Journal article

Improving the quality of life of multiple sclerosis patients through coping strategies in routine medical practice

Richard Devy, Philippe Lehert, Etienne Varlan, Marc Genty, Gilles Edan

NEUROLOGICAL SCIENCES | SPRINGER-VERLAG ITALIA SRL | Published : 2015

Abstract

Multiple sclerosis (MS) has a major impact on quality of life (QoL). Coping strategies which may influence QoL have not been identified. Furthermore, there is no coping scale designed to measure coping in MS patients and concise enough for routine medical practice. We used 46 items and 7 coping dimensions; we successively reduced the minimum number of dimensions through confirmatory factor analysis (CFA) and Rasch modelling. The resulting scale was submitted to psychometric validation via an independent cross-sectional analysis. After administration to 331 MS patients, we eliminated 10 of the 46 initial items; a CFA iterative algorithm identified a positive coping (PC) group and a negative c..

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