The role of appraisal and coping style in relation with societal participation in fatigued patients with multiple sclerosis: a cross-sectional multiple mediator analysis
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Publication date
2016-10-01
Authors
van den Akker, Lizanne Eva
Beckerman, Heleen
Collette, Emma Hubertine
Bleijenberg, Gijs
Dekker, Joost
Knoop, Hans
de Groot, Vincent
TREFAMS-ACE study group, study group
de Groot, V.
Beckerman, H.
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Document Type
Article
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Abstract
To determine the relationship between appraisal and societal participation in fatigued patients with Multiple Sclerosis (MS), and whether this relation is mediated by coping styles. 265 severely-fatigued MS patients. Appraisal, a latent construct, was created from the General Self-Efficacy Scale and the helplessness and acceptance subscales of the Illness Cognition Questionnaire. Coping styles were assessed using the Coping Inventory Stressful Situations (CISS21) and societal participation was assessed using the Impact on Participation and Autonomy. A multiple mediator model was developed and tested by structural equation modeling on cross-sectional data. We corrected for confounding by disease-related factors. Mediation was determined using a product-of-coefficients approach. A significant relationship existed between appraisal and participation (β = 0.21, 95 % CI 0.04–0.39). The pathways via coping styles were not significant. In patients with severe MS-related fatigue, appraisal and societal participation show a positive relationship that is not mediated by coping styles.
Keywords
Appraisal, Coping, Multiple mediator model, Multiple sclerosis, Participation, General Psychology, Psychiatry and Mental health, Journal Article
Citation
van den Akker, L E, Beckerman, H, Collette, E H, Bleijenberg, G, Dekker, J, Knoop, H, de Groot, V, TREFAMS-ACE study group, S G, de Groot, V, Beckerman, H, Malekzadeh, A, van den Akker, L E, Looijmans, M, Sanches, S A, Dekker, J, Collette, E H, van Oosten, B W, Teunissen, C E, Blankenstein, M A, Eijssen, I C J M, Rietberg, M, Heine, M, Verschuren, O, Kwakkel, G, Visser-Meily, J M A, van de Port, I G L, Lindeman, E, Blikman, L J M, van Meeteren, J, Bussmann, J B J, Stam, H J, Hintzen, R Q, Hacking, H G A, Hoogervorst, E L, Frequin, S T F M, Knoop, H, de Jong, B A, de Laat, F A J, Verhulsdonck, M C, van Munster, E T H, Oosterwijk, C J & Aarts, G J 2016, 'The role of appraisal and coping style in relation with societal participation in fatigued patients with multiple sclerosis : a cross-sectional multiple mediator analysis', Journal of Behavioral Medicine, vol. 39, no. 5, pp. 855-865. https://doi.org/10.1007/s10865-016-9762-6