Abstract
ObjectiveIn recent years, quality of life (QoL) in multiple sclerosis (MS) has been gaining considerable importance in clinical research and practice. Against this backdrop, this systematic review aimed to provide a broad overview of clinical, sociodemographic and psychosocial risk and protective factors for QoL in adults with MS and analyse psychological interventions for improving QoL.MethodThe literature search was conducted in the Scopus, Web of Science and ProQuest electronic databases. Document type was limited to articles written in English, published from January 1, 2014, to January 31, 2019. Information from the selected articles was extracted using a coding sheet and then qualitatively synthesised.ResultsThe search identified 4886 records. After duplicate removal and screening, 106 articles met the inclusion and exclusion criteria for qualitative synthesis and were assessed for study quality. Disability, fatigue, depression, cognitive impairment and unemployment were consistently identified as QoL risk factors, whereas higher self-esteem, self-efficacy, resilience and social support proved to be protective. The review analysed a wide spectrum of approaches for QoL psychological intervention, such as mindfulness, cognitive behavioural therapy, self-help groups and self-management. The majority of interventions were successful in improving various aspects of QoL.ConclusionAdequate biopsychosocial assessment is of vital importance to treat risk and promote protective factors to improve QoL in patients with MS in general care practice.
Funder
Ministerio de Educación, Cultura y Deporte
Reference131 articles.
1. World Health Organisation. Governance . Basic documents. World health organisation, 2019. Available: https://www.who.int/about/who-we-are/constitution [Accessed 15 Dec 2019].
2. Patti F , Pappalardo A . Quality of life in patients affected by multiple sclerosis: a systematic review. In: Preedy VR , Watson RR , eds. Handbook of disease burdens and quality of life measures. New York (NY: New York: Springer, 2010: 3769–83.
3. The world Health organization quality of life assessment (WHOQOL) position paper from the world Helath organization;Bernstein;SocSciMed,1995
4. Definitions of quality of life: what has happened and how to move on;Post;Top Spinal Cord Inj Rehabil,2014
5. The importance of quality of life research for health care reform in the USA and the future of public health;Gellert;Qual Life Res,1993
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