title: Mastery, functional disability and perceived health status in patients with multiple sclerosis.
abstract: OBJECTIVE
  Multiple sclerosis (MS) is a chronic disease that is difficult to predict and to cope with. Mastery refers to the extent to which patients see themselves as being in control of the forces that affect their lives. It may play an important role in perceived health status and well-being. The purpose of this study was to clarify whether mastery is associated with functional disability and perceived health status in MS patients and how such an association might function.
  
  
  METHODS
  Two hundred and three MS patients completed the Short-Form-36 Health Survey as well as the Pearlin-Schooler Mastery Scale. Functional disability was assessed using the Kurtzke Expanded Disability Status Scale. Hierarchical multiple linear regression analyses were performed on the data from two MS age groups: <45 and > or =45 years of age.
  
  
  RESULTS
  Functional disability was negatively associated with perceived physical health status in both age groups and with perceived mental health status in younger age group. Mastery was positively associated with perceived health status in older age group.
  
  
  CONCLUSIONS
  The findings confirm that mastery might be helpful for older MS patients. Education strategies for MS patients aimed at personal empowerment for the maintaining of physical and mental well-being may be important.
authors.affiliation: Department of Neurology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia. martina.chylova@upjs.sk
authors.forename: M
authors.initials: M
authors.lastname: Krokavcova
authors.forename: I
authors.initials: I
authors.lastname: Nagyova
authors.forename: J P
authors.initials: JP
authors.lastname: van Dijk
authors.forename: J
authors.initials: J
authors.lastname: Rosenberger
authors.forename: M
authors.initials: M
authors.lastname: Gavelova
authors.forename: B
authors.initials: B
authors.lastname: Middel
authors.forename: Z
authors.initials: Z
authors.lastname: Gdovinova
authors.forename: J W
authors.initials: JW
authors.lastname: Groothoff
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D000367:Age Factors; D000375:Aging / Q000523:psychology; D001294:Attitude to Health; D015928:Cognitive Behavioral Therapy / Q000592:standards; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology; D012803:Sick Role; D011795:Surveys and Questionnaires