Department of Neurology, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
Institute of Psychology, University of Szczecin, Szczecin, Poland.
Neurol Neurochir Pol. 2023;57(6):484-491. doi: 10.5603/pjnns.97534. Epub 2023 Nov 27.
Happiness is crucial to patient well-being and their acceptance of their disease. The aim of this study was to assess the sense of happiness in persons with multiple sclerosis (PwMS), compare it to the level of happiness in patients with other neurological conditions, and determine which factors affect the sense of happiness in PwMS.
Five hundred and eighty-nine PwMS and 145 control subjects (post-stroke patients with chronic pain syndromes and neuropathies) were included in the study. Due to the differences between the groups in terms of demographic variables, an adjusted group of PwMS (n = 145) was selected from the entire group of PwMS. All patients were assessed using the Oxford Happiness Questionnaire (OHQ), the Satisfaction with Life Scale (SLS), and the Family APGAR Questionnaire. Based on regression analysis, the study examined which variables affected the level of happiness in the groups.
Analysis of the OHQ scores showed that PwMS had a lower sense of happiness compared to the control group in the overall score [113.21 (25-42) vs. 119.88 (25-49), respectively; p = 0.031] and the subscales (OHQ subscale 1 - 54.52 vs. 57.84, respectively; p = 0.027; subscale 2 - 35.61 vs. 37.67; respectively; p = 0.044). Based on linear regression analysis, life satisfaction (β = 0.40; p < 0.001), positive orientation (β = 0.32; p < 0.001), and primary education (β = 0.08; p = 0.009) were the most significant predictors of a higher level of happiness in PwMS. Similar results were found in the control group.
The sense of happiness in PwMS was lower than in patients with other conditions. The most important factors influencing happiness included life satisfaction and positive orientation. Influencing these predictors should be the aim of psychological interventions, especially in patients with a reduced sense of happiness.
幸福感对患者的健康和对疾病的接受程度至关重要。本研究旨在评估多发性硬化症患者（PwMS）的幸福感，并将其与其他神经系统疾病患者的幸福感进行比较，同时确定影响 PwMS 幸福感的因素。
本研究共纳入 589 名 PwMS 和 145 名对照组患者（患有慢性疼痛综合征和神经病变的脑卒中患者）。由于两组在人口统计学变量方面存在差异，因此从整个 PwMS 组中选择了一个调整后的 PwMS 组（n = 145）。所有患者均使用牛津幸福感问卷（OHQ）、生活满意度量表（SLS）和家庭适应度评估量表（APGAR）进行评估。基于回归分析，研究考察了哪些变量影响了各小组的幸福感水平。
OHQ 评分分析表明，与对照组相比，PwMS 的整体幸福感评分较低[总分 113.21（25-42）比 119.88（25-49）；p = 0.031]，各分量表评分也较低[分量表 1 54.52 比 57.84；p = 0.027；分量表 2 35.61 比 37.67；p = 0.044]。基于线性回归分析，生活满意度（β = 0.40；p < 0.001）、积极取向（β = 0.32；p < 0.001）和小学教育（β = 0.08；p = 0.009）是影响 PwMS 更高幸福感水平的最重要预测因素。对照组也得到了类似的结果。
PwMS 的幸福感低于其他疾病患者。影响幸福感的最重要因素包括生活满意度和积极取向。影响这些预测因素应成为心理干预的目标，特别是对幸福感较低的患者。
