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Suicidal ideation in people with multiple sclerosis and its association with coping self-efficacy.
Mikula, Pavol; Timkova, Vladimira; Vitkova, Marianna; Szilasiova, Jarmila; Nagyova, Iveta.
Afiliación
  • Mikula P; Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University in Kosice, Slovakia.
  • Timkova V; Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University in Kosice, Slovakia. Electronic address: vladimira.timkova@upjs.sk.
  • Vitkova M; Department of Neurology, Faculty of Medicine, PJ Safarik University in Kosice, Slovakia.
  • Szilasiova J; Department of Neurology, Faculty of Medicine, PJ Safarik University in Kosice, Slovakia.
  • Nagyova I; Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University in Kosice, Slovakia.
Mult Scler Relat Disord ; 87: 105677, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38728959
ABSTRACT

BACKGROUND:

Chronic neurological disease such as multiple sclerosis (MS), is a significant risk factor for psychological distress, which can result in suicidal behaviour. Suicidal ideation (SI) is considered a harbinger of suicide-related mortality. However, so far, little is known about the role of protective factors against SI in MS.

OBJECTIVE:

This study aims to assess the association between coping self-efficacy and SI when controlled for sociodemographic variables, clinical variables, sleep-related problems, and depression.

METHODS:

The study sample consisted of 162 people with MS, was predominantly female (75.9 %), the mean age was 40.9 ± 11.4 years, the mean disease duration was 11.7 ± 7.1 years, and the mean functional disability score was 3.55 ± 1.1. We used the Coping Self-Efficacy scale (CSE), the General Health Questionnaire-28 (GHQ-28), the Expanded Disability Status Scale (EDSS), the Hospital Anxiety and Depression Scale (HADS), the Pittsburgh Sleep Quality Index (PSQI), and the Multidimensional Fatigue Inventory (MFI). Multiple linear regressions were utilized to statistically analyse the data.

RESULTS:

All assessed coping self-efficacy dimensions were significantly associated with SI in MS when controlled for sociodemographic variables, clinical variables, sleep-related problems, and depression. Furthermore, all assessed coping self-efficacy dimensions were able to alleviate the negative association between income, depression and SI.

CONCLUSION:

People with MS may significantly benefit from psychological support aimed at promoting coping self-efficacy and utilization of various coping strategies. Problem-focused coping, coping focused on getting support, and coping focused on stopping unpleasant thoughts and feelings seem to have comparable associations with SI, and thus interventions aimed at empowering any of these dimensions may be beneficial in diminishing the severity of SI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adaptación Psicológica / Autoeficacia / Ideación Suicida / Esclerosis Múltiple Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Mult Scler Relat Disord Año: 2024 Tipo del documento: Article País de afiliación: Eslovaquia Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adaptación Psicológica / Autoeficacia / Ideación Suicida / Esclerosis Múltiple Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Mult Scler Relat Disord Año: 2024 Tipo del documento: Article País de afiliación: Eslovaquia Pais de publicación: Países Bajos