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Gepubliceerd in:

22-01-2016

The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis

Auteurs: Sheri A. Nsamenang, Jameson K. Hirsch, Raluca Topciu, Andrew D. Goodman, Paul R. Duberstein

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2016

Abstract

Depressive symptoms are common in individuals with multiple sclerosis (MS), and are frequently exacerbated by pain; however, spiritual well-being may allow persons with MS to more effectively cope with pain-related deficits in physical and role functioning. We explored the associations between spiritual well-being, pain interference and depressive symptoms, assessing each as a potential mediator, in eighty-one patients being treated for MS, who completed self-report measures: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Pain Effects Scale, and Center for Epidemiologic Studies Depression Scale Revised. At the bivariate level, spiritual well-being and its subscale of meaning and peace were negatively associated with depression and pain interference. In mediation models, depression was not related to pain interference via spiritual well-being, or to spiritual well-being via pain interference. Pain interference was related to depression via spiritual well-being and meaning/peace, and to spiritual well-being and meaning/peace via depressive symptoms. Finally, spiritual well-being and meaning/peace were related to depression via pain interference, and to pain interference via depressive symptoms. For patients with MS, a multi-faceted approach to treatment that includes pain reduction and promotion of spiritual well-being may be beneficial, although amelioration of depression remains a critical task.

vorige artikel A randomized controlled pilot study of inflammatory gene expression in response to a stress management intervention for stem cell transplant caregivers

volgende artikel Erratum to: The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis

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Titel: The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis
Auteurs: Sheri A. Nsamenang
Jameson K. Hirsch
Raluca Topciu
Andrew D. Goodman
Paul R. Duberstein
Publicatiedatum: 22-01-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2016
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-016-9712-3

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