Sažetak
Uvod/Cilj. Multipla skleroza (MS) je hronična, progresivna autoimunska bolest centralnog nervnog sistema, koja može narušiti kvalitet života. Osobine ličnosti i strategije suočavanja sa stresom su bitan faktor za promenljivost između osoba u odnosu na kvalitet života. Cilj istraživanja je bio ispitivanje povezanosti osobina ličnosti i strategija suočavanja kod obolelih od MS relapsno remitentnog (RR) toka, kao i isptitivanje povezanosti osobina ličnosti i strategija suočavanja sa kvalitetom života kod obolelih od MS RR toka. Metode. Opservacionom studijom preseka obuhvaćeno je 66 bolesnika (34 osobe ženskog i 32 osobe muškog pola)sa dijagnozom klinički definitivne MS RR toka, postavljene na osnovu Mek Donaldovih kriterijuma. Za procenu osobina ličnosti, strategija suočavanja i kvaliteta života, korišćene su sledeće kliničke skale: Revidirani NEO-Inventar ličnosti (NEO-PI-R), Inventar strategija suočavanja (Coping Strategies Inventory) i Kvalitet života MS (Multiple Sclerosis Quality of Life-54). Rezultati. Prosečna starost ispitanika je bila 41,6 ± 7,1 godina. Pirsonov koeficijent korelacije pokazao je da je sa korišćenjem pasivnih strategija suočavanja pozitivno povezan jedino neuroticizam (r = 0,502). Korelacija je bila negativnog smera između neuroticizma i fizičkog (r = -0,284, p < 0,05) i mentalnog zdravlja (r = -0,289, p < 0,05), kao i između pasivnih strategija suočavanja i mentalnog zdravlja (r = -0,358, p < 0,05), što znači da su bolesnici kod kojih je neuroticizam bio više izražen, i koji su koristili pasivne strategije, imali lošiji kvalitet života. Zaključak. Rezultati ovog istraživanja ukazuju na značaj procene ličnosti i strategija suočavanja kod obolelih od MS. Uključivanje u kognitivno-bihevioralnu terapiju i favorizovanje aktivnih strategija suočavanja može poboljšati kvalitet života obolelih od MS.
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Reference
Jones E, Pike J, Marshall T, Ye X. Quantifying the relationship between increased disability and health care resource utiliza-tion, quality of life, work productivity, health care costs in pa-tients with multiple sclerosis in the US. BMC Health Serv Res 2016; 16: 294.
Strober LB. Personality in multiple sclerosis (MS): impact on health, psychological well-being, coping, and overall quality of life. Psychol Health Med 2017; 22(2): 152‒61.
van der Krieke L, Blaauw FJ, Emerencia AC, Schenk HM, Slaets JP, Bos EH et al. Temporal Dynamics of Health and Well-Being: A Crowdsourcing Approach to Momentary Assessments and Automated Generation of Personalized Feedback. Psy-chosom Med 2017; 79(2): 213‒23.
Widiger TA, Oltmanns JR. Neuroticism is a fundamental do-main of personality with enormous public health implications. World Psychiatry 2017; 16(2): 144–5.
Bhagat V, Haque M, Simbak NB, Jaalam K. Study on personali-ty dimension negative emotionality affecting academic achievement among Malaysian medical students studying in Malaysia and overseas. Adv Med Educ Pract 2016; 7: 341–6.
Ullah FI. Personality factors and perceived social support as determinants of psychological well-being among university students. Int J Indian Psychol 2017; 4(2): 88.
Yıldız M, Şahin S, Batmaz S, Songur E, Kutlutürk F. The rela-tionship between depression, anxiety, personality traits and coping strategies of patients with euthyroid Hashimoto's Thy-roiditis. Eur J Psychiatry 2017; 31(3): 113‒8.
Connor-Smith JK, Flaschbart C. Relations between personality and coping: A meta-analysis. J Pers Soc Psychol 2007; 93(6): 1080‒107.
Hernández-Ledesma AL, Rodríguez-Méndez AJ, Gallardo-Vidal LS, Trejo-Cruz G, García-Solís P, Dávila-Esquivel FJ. Coping strategies and quality of life in Mexican multiple sclerosis pa-tients: Physical, psychological and social factors relationship. Mult Scler Relat Disord 2018; 25: 122‒7.
Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M, et al. Diagnostic criteria for multiple sclerosis: 2010 revi-sions to the McDonald criteria. Ann Neurol 2011; 69(2): 292–302.
Costa PT, McCrae RR. Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI). Professional Manual. Odessa, FL: Psychological Assessment Resources; 1992.
