Self-management, self-esteem and their associations with psychological well-being in people with multiple sclerosis.
BACKGROUND
Optimal self-management seem to be protective factor of health-related quality of life and psychological well-being in many chronic conditions. However, the results in people with multiple sclerosis (MS) are still inconclusive. Thus, the aim of this study is to assess the associations between self-management, self-esteem and psychological well-being in people with MS when controlled for sociodemographic and clinical variables.


METHODS
A total of 165 people with MS filled in The Multiple Sclerosis Self-Management Scale, Rosenberg Self-Esteem scale, and General Health Questionnaire-28, to assess main variables under study. Functional status was measured by Kurtzke disability Status Scale.


RESULTS
We found significant associations between self-esteem and somatic symptoms, anxiety/insomnia, social dysfunction and severe depression. Explained variance of the models ranged from 16% to 38% for somatic symptoms and severe depression, respectively. Self-management significantly contributed to the explained variance in all models sans GHQ social dysfunction. Self-esteem was significant contributor to overall variance in all models.


DISCUSSION
According to our results, self-management and self-esteem were found to be associated with multiple domains of psychological well-being. These findings may be used in neurological practice, to help people with MS who report psychological distress in one or more domains.
['Mikula|Pavol|P|', 'Timkova|Vladimira|V|', 'Fedicova|Miriam|M|', 'Szilasiova|Jarmila|J|', 'Nagyova|Iveta|I|']
D003863:Depression D006801:Humans D009103:Multiple Sclerosis D011788:Quality of Life D012649:Self Concept D000073278:Self-Management D011795:Surveys and Questionnaires
Self-management Self-esteem Well-being Multiple sclerosis