Shaygannejad Vahid, Mirmosayyeb Omid, Shaygannejad Aysa, Vaheb Saeed, Bagherieh Sara, Askari Mozhdeh, Ghajarzadeh Mahsa
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Curr J Neurol. 2023 Oct 7;22(4):217-220. doi: 10.18502/cjn.v22i4.14525.
Social support and anxiety are essential for patients with chronic diseases such as multiple sclerosis (MS). During coronavirus disease 2019 (COVID-19) pandemic, the psychological well-being of subjects with MS was an important issue, and we designed this study to assess anxiety, resilience, and social support in these patients during COVID-19 pandemic stage. We used convenience sampling for this study. Inclusion criteria were definite diagnosis of MS based on McDonald criteria and age more than 18 years. Two hundred patients with MS were enrolled. Subjects were asked to fill out valid and reliable Persian versions of Connor-Davidson Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Perceived Social Support Scale. We also collected demographic data (age, sex, marital status, and occupation), disease duration, and disability level [Expanded Disability Status Scale (EDSS)]. Continuous variables were presented as mean ± standard deviation (SD) (except for EDSS, as its distribution was not normal), and categorical variables were presented as frequencies. Correlation coefficients were calculated. We did a subgroup analysis and compared patients with BAI less than 30 and more than 30 (severe anxiety). A P-value less than 0.05 was considered significant. Mean age and mean duration of the disease were 36.5 ± 9.3 and 6.2 ± 5.4 years, respectively. Mean BAI, social support, and resilience scores were 33.8 ± 11.4, 65.7 ± 16.7, and 62.5 ± 19.4, respectively.There was a significant positive correlation between resilience and social support scales (r = 0.44, P < 0.001), and also a significant negative correlation between resilience and BAI (r = -0.31, P < 0.001). Patients with severe anxiety (BAI > 30) had lower social support scores and resilience (social support: 70.3 ± 13.1 vs. 61.5 ± 18.6, P < 0.001; resilience: 57.3 ± 17.0 vs. 68.2 ± 19.6, P < 0.001) compared to patients with BAI ≤ 30. By considering resilience score as the dependent variable and other variables as independent variables, we found that BAI and social support scores were independent predictors. Social support and anxiety are independent predictors of resilience during COVID-19 pandemic in patients with MS.
社会支持和焦虑对患有诸如多发性硬化症（MS）等慢性病的患者至关重要。在2019年冠状病毒病（COVID-19）大流行期间，MS患者的心理健康是一个重要问题，我们设计了本研究以评估这些患者在COVID-19大流行阶段的焦虑、心理韧性和社会支持情况。本研究采用便利抽样。纳入标准为根据麦克唐纳标准确诊的MS且年龄超过18岁。招募了200名MS患者。受试者被要求填写经过验证且可靠的波斯语版康纳-戴维森心理韧性量表（CD-RISC）、贝克焦虑量表（BAI）和领悟社会支持量表。我们还收集了人口统计学数据（年龄、性别、婚姻状况和职业）、疾病持续时间以及残疾程度[扩展残疾状态量表（EDSS）]。连续变量以均值±标准差（SD）表示（EDSS除外，因其分布不正常），分类变量以频率表示。计算相关系数。我们进行了亚组分析，并比较了BAI小于30和大于30（重度焦虑）的患者。P值小于0.05被认为具有统计学意义。疾病的平均年龄和平均病程分别为36.5±9.3岁和6.2±5.4年。BAI、社会支持和心理韧性得分的均值分别为33.8±11.4、65.7±16.7和62.5±19.4。心理韧性量表与社会支持量表之间存在显著正相关（r = 0.44，P < 0.001），心理韧性量表与BAI之间也存在显著负相关（r = -0.31，P < 0.001）。与BAI≤30的患者相比，重度焦虑（BAI>30）的患者社会支持得分和心理韧性较低（社会支持：70.3±13.1对61.5±18.6，P < 0.001；心理韧性：57.3±17.0对68.2±19.6，P < 0.001）。将心理韧性得分作为因变量，其他变量作为自变量，我们发现BAI和社会支持得分是独立预测因素。在COVID-19大流行期间，社会支持和焦虑是MS患者心理韧性的独立预测因素。