Maric NP, Andric S, Mihaljevic M, Mirjanic T. Openness to ex-perience shortens duration of untreated psychosis in Serbian clinical population. Early Interv Psychiatry 2018; 12(1): 91‒5.
Knezevic G, Radovic B, Opacic G. Evaluation of “Big Five” per-sonality model through analysis of personality inventories. Psihologija 1997; 30(1–2): 7–40. (Serbian)
Tobin DL, Holroyd KA, Reynolds R. Manual for the Coping Strategies Inventory. Athens, OH: Department of Psychology, Ohio University; 1984.
Vickrey BG, Hays RD, Harooni R, Myers LW, Ellison GW. A health-related quality of life measure for multiple sclerosis. Qual Life Res 1995; 4(3): 187‒206.
Pekmezovic T, Tepavcevic DK, Kostic J, Drulovic J. Validation and cross-cultural adaptation of the disease-specific questionnaire MSQOL-54 in Serbian multiple sclerosis patients sample. Qual Life Res 2007; 16(8): 1383‒7.
Čovičković Šternić N. National Good Clinical Practice Guide for the Diagnosis and Treatment of Multiple Sclerosis. Belgrade: Republička stručna komisija za izradu i implementaciju vodiča dobre kliničke prakse; 2013. (Serbian)
Rojas JI, Patrucco L, MIguez J, Sinay V, Cassara FP, Cáceres F, et al. Gender ratio trends over time in multiple sclerosis patients from Argentina. J Clin Neurosci 2017; 38: 84‒6.
Rokvic V, Stanarevic S. Toward gender and LGBT equality in the Serbian armed forces. Women's Studies International Fo-rum 2016; 55: 26‒34.
South SC, Jarnecke A, Vize CE. Sex Differences in the Big Five Model Personality Traits: A Behavior Genetics Exploration. J Res Pers 2018; 74: 158‒65.
Sutin AR, Zonderman AB, Ferrucci L, Terracciano A. Personality Traits and Chronic Disease: Implications for Adult Personality Development. J Gerontol B Psychol Sci Soc Sci 2013; 68(6): 912–20.
Jokela M, Hakulinen C, Singh-Manoux A, Kivimäki M. Personali-ty change associated with chronic diseases: pooled analysis of four prospective cohort studies. Psychol Med 2014; 44(12): 2629‒40.
Guo Q, Sun P, Li L. Why neurotic individuals are less proso-cial? A multiple mediation analysis regarding related mecha-nisms. Pers Individ Difer 2018; 128: 55–61.
Zarbo IR, Minacapelli E, Falautano M, Demontis S, Carpentras G, Pugliatti M. Personality traits predict perceived health-related quality of life in persons with multiple sclerosis. Mult Scler 2016; 22(4): 551‒8.
Salhofer-Polanyi S, Friedrich F, Löffler S, Rommer PS, Gleiss A, Engelmaier R, et al. Health-related quality of life in multiple sclerosis: temperament outweighs EDSS. BMC Psychiatry 2018; 18(1): 143.
Benedict RH, Priore RL, Miller C, Munschauer F, Jacobs L. Per-sonality disorder in multiple sclerosis correlates with cognitive impairment. J Neuropsychiatry Clin Neurosci 2001; 13(1): 70‒6.
Lima AB, Paes RA, Alvarenga RM. Personality factors in re-cently diagnosed multiple sclerosis patients: a preliminary in-vestigation with the NEO-FFI scale. Arq Neuropsiquiatr 2015; 73(3): 200‒4.
Jelinek GA, De Livera AM, Marck CH, Brown CR, Neate SL, Taylor KL, et al. Associations of Lifestyle, Medication, and So-cio-Demographic Factors with Disability in People with Mul-tiple Sclerosis: An International Cross-Sectional Study. PLoS One 2016; 11(8): e0161701.
Afshar H, Roohafza HR, Keshteli AH, Mazaheri M, Feizi A, Adibi P. The association of personality traits and coping styles according to stress level. J Res Med Sci 2015; 20(4): 353‒8.
Gåfvels C, Hägerström M, Rane K, Wajngot A, Wändell PE. Cop-ing strategies among patients newly diagnosed with diabetes or rheumatoid arthritis at baseline and after 24 months. J Health Psychol 2018; b23(10): 1273‒86.
Rätsep T, Kallasmaa T, Pulver A, Gross-Paju K. Personality as a predictor of coping efforts in patients with multiple sclerosis. Mult Scler 2000; 6(6): 397‒402.
Farran N, Ammar D, Darwish H. Quality of life and coping strategies in Lebanese Multiple Sclerosis patients: A pilot study. Mult Scler Relat Disord 2016; 6: 21‒7.