Prediction of psychological adjustment to multiple sclerosis

Barnwell, Allison & Kavanagh, David J. (1997) Prediction of psychological adjustment to multiple sclerosis. Social Science & Medicine, 45(3), pp. 411-418.

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This study examined the utility of self-efficacy as a predictor of social activity and mood control in multiple sclerosis (MS). Seventy-one subjects with MS were recruited from people attending an MS centre or from a mailing list and were examined on two occasions that were two months apart. Clinic patients were more disabled than patients who completed assessments by post, but they were of higher socioeconomic status and were less dysphoric. We attempted to predict self-reported performance of mood control and social activity at two months, from self-efficacy or performance on these tasks at pretest. Demographic variables, disorder status, disability, self-esteem and depression were also allowed to compete for entry into multiple regressions. Substantial stability in mood, performance and disability was observed over the two months. In both mood control and social activity, past performance was the strongest predictor of later performance, but self-efficacy also contributed significantly to the prediction. The disability level entered a prediction of socila activity, but no other variables predicted either type of performance. A secondary analysis predicting self-esteem at two months also included self-efficacy for social activity, illustrating the contribution of perceived capability to later assessments of self-worth. The study provided support for self-efficacy as a predictor of later behavioural outcomes and self-esteem in multiple sclerosis.

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68 citations in Scopus
62 citations in Web of Science®
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ID Code: 29197
Item Type: Journal Article
Refereed: Yes
Keywords: Multiple sclerosis, Self efficacy, Social activity, Psychological adjustment
DOI: 10.1016/S0277-9536(96)00356-5
ISSN: 0277-9536
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 09 Dec 2009 04:34
Last Modified: 21 Apr 2010 16:29

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