Relationship between physical activity and coping with stress in people with multiple sclerosis: a moderated mediation model with self-efficacy and disability level as variables

• Maciej Wilski ^[1] ; Waldemar Brola ^[2] ; Magdalena Koper ^[1] ; Jarosław Gabryelski ^[3] ; Magdalena Łuniewska ^[1] ; Małgorzata Fudala ^[4] ; Maciej Tomczak ^[1]
  1. [1] Poznań University of Physical Education, Poznan, Poland
  2. [2] Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  3. [3] Poznan University of Technology, Poznan, Poland
  4. [4] District Hospital Maria Skłodowska-Curie in Skarżysko, Kamienna, Poland

  Mostrar afiliaciones +
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 24, Nº. 1, 2024, págs. 11-20
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2023.100415
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen

  • Purpose An increasing number of studies support the beneficial relationship between physical activity and stress coping in people with multiple sclerosis (MS). However, there has been limited understanding of the variables that may influence the nature of this relationship. Therefore, based on the social-cognitive framework and previous research, we aimed to examine the association between the habitual physical activity of people with MS and their coping effectiveness. Furthermore, we sought to determine the extent to which self-efficacy acts as a mediator in this relationship, considering the level of disability as a moderator variable.

    Methods In this cross-sectional study, a total of 351 people with MS participated. The participants were asked to complete several assessment tools, including the Mini-COPE Inventory for Measurement—Coping with Stress, the Generalized Self-Efficacy Scale, and the Godin Leisure-Time Exercise Questionnaire. Additionally, a neurologist assessed the severity of the disease using the Expanded Disability Status Scale. Information on the demographic and clinical characteristics of the participants was collected via a self-report survey. Two moderated mediation analyses were conducted as part of the study.

    Results The study findings indicated a positive correlation between engagement in physical activity and self-efficacy among participants with high and medium disability levels. This, in turn, demonstrated a positive association with effective stress-coping strategies and a negative association with ineffective coping methods. In particular, a significant relationship was observed between involvement in physical activity and self-efficacy in participants with high disability, while it was not statistically significant in participants with low disability.

    Conclusion Physical activity was associated with improved psychosocial functioning in people with high levels of disability caused by MS. This association may be attributed to factors such as increased self-efficacy and improved stress coping. However, the relationship between physical activity and psychosocial functioning was less evident in people with low disability caused by MS.

