title: Self-esteem, social participation, and quality of life in patients with multiple sclerosis.
abstract: The aim of this study is to explore whether self-esteem and social participation are associated with the physical and mental quality of life (Physical Component Summary, Mental Component Summary) and whether self-esteem can mediate the association between these variables. We collected information from 118 consecutive multiple sclerosis patients. Age, gender, disease duration, disability status, and participation were significant predictors of Physical Component Summary, explaining 55.4 percent of the total variance. Self-esteem fully mediated the association between social participation and Mental Component Summary (estimate/standard error = -4.872; p < 0.001) and along with disability status explained 48.3 percent of the variance in Mental Component Summary. These results can be used in intervention and educational programs.
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Pavol
authors.initials: P
authors.lastname: Mikula
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Iveta
authors.initials: I
authors.lastname: Nagyova
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Martina
authors.initials: M
authors.lastname: Krokavcova
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Marianna
authors.initials: M
authors.lastname: Vitkova
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Rosenberger
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Jarmila
authors.initials: J
authors.lastname: Szilasiova
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.
authors.forename: Zuzana
authors.initials: Z
authors.lastname: Gdovinova
authors.affiliation: 2 University of Groningen, The Netherlands.
authors.forename: Roy E
authors.initials: RE
authors.lastname: Stewart
authors.affiliation: 2 University of Groningen, The Netherlands.
authors.forename: Johan W
authors.initials: JW
authors.lastname: Groothoff
authors.affiliation: 1 Pavol Jozef Safarik University, Slovakia.|2 University of Groningen, The Netherlands.
authors.forename: Jitse P
authors.initials: JP
authors.lastname: van Dijk
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D058992:Social Participation; D055815:Young Adult
keywords: multiple sclerosis; physical and mental domain of health-related quality of life; self-esteem; social participation