ECTRIMS eLearning

The role of appraisal and coping style in relation with societal participation in fatigued patients with multiple sclerosis: a cross-sectional multiple mediator analysis
Author(s): ,
L van den Akker
Affiliations:
VU University Medical Center, Amsterdam
,
H Beckerman
Affiliations:
VU University Medical Center, Amsterdam
,
E.H Collette
Affiliations:
VU University Medical Center, Amsterdam
,
G Blijenberg
Affiliations:
Radboud University Medical Centre, Nijmegen, The Netherlands
,
J Dekker
Affiliations:
VU University Medical Center, Amsterdam
,
H Knoop
Affiliations:
Radboud University Medical Centre, Nijmegen, The Netherlands
,
V de Groot
Affiliations:
VU University Medical Center, Amsterdam
TREFAMS-ACE Study Group
TREFAMS-ACE Study Group
Affiliations:
ECTRIMS Learn. van den Akker L. 09/14/16; 145678; EP1583
Lizanne van den Akker
Lizanne van den Akker
Contributions
Abstract

Abstract: EP1583

Type: ePoster

Abstract Category: RIMS - Neuropsychology and fatigue management

Objective: To study the relationship between appraisal and societal participation in fatigued patients with Multiple Sclerosis (MS), and whether this relation is mediated by coping styles.

Participants: 265 severely fatigued MS-patients.

Outcome measures: Appraisal, a latent construct, was composed from the General Self-Efficacy Scale (GSES), the subscales Helplessness and Acceptance of the Illness Cognition Questionnaire (ICQ). Coping styles were measured with the Coping Inventory Stressful Situations (CISS21) and societal participation with the Impact on Participation and Autonomy (IPA).

Analysis: A multiple mediator model was developed and tested with structural equation modeling on cross-sectional data. We corrected for confounding of disease-related factors. Mediation was determined using a product-of-coefficients approach.

Results: A significant relation existed between appraisal and participation (β=0.21, 95%CI 0.04-0.39). The pathways via coping styles were not significant.

Conclusion: In patients with severe MS-related fatigue, appraisal and societal participation show a positive relationship that is not mediated by coping styles.

Disclosure:

Lizanne Eva van den Akker: nothing to disclose

Heleen Beckerman: nothing to disclose

Emma Hubertine Collette: nothing to disclose

Gijs Bleijenberg: nothing to disclose

Joost Dekker: nothing to disclose

Hans Knoop: nothing to disclose

Vincent de Groot: nothing to disclose

TREFAMS-ACE study group: nothing to disclose

Abstract: EP1583

Type: ePoster

Abstract Category: RIMS - Neuropsychology and fatigue management

Objective: To study the relationship between appraisal and societal participation in fatigued patients with Multiple Sclerosis (MS), and whether this relation is mediated by coping styles.

Participants: 265 severely fatigued MS-patients.

Outcome measures: Appraisal, a latent construct, was composed from the General Self-Efficacy Scale (GSES), the subscales Helplessness and Acceptance of the Illness Cognition Questionnaire (ICQ). Coping styles were measured with the Coping Inventory Stressful Situations (CISS21) and societal participation with the Impact on Participation and Autonomy (IPA).

Analysis: A multiple mediator model was developed and tested with structural equation modeling on cross-sectional data. We corrected for confounding of disease-related factors. Mediation was determined using a product-of-coefficients approach.

Results: A significant relation existed between appraisal and participation (β=0.21, 95%CI 0.04-0.39). The pathways via coping styles were not significant.

Conclusion: In patients with severe MS-related fatigue, appraisal and societal participation show a positive relationship that is not mediated by coping styles.

Disclosure:

Lizanne Eva van den Akker: nothing to disclose

Heleen Beckerman: nothing to disclose

Emma Hubertine Collette: nothing to disclose

Gijs Bleijenberg: nothing to disclose

Joost Dekker: nothing to disclose

Hans Knoop: nothing to disclose

Vincent de Groot: nothing to disclose

TREFAMS-ACE study group: nothing to disclose

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