Year 2019, Volume 5, Issue 1, Pages 20 - 28 2019-01-04

The relationship between psychopathology, psychosocial adjustment, social support and quality of life in multiple sclerosis

Vahap Ozan Kotan [1] , Zeynep Kotan [2] , Birgül Aydın [3] , Özlem Taşkapılıoğlu [4] , Berna Alkan [5] , Güven Özkaya [6] , Aslı Sarandöl [7] , Ömer Faruk Turan [8] , Selçuk Kırlı [9]

108 316

Objectives: Multiple Sclerosis (MS) is a chronic disease which affects physical,psychological and social functioning of patients. In this study we aim to indicate psychiatric comorbidity, some psychosocial factors and their associations with quality of life in patients with MS.

Methods: A total of 227 patients underwent psychiatric examination and the following scales were applied: Socio-demographic data form, Hospital Anxiety and Depression Scale (HADS), Multiple Sclerosis Quality of Life-54 (MSQOL-54), Psychosocial Adjustment to Illness Scale-Self report (PAIS-SR) and Multidimensional Scale of Perceived Social Support (MSPSS).

Results: Among 227 patients with MS, 67.8% (n = 154) had psychiatric diagnosis; 24.2% (n = 55) had depression,19.8% (n = 45) had adjustment disorder, 14.9% (n = 34) had anxiety disorder, 7.1% (n=16) had dysthymic disorder and 1.8% (n = 4) had bipolar disorder. Patients with a psychiatric diagnosis had lower scores in role limitations due to emotional problems, emotional well-being, health perceptions, social function, cognitive function, health distress and mental health composite of MSQOL-54. PAIS-SR and MSPSS scores were significantly lower in MS patients with a psychiatric diagnosis. PAIS-SR scores were negatively correlated with role limitations-emotional, emotional well-being, social function, sexual function, satisfaction with sexual function, physical health composite and mental health composite scores of MSQOL-54. MSPSS total score was positively correlated with emotional well-being score of MSQOL-54.

Conclusions: In MS patients, there is a high prevalence of psychopathology and it is associated with quality of life, perceived social support and psychosocial adjustment of the patients. Quality of life is reduced especially in emotional and mental aspects in patients with a psychiatric diagnosis. Diagnosis and treatment of psychopathology in MS patients seems crucial to decrease disease burden. 

Multiple sclerosis, psychopathology, psychosocial adjustment, socials upport, quality of life
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0003-0798-4850
Author: Vahap Ozan Kotan (Primary Author)
Institution: Department of Psychiatry, Başkent University School of Medicine, Ankara, Turkey
Country: Turkey


Orcid: 0000-0003-0541-3464
Author: Zeynep Kotan
Institution: Department of Psychiatry, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey
Country: Turkey


Orcid: 0000-0002-7014-7337
Author: Birgül Aydın
Institution: Specialist Psychologist, Dört Mevsim Psychological Counseling Center, Bursa, Turkey
Country: Turkey


Orcid: 0000-0001-8832-7857
Author: Özlem Taşkapılıoğlu
Institution: Department of Neurology, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


Orcid: 0000-0003-2894-804X
Author: Berna Alkan
Institution: Department of Neurology, Başkent University School of Medicine, Ankara, Turkey
Country: Turkey


Orcid: 0000-0003-0297-846X
Author: Güven Özkaya
Institution: Department of Biostatistics, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


Orcid: 0000-0002-1092-8254
Author: Aslı Sarandöl
Institution: Department of Psychiatry, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


Orcid: 0000-0002-6752-1519
Author: Ömer Faruk Turan
Institution: Department of Neurology, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


Orcid: 0000-0001-9524-5032
Author: Selçuk Kırlı
Institution: Department of Psychiatry, Uludağ University School of Medicine, Bursa, Turkey
Country: Turkey


EndNote %0 The European Research Journal The relationship between psychopathology, psychosocial adjustment, social support and quality of life in multiple sclerosis %A Vahap Ozan Kotan , Zeynep Kotan , Birgül Aydın , Özlem Taşkapılıoğlu , Berna Alkan , Güven Özkaya , Aslı Sarandöl , Ömer Faruk Turan , Selçuk Kırlı %T The relationship between psychopathology, psychosocial adjustment, social support and quality of life in multiple sclerosis %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.382894 %U 10.18621/eurj.382894