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Quality of Life Research

Gepubliceerd in:

09-08-2015

Pain acts through fatigue to affect participation in individuals with multiple sclerosis

Auteurs: Shahnaz Shahrbanian, Pierre Duquette, Sara Ahmed, Nancy E. Mayo

Gepubliceerd in: Quality of Life Research | Uitgave 2/2016

Abstract

Purpose

The symptoms of multiple sclerosis (MS) often cause physical and mental dysfunction, which interferes with a person’s ability to participate in life’s roles. Identification of the strength of the contributors to participation would help prioritize intervention approaches for its improvement. The objective of this study was to estimate the extent to which pain and other MS-related symptoms, physical function, psychological variables, and individual characteristics predict participation in people with MS.

Methods

This was a cross-sectional study. Study sample was a center-stratified random sample of 188 persons with MS. Subjects completed a battery of self-report and performance-based measures that assessed participation and domains affecting participation. To model the relationships among variables, a conceptual framework based on the Wilson and Cleary model was tested. Structural equation modeling aimed at identification of the predictors of participation within the hypothesized theoretical model.

Results

Fatigue (β = 0.63, p < 0.0001), physical function (β = 0.37, p < 0.0001), and psychological variables (β = 0.15, p = 0.04) were found to be as significant direct predictors of participation. Pain (β = 0.4, p < 0.0001) and age (β = 0.12, p < 0.0001) were significant indirect predictors through fatigue and physical function, respectively. Together these effects explained 88 % of the variance of participation, 35 % of the variance in psychological variables, and 29 % of the variance in physical function.

Conclusion

Fatigue, physical function, pain, and psychological variables were most important contributors for participation in persons with MS.

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Noseworthy, J. H., Lucchinetti, C., Rodriguez, M., & Weinshenker, B. G. (2000). Multiple sclerosis. New England Journal of Medicine, 343, 938–952.CrossRefPubMed

O’Connor, P. (2009). Key issues in the diagnosis and treatment of multiple sclerosis: An overview. Neurology, 59, S1–S33.CrossRef

Richards, R. G., Sampson, F. C., Beard, S. M., & Tappenden, P. (2002). A review of the natural history and epidemiology of multiple sclerosis: Implications for resource allocation and health economic models. Health Technology Assessment, 6(10), 1–73.CrossRefPubMed

Devins, G. M., Dion, R., Pelletier, L. G., Shapiro, C. M., Abbey, S., & Raiz, L. R. (2001). Structure of lifestyle disruptions in chronic disease, a confirmatory factor analysis of the Illness Intrusiveness Ratings Scale. Medical Care, 39(10), 1097–1104.CrossRefPubMed

Neubeck, L., Freedman, S. B., Clark, A. M., Briffa, T., Bauman, A., & Redfern, J. (2012). Participating in cardiac rehabilitation, a systematic review and meta-synthesis of qualitative data. European Journal of Preventive Cardiology, 19(3), 494–503.CrossRefPubMed

Barclay-Goddard, R., Ripat, J., & Mayo, N. (2012). Developing a model of participation post-stroke, a mixed-methods approach. Quality of Life Research, 21, 417–426.PubMedCentralCrossRefPubMed

Mayo, N. E., Wood-Dauphinee, S., Cote, R., Durcan, L., & Carlton, J. (2002). Activity, participation, and quality of life six months post-stroke. Archives of Physical Medicine and Rehabilitation, 83, 1035–1042.CrossRefPubMed

World Health Organization. (2001). International classification of functioning, disability and health (2nd revision ed.). http://www3.who.int/icf/icftemplate.cfm. Geneva.

Salter, K., Jutai, J. W., Teasell, R., Foley, N. C., Bitensky, J., & Bayley, M. (2005). Issues for selection of outcome measures in stroke rehabilitation, ICF participation. Disability and Rehabilitation, 27(9), 507–528.CrossRefPubMed

10.

Johnston, M. V., & Miklos, C. S. (2002). Activity-related quality of life in rehabilitation and traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 83(Suppl 2), S26–S38.CrossRefPubMed

11.

Whiteneck, G. G., Charliefue, S. W., & Gerhart, K. A. (1992). Quantifying handicap, a new measure of long-term rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation, 73, 519–526.PubMed

12.

Phillips, L., & Stuifbergen, A. (2009). Structural equation modeling of disability in women with fibromyalgia or multiple sclerosis. Western Journal of Nursing Research, 31, 89–109.CrossRefPubMed

13.

Yorkston, K., Johnson, K., & Klasner, E. (2005). Taking part in life, enhancing participation in multiple sclerosis. Physical Medicine & Rehabilitation Clinics of North America, 16, 583–594.CrossRef

14.

