Highlights
- •Mastery is associated with physical and mental HRQOL.
- •Dose dependency exists between mastery quartiles and both physical and mental HRQOL.
- •Mastery is associated with all subscores of both physical and mental HRQOL.
- •Health distress appears to be an important component of HRQOL related to mastery.
Abstract
Background
Mastery is the sense of being in control of one's life and improvement in mastery
may help to enhance quality of life. Little research has explored mastery in people
with multiple sclerosis (MS), including its association with quality of life.
Objective
To explore the association between mastery and health-related quality of life (HRQOL)
in people with MS.
Method
Two cross-sectional cohorts of adults with MS (n = 1401 and n = 573), recruited through convenience sampling, completed an online survey which
measured mastery using the Pearlin Mastery Scale, physical and mental HRQOL via physical
and mental health composite scores of MSQOL-54, along with other covariates, including
demographics, clinical characteristics and lifestyle factors. Linear regression assessed
associations between mastery and physical HRQOL adjusting for age, sex, education,
disability and depression, and between mastery and mental HRQOL adjusting for age,
sex, education, disability and clinically significant fatigue.
Results
Greater mastery score was associated with higher physical and mental HRQOL in both
cohorts, such that a one-point increase in the PMS was associated with an increase
of 2.9 (95% Confidence Interval (CI): 2.6, 3.1) and 2.8 points (95% CI: 2.4, 3.2)
in the means of physical HRQOL score in the first and second cohorts respectively,
and a 2.9-point (95% CI: 2.7, 3.1) and 3.1-point (95% CI: 2.7, 3.4) increase in the
means of mental HRQOL score. A dose-dependent relationship was demonstrated between
a quartile categorical mastery variable and both physical and mental HRQOL in both
cohorts. Mastery was associated with all subscores of both physical and mental HRQOL.
Conclusions
Greater mastery is associated with better physical and mental quality of life. Efforts
to improve the sense of self control and agency of people with MS may have benefits
for their quality of life, even despite clinical features of the illness.
Keywords
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Article info
Publication history
Published online: October 30, 2019
Accepted:
October 26,
2019
Received in revised form:
August 30,
2019
Received:
May 17,
2019
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
