Thomas, CD, Freeman, RJ. The body esteem scale: Construct validity of the female subscales. J Person Assess. 1990; 54: 204–212.CrossRef
51.
Turner RJ, Lloyd DA, Roszell P. Personal resources and the social distribution of depression. Am J Community Psychol. 1999, 27:643–672.CrossRefPubMed
52.
Watson D, Pennebaker JW. Situational, dispositional, and genetic bases of symptom reporting. In: Skelton JA, Croyle RT, eds. Mental representations in health and illness. New York: Springer; 1991: 60–84.
53.
Weinstein ND. Unrealistic optimism about future life events. J Pers Soc Psychol. 1980; 39: 806–820.CrossRef
54.
Willoughby EW, Paty DW. Scales for rating impairment in multiple sclerosis: a critique. Neurology. 1988; 38: 1793–1798.CrossRefPubMed
Metadata
Title
Comparison of Personal Resources in Patients Who Differently Estimate the Impact of Multiple Sclerosis
Authors
Maciej Wilski, PhD
Maciej Tomczak, PhD
Publication date
01-04-2017
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 2/2017
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9841-5

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