Guicciardi Marco, Carta Maria, Pau Massimiliano, Cocco Eleonora
Department of Education, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy.
Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy.
Behav Sci (Basel). 2019 Nov 21;9(12):121. doi: 10.3390/bs9120121.
Regular physical activity (PA) can enhance the physical and mental health of people with Multiple Sclerosis (MS) because of its impact on muscular strength, mobility, balance, walking, fatigue, pain and health-related quality of life (HRQoL). Previous studies have hypothesized that the relationship between PA and HRQoL is mediated by self-efficacy. The aim of this research is to evaluate whether self-efficacy in goal setting and self-efficacy in the management of symptoms, mediate the relationship between PA and HRQoL, in a similar way to exercise self-efficacy. A sample of 28 participants with MS (18 females) and different levels of physical activity have been recruited and completed the following measures: a) physical activity (GLTEQ); b) health-related quality of life (SF-12); c) self-efficacy in the management of Multiple Sclerosis (SEMS) and, d) exercise self-efficacy (EXSE) The statistical analysis highlighted that self-efficacy in goal setting mediated the relationship between PA and mental health better than exercise self-efficacy. Our findings suggest that self-efficacy in goal setting can contribute to the adoption and maintenance of regular physical activity for long-lasting times, supporting and increasing the mental quality of life of people suffering from MS.
规律的体育活动（PA）可以增强多发性硬化症（MS）患者的身心健康，因为它对肌肉力量、活动能力、平衡能力、行走、疲劳、疼痛以及与健康相关的生活质量（HRQoL）都有影响。先前的研究假设，PA与HRQoL之间的关系是由自我效能感介导的。本研究的目的是评估目标设定中的自我效能感和症状管理中的自我效能感是否以与运动自我效能感类似的方式介导PA与HRQoL之间的关系。招募了28名患有MS的参与者（18名女性）作为样本，他们具有不同程度的体育活动水平，并完成了以下测量：a）体育活动（GLTEQ）；b）与健康相关的生活质量（SF-12）；c）多发性硬化症管理中的自我效能感（SEMS），以及d）运动自我效能感（EXSE）。统计分析表明，目标设定中的自我效能感比运动自我效能感更能介导PA与心理健康之间的关系。我们的研究结果表明，目标设定中的自我效能感有助于长期采用和维持规律的体育活动，支持并提高MS患者的心理生活质量。
