کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3448381 1595683 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Self-Efficacy as a Longitudinal Predictor of Perceived Cognitive Impairment in Individuals With Multiple Sclerosis
ترجمه فارسی عنوان
خودکارآمدی به عنوان یک پیش بینی طولی درک اختلالات شناختی درک شده در افراد مبتلا به مولتیپل اسکلروز
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی

ObjectivesTo determine whether self-efficacy longitudinally predicts 2 types of perceived cognitive impairment (PCI) in multiple sclerosis (MS): general cognitive functioning and executive functioning; and secondarily to assess whether self-efficacy mediates the relationships between depression, fatigue, and PCI.DesignLongitudinal analysis of self-report survey data collected over 3 years. Hierarchical regression analyses examined the relationship between self-efficacy and PCI, adjusting for depression and fatigue. Additional analyses tested self-efficacy as a mediator between depression, fatigue, and PCI.SettingCommunity.ParticipantsCommunity-dwelling individuals with MS (N=233; age range, 22–83y) were recruited from a larger longitudinal survey study of individuals with MS (N=562).InterventionsNot applicable.Main Outcome MeasuresPrimary outcome measures were the Applied Cognition–General Concerns and the Applied Cognition–Executive Function domains of the Quality of Life in Neurological Disorders (NeuroQoL) measures.ResultsSelf-efficacy was significantly correlated with PCI at baseline (r=.40–.53) and 3 years later (r=.36–.44). In multivariate regression analyses, self-efficacy was a significant longitudinal predictor of PCI, both for general cognitive functioning (β=.20, P<.01) and executive functioning (β=.16, P<.05). Self-efficacy partially mediated the relationships between depression, fatigue, and PCI.ConclusionsSelf-efficacy may influence how individuals with MS perceive their cognitive functioning over time. Interventions that target self-efficacy, particularly early in the disease course, may lead to improvements in PCI, as well as improvements in fatigue and depression.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 96, Issue 5, May 2015, Pages 913–919
نویسندگان
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