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MSVirtual2020: resilience and multiple sclerosis—it matters

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  • MSVirtual2020: resilience and multiple sclerosis—it matters

    P1029 - Examining the relationship between the Multiple Sclerosis Resiliency Scale and the Five Factor Model of Personality (ID 905)

    Speakers
    E. Gromisch
    Authors
    E. Gromisch A. Turner L. Neto F. Foley
    Presentation Number
    P1029
    Presentation Topic
    Patient-Reported Outcomes and Quality of Life

    Abstract

    Background
    When faced with challenges related to their multiple sclerosis (MS), persons with MS can respond a number of ways. Being resilient or “bouncing back” is a common response. The association between trait resilience and the Five Factor Model of personality (neuroticism, extraversion, openness, agreeableness, and conscientiousness) has been examined with a number of resiliency measures, but not yet with the MS Resiliency Scale (MSRS), a measure designed to assess the psychological, physical, and social aspects pertaining to resilience to MS-related challenges.

    Objectives
    To examine the relationship between the MSRS and personality factors, as measured by the 60-item NEO Five Factor Inventory-3 (NEO-FFI-3).

    Methods
    Participants (n = 111) were persons with MS who completed a brief neuropsychological battery as part of a larger study examining self-management behaviors. Pearson’s correlation coefficients were used to examine the associations between the MSRS and the Five Factor Model. Receiver operating characteristic (ROC) analyses were run to determine how well the personality factors classified persons with high resilience on the MSRS (defined as ≥75th percentile).

    Results
    The MSRS total score has a large, negative association with neuroticism (r = -.61, p <.001), moderate, positive associations with conscientiousness (r = .44, p <.001) and extraversion (r = .43, p <.001), and a small, positive association with agreeableness (r = .27, p = .004). There was no significant relationship with openness (r = .02, p = .818). Neuroticism had good classification of high resilience (AUC = .84), with a T-score of 45 and below having 79% sensitivity and specificity. Extraversion and conscientiousness both had fair classification accuracy (AUC = .75) with their respective cut-off T-scores (≥57 and ≥53) having sensitivities of 62% and 69% and specificities of 85% and 72%.

    Conclusions
    Consistent with previous research, higher resilience to MS-related challenges was related to lower neuroticism, higher extraversion and conscientiousness, and to a lesser extent, agreeableness. These findings suggest that individuals who are more resilient experience fewer negative emotions and greater levels of self-control and social engagement, providing further insight into how persons with MS cope with MS-related challenges. Future interventions targeting resilience should consider building upon individual strengths (self-control, social engagement) while simultaneously reducing relative weaknesses (emotional dysregulation).
    Dave Bexfield
    ActiveMSers

  • #2
    More resilience and quality of life. Interesting. -D

    P1049 - "Quality of life in multiple sclerosis. Beyond disability: Resilience, fatigue, anxiety and depression as determinants" (ID 1374)

    Speakers
    D. Mora Cuervo
    Authors
    D. Mora Cuervo C. Camargo D. Nakata M. De Castro Ribeiro C. Teixeira
    Presentation Number
    P1049
    Presentation Topic
    Patient-Reported Outcomes and Quality of Life

    Abstract

    Background
    Previous studies suggest that fatigue, depression, anxiety and disability affect quality of life in Multiple sclerosis. Resilience has emerged as a modulator of quality of life. There are few studies exploring the relationship between quality of life and resilience in Multiple Sclerosis patients in the context of recognized determinants as fatigue, neuropsychiatric symptoms and disability.

    Objectives
    To evaluate relationship between quality of life and resilience, disability, fatigue, anxiety and depression in patients with Multiple Sclerosis.

    Methods
    52 Multiple Sclerosis patients were evaluated with the Functional Assessment Multiple Sclerosis for quality of life, Connor-Davidson 25 Resilience Scale, Modified Fatigue Impact Scale, Hospital Anxiety and Depression Scale, Functional Independence Measure, Symbol digit modalities test and Expanded Disability Status Scale.

    Results
    Patients with higher scores of resilience and functional independence had higher Quality of life scores. Patients with higher fatigue, anxiety and depression had lower quality of life scores. Expanded Disability Status Scale and duration of the disease were unrelated to quality of life.

    Conclusions
    Resilience, functional independence, fatigue, anxiety and depression are independently related and determine the variability of quality of life. Look beyond disability is important for the improvement of Quality of life in patients with Multiple Sclerosis.
    Dave Bexfield
    ActiveMSers

    Comment


    • #3
      P1053 - "Resilience in multiple sclerosis relationship with disability, fatigue, anxiety, depression and cognition" (ID 1346)

      Speakers
      D. Mora Cuervo
      Authors
      D. Mora Cuervo C. Teixeira C. Camargo M. De Castro Ribeiro D. Nakata
      Presentation Number
      P1053
      Presentation Topic
      Patient-Reported Outcomes and Quality of Life

      Abstract

      Background
      Resilience is a construct defined as the capability of positive adaptation despite adversity. In the context of wellness research in Multiple Sclerosis (MS), resilience has been cited as one of the factors that may mediate emotional wellness. In patients with MS there are few studies on resilience and factors correlated with it.

      Objectives
      To evaluate resilience in MS patients and its relationship with disability, fatigue, anxiety, depression and cognition.

      Methods
      52 Multiple Sclerosis patients were evaluated in a longitudinal study using Connor-Davidson 25 Resilience Scale, Modified Fatigue Impact Scale, Hospital Anxiety and Depression Scale, Functional Independence Measure (FIM), Symbol digit modalities test (SDMT) for cognition and Expanded Disability Status Scale (EDSS).

      Results
      EDSS score (rs= -0.29; p= 0.041), fatigue (r= -0,35; p= 0,012), anxiety (rs= -0.41; p<0.05) and depression (rs= -0.52; p<0.001) were negatively correlated to resilience. Cognition evaluated by SDMT (r= 0,35; p=0,011) and Independence measured by FIM (r= 0.37; p<0.01) were positively correlated to resilience. In multiple regression analyses, depression and cognition were retained as independently factors related to resilience.

      Conclusions
      Resilience in MS patients could be determined by depression and cognitive status. Seeing beyond physical disability and targeting depression is a possible way to improve resilience and consequently emotional wellness and quality of life in MS patients.
      Dave Bexfield
      ActiveMSers

      Comment

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