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Mental toughness, sleep disturbances, and physical activity in patients with multiple sclerosis compared to healthy adolescents and young adults.

Sadeghi Bahmani D, Gerber M, Kalak N, Lemola S, Clough PJ, Calabrese P, Shaygannejad V, Pühse U, Holsboer-Trachsler E, Brand S - Neuropsychiatr Dis Treat (2016)

Bottom Line: MS patients reported lower levels of vigorous PA compared to both healthy adolescents and young adults.The pattern of the results of the present study suggests that the onset of MS is not associated with poor MT, poor sleep, or reduced moderate-intensity PA.Low levels of vigorous PA may lead to decreased cardiorespiratory fitness in patients with MS and, in the long run, to reduced cardiovascular health and degraded psychological functioning.

View Article: PubMed Central - PubMed

Affiliation: Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders.

ABSTRACT

Background: Multiple sclerosis (MS) is the most common chronic autoimmune demyelinating and inflammatory disease of the central nervous system, afflicting both the body and mind. The risk of suffering from MS is 2.5-3.5 times greater in females than in males. While there is extant research on fatigue, depression, and cognitive impairment in patients with MS during its clinical course, there is a lack of research focusing on sleep, psychological functioning, and physical activity (PA) at the point of disease onset. The aims of the present study were therefore, to assess the markers of mental toughness (MT) as a dimension of psychological functioning, sleep disturbances (SD), and PA among patients at the moment of disease onset and to compare these with the corresponding values for healthy adolescents and young adults.

Methods: A total of 23 patients with MS at disease onset (mean age =32.31 years; 91% females), 23 healthy adolescents (mean age =17.43 years; 82% females), and 25 healthy young adults (mean age =20.72 years; 80% females) took part in the study. They completed questionnaires covering sociodemographic data, MT, SD, and PA.

Results: Patients with MS had similar scores for MT traits as those in healthy adolescents and healthy young adults, and equivalent levels of moderate-intensity PA and SD as young adults. MS patients reported lower levels of vigorous PA compared to both healthy adolescents and young adults.

Conclusion: The pattern of the results of the present study suggests that the onset of MS is not associated with poor MT, poor sleep, or reduced moderate-intensity PA. Lower levels of vigorous PA were observed in MS patients. Low levels of vigorous PA may lead to decreased cardiorespiratory fitness in patients with MS and, in the long run, to reduced cardiovascular health and degraded psychological functioning.

No MeSH data available.


Related in: MedlinePlus

Mental toughness.Notes: Mental toughness differed significantly between the groups, with significantly higher mental toughness among HYAdu, compared to patients with MS and HA. Points are mean values, and bars are standard deviation. *Significant mean difference compared to other mean values.Abbreviations: MS, multiple sclerosis; HA, healthy adolescents; HYAdu, healthy young adults.
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f1-ndt-12-1571: Mental toughness.Notes: Mental toughness differed significantly between the groups, with significantly higher mental toughness among HYAdu, compared to patients with MS and HA. Points are mean values, and bars are standard deviation. *Significant mean difference compared to other mean values.Abbreviations: MS, multiple sclerosis; HA, healthy adolescents; HYAdu, healthy young adults.

Mentions: With regard to MT, all descriptive and inferential statistics for patients with diagnosed MS, healthy adolescents, and healthy young adults are shown in Table 1. As can be seen from the ANOVAs, there were significant group effects for challenge, commitment, life control, confidence in own abilities, confi-dence total score, and MTQ48 total score. A nonsignificant trend (P<0.1) was observed for control total score. Post hoc analyses after Bonferroni–Holm corrections for P-values showed that healthy young adults had significantly higher scores for challenge, confidence in own abilities, confidence total score, and MTQ48 total score, compared to patients with MS and healthy adolescents (Figure 1). No significant group differences were observed for control of emotions or interpersonal confidence. Of note, no significant mean differences were observed between healthy adolescents and patients with MS.


