Evidence map›Paper›PMID 29891186›Full record

ArticleDisability and health journal2018

Quality of life and psychological well-being in the early stages of multiple sclerosis (MS): Importance of adopting a biopsychosocial model.

L B Strober

Open access · greenAbstract read
In one paragraph

Article in Disability and health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

L B StroberKessler Foundation, East Hanover, NJ, USA; Rutgers, The State University of New Jersey, New Jersey Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA. Electronic address: lstrober@kesslerfoundation.org.
Kessler Foundation · US

Funding

Unemployment in Multiple Sclerosis : The Role of Personality, Coping and HealthK23HD069494 · NICHD · KESSLER FOUNDATION, INC. · PI STROBER, LAUREN BETH · 2012 to 2016
$554k
NICHD NIH HHS K23 HD069494
6 · The paper itself

Abstract

backgroundReductions in quality of life (QOL) exist among individuals with multiple sclerosis (MS).

objectiveThe present investigation aimed to adopt a biopsychosocial model in examining QOL in the early stages of MS.

methodsIndividuals with MS (34 with average to low QOL and 35 with high QOL) were compared on measures of disease symptoms, psychological functioning, personality, self-efficacy, locus of control (LOC), social support, and coping to determine the most salient predictors of QOL.

resultsIndividuals were matched on disease course and duration. Individuals with lower QOL reported more fatigue, sleep problems, pain, depression, and anxiety (d = 0.83-1.49, p's < 0.001). They also reported lower levels of self-efficacy, LOC, and social support (d = 0.75-1.50 p's < 0.01). They indicated higher levels of neuroticism (d = 1.31, p < .001) and lower levels of extraversion (d = 1.21, p < .001) and reported greater levels of disengagement as a means of coping (d = 0.75, p = .002). Those with high QOL endorsed more use of adaptive coping (d = 0.52 - 0.86, p's < 0.05). When taken together, LOC and anxiety were the most significant predictors, accounting for 40% of the variance.

conclusionEven early on in the illness, there exists differing levels of QOL. Identifying the psychological and social variables as well as the disease related factors is important, and in this case, may make a much greater contribution. Efforts to assure routine assessment and effective intervention aimed at these factors are warranted, particularly as an early intervention to assure maintenance/improvement in QOL among individuals with MS.

Indexed as

Adaptation, PsychologicalSelf EfficacyAdultFemaleHumansMaleMiddle AgedMultiple SclerosisPersons with DisabilitiesQuality of LifeSocial SupportStress, PsychologicalSurveys and QuestionnairesCopingLocus of controlPersonalityQuality of lifeSelf-efficacyWell-being

Identifiers

PMID29891186
PMCPMC6177284
OpenAlexW2806616775

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.