The coexistence of well- and ill-being in persons with multiple sclerosis, their caregivers and health professionals

Marta Bassi, Monica Falautano, Sabina Cilia, Benedetta Goretti, Monica Grobberio, Marianna Pattini, Erika Pietrolongo, Rosa Gemma Viterbo, Maria Pia Amato, Miriam Benin, Alessandra Lugaresi, Vittorio Martinelli, Enrico Montanari, Francesco Patti, Maria Trojano, Antonella Delle Fave

Research output: Contribution to journalArticle

Abstract

Background Studies on emotional distress and health-related quality of life (HRQOL) broadened the traditional bio-medical focus in MS research, but little attention was paid to general well-being indicators. Objective To investigate for the first time both ill-being and well-being dimensions in persons with MS (PwMSs), caregivers and health professionals, in relation to both health and life in general. Methods A multi-center study assessed participants' depression (Beck Depression Inventory-II), HRQOL (Short Form-36), psychological well-being (Psychological Well-Being Scales), optimal experience (Flow Questionnaire), life satisfaction (Satisfaction with Life Scale), hedonic balance (Positive Affect and Negative Affect Schedule). Demographic and clinical information was also gathered. Results Overall, 71 PwMSs, 71 caregivers and 26 professionals were enrolled (N = 168). Compared to healthy populations, PwMSs reported higher depression, lower HRQOL and lower general well-being; caregivers presented higher depression and lower general well-being; professionals reported the best ill- and well-being profiles. However, after controlling for demographic differences in age and education, hierarchical regressions highlighted that, though PwMSs reported higher depression and lower HRQOL than caregivers and professionals, their general well-being substantially leveled off. Conclusions Well-being coexists with ill-being. It can counterbalance the negative effects of disease or caregiving, and its measurement could complement and support medical intervention.

Original languageEnglish
Pages (from-to)67-73
Number of pages7
JournalJournal of the Neurological Sciences
Volume337
Issue number1-2
DOIs
Publication statusPublished - Feb 15 2014

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Keywords

  • Caregivers
  • Depression
  • Health professionals
  • Multiple sclerosis
  • Patients
  • Quality of life
  • Well-being

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Bassi, M., Falautano, M., Cilia, S., Goretti, B., Grobberio, M., Pattini, M., Pietrolongo, E., Viterbo, R. G., Amato, M. P., Benin, M., Lugaresi, A., Martinelli, V., Montanari, E., Patti, F., Trojano, M., & Delle Fave, A. (2014). The coexistence of well- and ill-being in persons with multiple sclerosis, their caregivers and health professionals. Journal of the Neurological Sciences, 337(1-2), 67-73. https://doi.org/10.1016/j.jns.2013.11.018