Mental toughness, sleep disturbances, and physical activity in patients with multiple sclerosis compared to healthy adolescents and young adults.

Sadeghi Bahmani D, Gerber M, Kalak N, Lemola S, Clough PJ, Calabrese P, Shaygannejad V, Pühse U, Holsboer-Trachsler E, Brand S - Neuropsychiatr Dis Treat (2016)

Mental toughness.Notes: Mental toughness differed significantly between the groups, with significantly higher mental toughness among HYAdu, compared to patients with MS and HA. Points are mean values, and bars are standard deviation. *Significant mean difference compared to other mean values.Abbreviations: MS, multiple sclerosis; HA, healthy adolescents; HYAdu, healthy young adults.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4930238&req=5

f1-ndt-12-1571: Mental toughness.Notes: Mental toughness differed significantly between the groups, with significantly higher mental toughness among HYAdu, compared to patients with MS and HA. Points are mean values, and bars are standard deviation. *Significant mean difference compared to other mean values.Abbreviations: MS, multiple sclerosis; HA, healthy adolescents; HYAdu, healthy young adults.
Mentions: With regard to MT, all descriptive and inferential statistics for patients with diagnosed MS, healthy adolescents, and healthy young adults are shown in Table 1. As can be seen from the ANOVAs, there were significant group effects for challenge, commitment, life control, confidence in own abilities, confi-dence total score, and MTQ48 total score. A nonsignificant trend (P<0.1) was observed for control total score. Post hoc analyses after Bonferroni–Holm corrections for P-values showed that healthy young adults had significantly higher scores for challenge, confidence in own abilities, confidence total score, and MTQ48 total score, compared to patients with MS and healthy adolescents (Figure 1). No significant group differences were observed for control of emotions or interpersonal confidence. Of note, no significant mean differences were observed between healthy adolescents and patients with MS.

Bottom Line: MS patients reported lower levels of vigorous PA compared to both healthy adolescents and young adults.The pattern of the results of the present study suggests that the onset of MS is not associated with poor MT, poor sleep, or reduced moderate-intensity PA.Low levels of vigorous PA may lead to decreased cardiorespiratory fitness in patients with MS and, in the long run, to reduced cardiovascular health and degraded psychological functioning.

View Article: PubMed Central - PubMed

Affiliation: Psychiatric Clinics of the University of Basel, Center for Affective, Stress and Sleep Disorders.

ABSTRACT

Background: Multiple sclerosis (MS) is the most common chronic autoimmune demyelinating and inflammatory disease of the central nervous system, afflicting both the body and mind. The risk of suffering from MS is 2.5-3.5 times greater in females than in males. While there is extant research on fatigue, depression, and cognitive impairment in patients with MS during its clinical course, there is a lack of research focusing on sleep, psychological functioning, and physical activity (PA) at the point of disease onset. The aims of the present study were therefore, to assess the markers of mental toughness (MT) as a dimension of psychological functioning, sleep disturbances (SD), and PA among patients at the moment of disease onset and to compare these with the corresponding values for healthy adolescents and young adults.

Methods: A total of 23 patients with MS at disease onset (mean age =32.31 years; 91% females), 23 healthy adolescents (mean age =17.43 years; 82% females), and 25 healthy young adults (mean age =20.72 years; 80% females) took part in the study. They completed questionnaires covering sociodemographic data, MT, SD, and PA.

Results: Patients with MS had similar scores for MT traits as those in healthy adolescents and healthy young adults, and equivalent levels of moderate-intensity PA and SD as young adults. MS patients reported lower levels of vigorous PA compared to both healthy adolescents and young adults.

Conclusion: The pattern of the results of the present study suggests that the onset of MS is not associated with poor MT, poor sleep, or reduced moderate-intensity PA. Lower levels of vigorous PA were observed in MS patients. Low levels of vigorous PA may lead to decreased cardiorespiratory fitness in patients with MS and, in the long run, to reduced cardiovascular health and degraded psychological functioning.

No MeSH data available.


Related in: MedlinePlus