Cargando…
Quality of life in adults with multiple sclerosis: a systematic review
OBJECTIVE: In 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...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705559/ https://www.ncbi.nlm.nih.gov/pubmed/33257490 http://dx.doi.org/10.1136/bmjopen-2020-041249 |
_version_ | 1783616974210727936 |
---|---|
author | Gil-González, Irene Martín-Rodríguez, Agustín Conrad, Rupert Pérez-San-Gregorio, María Ángeles |
author_facet | Gil-González, Irene Martín-Rodríguez, Agustín Conrad, Rupert Pérez-San-Gregorio, María Ángeles |
author_sort | Gil-González, Irene |
collection | PubMed |
description | OBJECTIVE: In 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. METHOD: The 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. RESULTS: The 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. CONCLUSION: Adequate biopsychosocial assessment is of vital importance to treat risk and promote protective factors to improve QoL in patients with MS in general care practice. |
format | Online Article Text |
id | pubmed-7705559 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-77055592020-12-09 Quality of life in adults with multiple sclerosis: a systematic review Gil-González, Irene Martín-Rodríguez, Agustín Conrad, Rupert Pérez-San-Gregorio, María Ángeles BMJ Open Mental Health OBJECTIVE: In 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. METHOD: The 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. RESULTS: The 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. CONCLUSION: Adequate biopsychosocial assessment is of vital importance to treat risk and promote protective factors to improve QoL in patients with MS in general care practice. BMJ Publishing Group 2020-11-30 /pmc/articles/PMC7705559/ /pubmed/33257490 http://dx.doi.org/10.1136/bmjopen-2020-041249 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Mental Health Gil-González, Irene Martín-Rodríguez, Agustín Conrad, Rupert Pérez-San-Gregorio, María Ángeles Quality of life in adults with multiple sclerosis: a systematic review |
title | Quality of life in adults with multiple sclerosis: a systematic review |
title_full | Quality of life in adults with multiple sclerosis: a systematic review |
title_fullStr | Quality of life in adults with multiple sclerosis: a systematic review |
title_full_unstemmed | Quality of life in adults with multiple sclerosis: a systematic review |
title_short | Quality of life in adults with multiple sclerosis: a systematic review |
title_sort | quality of life in adults with multiple sclerosis: a systematic review |
topic | Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705559/ https://www.ncbi.nlm.nih.gov/pubmed/33257490 http://dx.doi.org/10.1136/bmjopen-2020-041249 |
work_keys_str_mv | AT gilgonzalezirene qualityoflifeinadultswithmultiplesclerosisasystematicreview AT martinrodriguezagustin qualityoflifeinadultswithmultiplesclerosisasystematicreview AT conradrupert qualityoflifeinadultswithmultiplesclerosisasystematicreview AT perezsangregoriomariaangeles qualityoflifeinadultswithmultiplesclerosisasystematicreview |