The interrelations between spiritual well-being, pain interference and depressive symptoms in patients with multiple sclerosis

Journal of Behavioral Medicine
Sheri A NsamenangPaul R Duberstein

Abstract

Depressive symptoms are common in individuals with multiple sclerosis (MS), and are frequently exacerbated by pain; however, spiritual well-being may allow persons with MS to more effectively cope with pain-related deficits in physical and role functioning. We explored the associations between spiritual well-being, pain interference and depressive symptoms, assessing each as a potential mediator, in eighty-one patients being treated for MS, who completed self-report measures: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Pain Effects Scale, and Center for Epidemiologic Studies Depression Scale Revised. At the bivariate level, spiritual well-being and its subscale of meaning and peace were negatively associated with depression and pain interference. In mediation models, depression was not related to pain interference via spiritual well-being, or to spiritual well-being via pain interference. Pain interference was related to depression via spiritual well-being and meaning/peace, and to spiritual well-being and meaning/peace via depressive symptoms. Finally, spiritual well-being and meaning/peace were related to depression via pain interference, and to pain interference via depressive symptoms. For p...Continue Reading

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Citations

Sep 13, 2016·International Journal of Environmental Research and Public Health·Xianglong XuYong Zhao
May 3, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Alexandra Ferreira-ValenteMark P Jensen
Jul 19, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Klaudia Duka GlavorMarina Maras Šimunić

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