Shahrbanian, S., Auais, M., Duquette, P., Andersen, K., & Mayo, N. E. (2013). Does pain in individuals with multiple sclerosis affect employment? A systematic review and meta-analysis. Pain Research & Management, 18(5), e94–e100.

15.

Ehde, D. M., Osborne, T. L., & Jensen, M. P. (2005). Chronic pain in persons with multiple sclerosis. Physical Medicine & Rehabilitation Clinics of North America, 16, 503–512.CrossRef

16.

Archibald, C. J., McGrath, P. J., & Ritvo, P. G. (1994). Pain prevalence, severity and impact in a clinic sample of multiple sclerosis patients. Pain, 58, 89–93.CrossRefPubMed

17.

Hadjimichael, O., Kerns, R. D., Rizzo, M. A., Cutter, G., & Vollmer, T. (2007). Persistent pain and uncomfortable sensations in persons with multiple sclerosis. Pain, 127, 35–41.CrossRefPubMed

18.

Warnell, P. (1991). The pain experience of a multiple sclerosis population, a descriptive study. Axon, 13, 26–28.PubMed

19.

Kerns, R., Kassirer, M., & Otis, J. (2002). Pain in multiple sclerosis, a biopsychosocial perspective. Journal of Rehabilitation Research and Development, 39, 225–232.PubMed

20.

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefPubMed

21.

Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis, an expanded disability status scale (EDSS). Neurology, 33(11), 1444–1452.CrossRefPubMed

22.

Ng, P., Finch, L., Hum, S., & Mayo, N. E. (2013). The path to work capacity in people with multiple sclerosis. Dissertation, McGill University.

23.

Jensen, M. P., Turner, J. A., & Romano, J. M. (1999). Comparative reliability and validity of chronic pain intensity measures. Pain, 83, 157–162.CrossRefPubMed

24.

Margolis, R. B., Tait, R. C., & Krause, S. J. (1986). A rating system for use with patient pain drawings. Pain, 24, 57–65.CrossRefPubMed

25.

Hays, R. D., Sherbourne, C. D., & Mazel, R. M. (1993). The RAND 36-item health survey 1.0. Health Economics, 2(3), 217–227.CrossRefPubMed

26.

Ware, J. E, Jr. (1987). Standards for validating health measures: Definition and content. Journal of Chronic Diseases, 40(6), 473–480.CrossRefPubMed

27.

Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale, an updated literature review. Journal of Psychosomatic Research, 52, 69–77.CrossRefPubMed

28.

Illfeld, F. W. (1976). Further validation of a psychiatric symptom index in a normal population. Psychological Reports, 39, 1215–1228.CrossRef

29.

Sullivan, J. L., Edgley, K., & Dehoux, E. (1990). A survey of multiple sclerosis. Part 1: Perceived cognitive problems and compensatory strategy use. Canadian Journal of Rehabilitation, 4(2), 99–105.

30.

Gronwall, D. M. (1977). Paced auditory serial-addition task, a measure of recovery from concussion. Perceptual and Motor Skills, 44(2), 367–373.CrossRefPubMed

31.

Cella, D. F., Dineen, K., Arnason, B., Reder, A., Webster, K. A., & Karabatsos, G. (1996). Validation of the functional assessment of multiple sclerosis quality of life instrument. Neurology, 47, 129–139.CrossRefPubMed

32.

Ritvo, P., Fischer, J. S., Miller, D., Andrews, H., Paty, D., & LaRocca, N. G. (1997). Multiple sclerosis quality of life, A user’s manual. Denver: National Multiple Sclerosis Society.

33.

Weinshenker, B. G., Bass, B., Rice, G. P. A., Noseworthy, J., Carriere, W., Baskerville, J., et al. (1989). The natural history of multiple sclerosis: A geographically based study. Brain, 112, 133–146.CrossRefPubMed

34.

Becker, H., Stuifbergen, A. K., & Sands, D. (1991). Development of a scale to measure barriers to health promotion activities among persons with disabilities. American Journal of Health Promotion, 5(6), 44–454.CrossRef

35.

Poissant, L., Mayo, N. E., Wood-Dauphinee, S., & Clarke, A. E. (2003). The development and preliminary validation of a preference-based stroke index (PBSI). Health and Quality of Life Outcomes, 1, 15–43.CrossRef

36.

Devins, G. M. (2010). Using the illness intrusiveness ratings scale to understand health-related quality of life in chronic disease. Journal of Psychosomatic Research, 68(6), 591–602.CrossRefPubMed

37.

Goldman, M. D., Marrie, R. A., & Cohen, J. A. (2008). Evaluation of the six-minute walk in multiple sclerosis subjects and healthy controls. Multiple Sclerosis Journal, 14(3), 383–390.CrossRefPubMed

38.

Tyson, S., & Connell, L. (2009). The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions, a systematic review. Clinical Rehabilitation, 23(11), 1018–1033.CrossRefPubMed

39.