• Referencias bibliográficas
  • Baird, J. F., Silveira, S. L., & Motl, R. W. (2022). Social cognitive theory variables are stronger correlates of moderate-to-vigorous...
  • Bandura, A. (2012). Self-Efficacy: The Exercise of Control. New York: W.H. Freeman.
  • Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52(1), 1–26. https://doi.org/10.1146/annurev.psych.52.1.1
  • Bandura, A. (1995). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prenctice Hall.
  • Bassi, M., Cilia, S., Falautano, M., Grobberio, M., Niccolai, C., Pattini, M., Pietrolongo, E., Quartuccio, M. E., Viterbo, R. G., Allegri,...
  • Benyon, K., Hill, S., Zadurian, N., & Mallen, C. (2010). Coping strategies and self-efficacy as predictors of outcome in osteoarthritis:...
  • Biddle, S. J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: A review of Reviews. British Journal...
  • Boeschoten, R. E., Braamse, A. M. J., Beekman, A. T. F., et al. (2017). Prevalence of depression and anxiety in multiple sclerosis: A systematic...
  • Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality...
  • Casey, B., Coote, S., Shirazipour, C., et al. (2017). Modifiable psychosocial constructs associated with physical activity participation in...
  • Casey, B., Uszynski, M., Hayes, S., Motl, R., Gallagher, S., & Coote, S. (2018). Do multiple sclerosis symptoms moderate the relationship...
  • D’Amico, S., Marano, A., Geraci, M. A., & Legge, E. (2013). Perceived self-efficacy and coping styles related to stressful critical life...
  • Fabrigar, L. R., & Wegener, D. T. (2012). Exploratory factor analysis. Oxford University Press.
  • Feinstein, A. (2011). Multiple sclerosis and depression. Multple Sclerosis Journal, 17(11), 1276–1281. https://doi.org/10.1177/1352458511417835
  • Fuochi, G., & Fo`a, C. (2017). Quality of life, coping strategies, social support and self- efficacy in women after acute myocardial...
  • Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Candian Journal of Applied Sport Science,...
  • Goretti, B., Portaccio, E., Zipoli, V., et al. (2009). Coping strategies, psychological variables and their relationship with quality of life...
  • Gosney, J. L., Scott, J. A., Snook, E. M., & Motl, R. W. (2007). Physical activity and multiple sclerosis. Family & Community Health,...
  • Grech, L. B., Kiropoulos, L. A., Kirby, K. M., Butler, E., Paine, M., & Hester, R. (2018). Target coping strategies for interventions...
  • Guicciardi, M., Carta, M., Pau, M., & Cocco, E. (2019). The relationships between physical activity, self-efficacy, and quality of life...
  • Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford...
  • Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179–185. https://doi.org/10.1007/BF02289447
  • Juczynski, Z. (2000). Self-efficacy. Theory and measurement (Poczucie własnej skutecznosci. Teoria i pomiar). Acta Universitatis Lodziensis....
  • Juczynski, Z. & Oginska-Bulik, N. (2012). Tools for measuring stress and coping with stress (Narzędzia pomiaru stresu i radzenia sobie...
  • Kalron, A., Menascu, S., Frid, L., Aloni, R., & Achiron, A. (2019). Physical activity in mild multiple sclerosis: Contribution of perceived...
  • Kim, J., Kim, J., Lee, C., Kil, N., & Lee, Y. (2021). Investigating the relationships among leisure, coping, and personal growth among...
  • Kim, J. H., & McKenzie, L. A. (2014). The impacts of physical exercise on stress coping and well-being in university students in the context...
  • Koring, M., Richert, J., Parschau, L., Ernsting, A., Lippke, S., & Schwarzer, R. (2012). A combined planning and self-efficacy intervention...
  • Kroencke, D. C., & Denney, D. R. (1999). Stress and coping in multiple sclerosis: Exacerbation, remission and chronic subgroups. Multple...
  • Kurtzke, J. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology, 33(11), 1444–1452....
  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.
  • Marrie, R. A., Fisk, J. D., Tremlett, H., et al. (2015). Differences in the burden of psychiatric comorbidity in Ms Vs the general population....
  • McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews,...
  • McCabe, M. (2006). A longitudinal study of coping strategies and quality of life among people with multiple sclerosis. Journal of Clinical...
  • Mezini, S., & Soundy, A. (2019). A thematic synthesis considering the factors which influence multiple sclerosis related fatigue during...
  • Mohr, D., Goodkin, D., Gatto, N., & Van Der Wende, J. (1997). Depression, coping and level of neurological impairment in multiple sclerosis....
  • Montel, S. R., & Bungener, C. (2007). Coping and quality of life in one hundred and thirty five subjects with multiple sclerosis. Multple...
  • Motl, R. W., Dlugonski, D., Wojcicki, T. R., McAuley, E., & Mohr, D. C. (2010). Internet intervention for increasing physical activity...
  • Motl, R. W., McAuley, E., & Sandroff, B. M. (2013). Longitudinal change in physical activity and its correlates in relapsing-remitting...
  • Motl, R. W., McAuley, E., Snook, E. M., & Scott, J. A. (2006). Validity of physical activity measures in ambulatory individuals with multiple...
  • Motl, R. W., McAuley, E., & Snook, E. M. (2007). Physical activity and quality of life in multiple sclerosis: Possible roles of social...
  • Pakenham, K. I. (1999). Adjustment to multiple sclerosis: Application of a stress and coping model. Health Psychology : Official Journal of...
  • Perchtold-Stefan, C. M., Fink, A., Rominger, C., Weiss, E. M., & Papousek, I. (2020). More habitual physical activity is linked to the...
  • Pituch, K. A., & Stevens, J. P. (2016). Applied multivariate statistics for the social sciences: Analyses with SAS and IBM’s SPSS. Routledge.
  • Polman, C. H., Reingold, S. C., Banwell, B., et al. (2011). Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald Criteria....
  • Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. Journal of Gerontology – A Biological...
  • Rollo, S., Gaston, A., & Prapavessis, H. (2016). Cognitive and motivational factors associated with sedentary behavior: A systematic review....
  • Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. In J Weinman, S Wright, & M Johnston (Eds.), Measures in health...
  • Snook, E. M., & Motl, R. W. (2008). Physical activity behaviors in individuals with multiple sclerosis: Roles of overall and specific...
  • Stephens, C., Neil, R., & Smith, P. (2012). The perceived benefits and barriers of sport in spinal cord injured individuals: A qualitative...
  • Streber, R., Peters, S., & Pfeifer, K. (2016). Systematic review of correlates and determinants of physical activity in persons with multiple...
  • Szczuka, Z., Banik, A., Abraham, C., Kulis, E., & Luszczynska, A. (2021). Associations between self-efficacy and sedentary behaviour:...
  • Vanner, E. A., Block, P., Christodoulou, C. C., Horowitz, B. P., & Krupp, L. B. (2008). Pilot study exploring quality of life and barriers...
  • Wang, Y., Hager, E. R., Magder, L. S., Arbaiza, R., Wilkes, S., & Black, M. M. (2019). A dyadic analysis on source discrepancy and a mediation...
  • Wijndaele, K., Matton, L., Duvigneaud, N., et al. (2007). Association between leisure time physical activity and stress, social support and...
  • Wilski, M., Brola, W., Łuniewska, M., & Tomczak, M. (2021a). The perceived impact of multiple sclerosis and self-management: The mediating...
  • Wilski, M., Brola, W., & Tomczak, M. (2019). Health locus of control and mental health in patients with multiple sclerosis: Mediating...
  • Wilski, M., Tomczak, M., Ferlak, J., Chmielewski, B., Łuniewska, M., & Brola, W. (2021b). Coping profiles in multiple sclerosis: Comparison...
  • Xu, T., & Zhang, G. (2020). Effect of physical activity volume on active coping style among martial arts practicing adolescents: The mediating...