J Res Clin Med. 2024;12: 13.
doi: 10.34172/jrcm.34536
  Abstract View: 91
  PDF Download: 97

Original Article

Evaluation of the COVID-19-induced anxiety role in the self-management of multiple sclerosis (MS) patients

Seyyedeh Tahereh Zolfaghari 1 ORCID logo, Seyyed Sina Hejazian 2,3* ORCID logo, Mohammad Hossein Harirchian 4* ORCID logo

1 Department of Psychology, Shahrood Azad University, Shahrood, Iran
2 Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran
3 Immunology Research Center, Faculty of medicine, Tabriz University of Medical Sciences, Tabriz, Iran
4 Iranian Center of Neurological Research, Neuroscience Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Authors: Seyyed Sina Hejazian, Email: sina.hej@yahoo.com , Email: sina.hej95@gmail.com; Mohammad Hossein Harirchian, Email: harirchm@tums.ac.ir, Email: harirchn@hotmail.com


Introduction: Patients’ engagement with their own therapeutic process has been reported to be correlated with improved clinical outcomes. A better comprehension of the relationship between self-management in patients with multiple sclerosis (MS) and adjustable psychological features may help clinicians with better solutions for MS patients. We evaluated the role of COVID-19-related anxiety in the self-management of MS patients.

Methods: A total number of 153 patients with MS were included in the study. All patients were assessed using three distinct questionnaires including MS Self-Management Scale-Revised (MSSM-R), Corona Disease Anxiety Scale (CDAS), and Beck Anxiety Inventory (BAI). The resulting scores were used to evaluate the study goals.

Results: MS patients didn’t have a high level of COVID-19-related anxiety. General anxiety among the patients was higher than the COVID19-related anxiety. No statistically significant correlation was seen between CDAS and MSSM-R scores (P=0.377). The hierarchical multiple regression showed that the BAI score (b=-0.418, P<0.001) together with the gender as the control variable (b=0.227, P=0.0.002) explained about 24% of the variance in the MSSM-R as the dependent variable. The self-management skills among female married MS patients with a job were drastically higher than in single male patients without a job. Patients with relapsing–remitting multiple sclerosis (RRMS) and lower disability severity had better self-management (P<0.001).

Conclusion: Overall, our findings favor that anxiety has a vital role in the self-management skills of patients with MS which can lead to the altered state of an individual’s perceived health condition.

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Submitted: 28 Jul 2023
Accepted: 27 Nov 2023
ePublished: 15 Jun 2024
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