Tesio, L., Perucca, L., Franchignoni, F. P., & Battaglia, M. A. (1997). A short measure of balance in multiple sclerosis, validation through Rasch analysis. Functional Neurology, 12(5), 255–265.PubMed

40.

Bohannon, R. W., & Smith, M. B. (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity. Physical Therapy, 67(2), 206–207.PubMed

41.

Health, C. S. E. P., Appraisal, F. P. H.-R., & Strategy, C. (2004). The Canadian physical activity, fitness and lifestyle approach (3rd ed.). Ontario: Canadian Society for Exercise Physiology.

42.

Markovic, G., Dizdar, D., Jukic, I., & Cardinale, M. (2004). Reliability and factorial validity of squat and countermovement jump tests. Journal of Strength and Conditioning Research, 18(3), 551–555.PubMed

43.

Mathiowetz, V., Weber, K., Volland, G., & Kashman, N. (1984). Reliability and validity of grip and pinch strength evaluations. Journal of Hand Surgery. American Volume, 9(2), 222–226.CrossRef

44.

Cano, S., Barrett, L., Zajicek, J., & Hobart, J. (2011). Beyond the reach of traditional analyses, using Rasch to evaluate the dash in people with multiple sclerosis. Multiple Sclerosis Journal, 17, 214–222.CrossRefPubMed

45.

Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford.

46.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis, conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

47.

MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149.CrossRef

48.

Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén.

49.

SAS 9.2 (computer program). (2008). Version 9.2. Cary, NC, SAS Institute Inc.

50.

Kempen, J. C. E., de Groot, V., Knol, D. L., Lankhorst, G. J., & Beckerman, H. (2012). Self-reported fatigue and energy cost during walking are not related in patients with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 93(5), 889–895.CrossRefPubMed

51.

Khan, F., Amatya, B., & Galea, M. (2014). Management of fatigue in persons with multiple sclerosis. Frontiers in Neurology, 15(5), 177.

52.

Lapierre, Y., & Hum, S. (2007). Treating fatigue. The International MS Journal, 14, 64–71.PubMed

53.

Asano, M., & Finlayson, M. L. (2014). Meta-analysis of three different types of fatigue management interventions for people with multiple sclerosis: Exercise, education, and medication. Multiple Sclerosis International,. doi:10.1155/2014/798285. (Epub 2014 May 14).PubMedCentralPubMed

54.

Asano, M., Berg, E., Johnson, K., Turpin, M., & Finlayson, M. L. (2014). A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis. Disability and Rehabilitation, 37(9), 729–738.CrossRefPubMed

55.

Skerrett, T. N., & Moss-Morris, R. (2006). Fatigue and social impairment in multiple sclerosis, the role of patients’ cognitive and behavioral responses to their symptoms. Journal of Psychosomatic Research, 61(5), 587–593.CrossRefPubMed

56.

Van Kessel, K., & Moss-Morris, R. (2006). Understanding multiple sclerosis fatigue, a synthesis of biological and psychological factors. Journal of Psychosomatic Research, 61(5), 583–585.CrossRefPubMed

57.

Motl, R. W., Snook, E. M., & Schapiro, R. T. (2008). Symptoms and physical activity behavior in individuals with multiple sclerosis. Research in Nursing & Health, 31, 466–475.CrossRef

58.

Shahrbanian, S., Duquette, P., Kuspinar, A., & Mayo, N. E. (2015). Consequences of symptom cluster in individuals with multiple sclerosis. Quality of Life Research Journal, 24(3), 617–629.CrossRef

59.

Lublin, F. D., & Reingold, S. C. (1996). Defining the clinical course of multiple sclerosis: results of an international survey. National multiple sclerosis society (USA) advisory committee on clinical trials of new agents in multiple sclerosis. Neurology, 46(4), 907–911.CrossRefPubMed

60.

Mayo, N. E., Scott, S. C., & Bayley, M. (2015). Modeling health-related quality of life in people recovering from stroke. Quality of Life Research, 24(1), 41–53.CrossRefPubMed

61.

Multiple Sclerosis Society of Canada. (2009). www.mssociety.ca. Canada, MS Society of Canada.

62.

Mayo, N. (2008). Setting the agenda for multiple sclerosis rehabilitation research. Multiple Sclerosis Journal, 14(9), 1154–1156.CrossRefPubMed

63.

Leary, S., & Thompson, A. (2000). Current management of multiple sclerosis. International Journal of Clinical Practice, 54, 161–169.PubMed

Titel: Pain acts through fatigue to affect participation in individuals with multiple sclerosis
Auteurs: Shahnaz Shahrbanian
Pierre Duquette
Sara Ahmed
Nancy E. Mayo
Publicatiedatum: 09-08-2015
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 2/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1098-0

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Abstract

Purpose

Methods

Results

Conclusion

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