Akceptacja choroby i postrzeganie czasu u osób leczonych immunomodulacyjnie z rzutowo-remisyjną postacią stwardnienia rozsianego (RR-SM)

Joanna Król , Małgorzata Szcześniak , Dorota Koziarska , Teresa Rzepa

Abstract

Aim. The aim of the study was to determine temporal orientation in patients diagnosed with RR-MS as compared with that of healthy individuals; to analyse self-evaluated acceptance levels in terms of physical and psychological condition and self-reliance; an attempt to identify factors of illness acceptance in patients with RR-MS including temporal perspective. Method. Acceptance of Illness Scale (AIS, adapted into Polish by Z. Juczyński), Zimbardo Time Perspective Inventory (ZTPI, adapted into Polish by M. Mażewski), and original interview aimed to assess socio-demographic data and self-evaluated physical as well as psychological condition and self-reliance of patients with MS (referred to the neurological testing according to the EDSS). Results. Patients with RR-MS focus on fatalistic and hedonistic present more than healthy individuals. They also tend to reflect on their negative past experience. Acceptance of illness correlated positively with subjective assessment of physical and psychological condition as well as self-reliance, and negatively with objective disability score (measured with the use of EDSS) and a factor considering time of disease duration. Conclusions. Avoiding contemplation of negative past and concentrating on hedonistic future constitute significant predictors of illness acceptance. These results may be of importance in terms of holistic approach to treatment of RR-MS patients. In the initial stage of the disease progression, patients might benefit from psychological support due to change in temporal orientation.
Author Joanna Król
Joanna Król,,
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, Małgorzata Szcześniak
Małgorzata Szcześniak,,
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, Dorota Koziarska
Dorota Koziarska,,
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, Teresa Rzepa (Wydział Zamiejscowy w Poznaniu)
Teresa Rzepa,,
- Wydział Zamiejscowy w Poznaniu
Other language title versionsTime perception and illness acceptance among remitting-relapsing multiple sclerosis patients under treatment
Journal seriesPsychiatria Polska, ISSN 0033-2674, e-ISSN 2391-5854 , (A 15 pkt)
Issue year2015
Vol49
No5
Pages911-920
Publication size in sheets0.5
Keywords in Polishstwardnienie rozsiane, akceptacja choroby, perspektywa czasowa
Keywords in Englishmultiple sclerosis, acceptance of illness, temporal perspective
ASJC Classification2738 Psychiatry and Mental health; 2700 General Medicine
DOIDOI:10.12740/PP/38740
URL http://www.psychiatriapolska.pl/911_920.html
Languagepl polski
File
Rzepa_Akceptacja choroby_2015_all.pdf 300.82 KB
Score (nominal)15
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2015 = 0.538; WoS Impact Factor: 2015 = 0.884 (2) - 2015=0.661 (5)
Citation count*8 (2019-11-17)
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