Abstract

Objective: To assess the self-efficacy level and health-related quality of life in pediatric-onset multiple sclerosis (POMS) patients.

Material and Methods: A cross-sectional study was conducted between January-April 2022 at Hacettepe University Department of Pediatric Neurology using The Pediatric Rating of Chronic Illness Self-Efficacy (PRCISE) Scale and Pediatric Quality of Life Inventory (PedsQL).

Results: Twenty-nine POMS patients with a median age of 16.4 years (F/M: 20/9) were included in the study. The mean PRCISE Scale score was 101.8±22.4 and the mean PedsQL score was 66.5±16.2. Both scores were lower than previously reported in the literature.

Conclusion: Lower self-efficacy and HRQoL levels might be attributed to fatigue which is common in POMS. The impact of the COVID-19 pandemic on mental health and quality of life should be addressed in patients with POMS.

Keywords: self efficacy, health-related quality of life, pediatric-onset multiple sclerosis

References

  1. Alroughani R, Boyko A. Pediatric multiple sclerosis: a review. BMC Neurol 2018;18:27.
  2. Boiko A, Vorobeychik G, Paty D, Devonshire V, Sadovnick D. Early onset multiple sclerosis: a longitudinal study. Neurology 2002;59:1006-10.
  3. Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44:1175-84.
  4. Sikes EM, Motl RW, Ness JM. Pediatric multiple sclerosis: current perspectives on health behaviors. Pediatric Health Med Ther 2018;9:17-25.
  5. Lemmon ME, Huffstetler HE, Reeve BB. Measuring Health-Related Quality of Life in Pediatric Neurology. J Child Neurol 2020;35:681-9.
  6. Emerson ND, Morrell HER, Mahtani N, Sanderson L, Neece C, Boyd KC, et al. Preliminary validation of a self-efficacy scale for pediatric chronic illness. Child Care Health Dev 2018;44:485-93.
  7. Gürcan M, Turan S. Testing the psychometric properties of the Turkish culture version of the self-efficacy scale for pediatric chronic illness. Current Psychology 2020.
  8. Cakin Memik N, Ağaoğlu B, Coşkun A, Uneri OS, I. K. The validity and reliability of the Turkish Pediatric Quality of Life Inventory for children 13-18 years old. Turk Psikiyatri Derg 2007;18:353-63.
  9. Peters M, Potter CM, Kelly L, Fitzpatrick R. Self-efficacy and health-related quality of life: a cross-sectional study of primary care patients with multi-morbidity. Health Qual Life Outcomes 2019;17:37.
  10. Ferrari S, Vanti C, Pellizzer M, Dozza L, Monticone M, Pillastrini P. Is there a relationship between self-efficacy, disability, pain and sociodemographic characteristics in chronic low back pain? A multicenter retrospective analysis. Arch Physiother 2019;9:9.
  11. Carroll S, Chalder T, Hemingway C, Heyman I, Moss-Morris R. Understanding fatigue in paediatric multiple sclerosis: a systematic review of clinical and psychosocial factors. Dev Med Child Neurol 2016;58:229-39.
  12. Ozdogar AT, Kahraman T, Ozakbas S, Achiron A, Kalron A. Fatigue is associated with physical inactivity in people with multiple sclerosis despite different environmental backgrounds: Merging and comparing cohorts from Turkey and Israel. Mult Scler Relat Disord 2022;57:103456.
  13. Drenkard C, Easley K, Bao G, Dunlop-Thomas C, Lim SS, Brady T. Cross-sectional study of the effects of self-efficacy on fatigue and pain interference in black women with systemic lupus erythematosus: the role of depression, age and education. Lupus Sci Med 2022;9.
  14. Young CA, Mills R, Rog D, Sharrack B, Majeed T, Constantinescu CS, et al. Quality of life in multiple sclerosis is dominated by fatigue, disability and self-efficacy. J Neurol Sci 2021;426:117437.
  15. Ow N, Mozafarinia M, Mayo NE. Quality of life measures in pediatric multiple sclerosis: a systematic review and meta-analysis. Dev Med Child Neurol 2021;63:1051-8.
  16. Sojli E, Tham WW, Bryant R, McAleer M. COVID-19 restrictions and age-specific mental health-U.S. probability-based panel evidence. Transl Psychiatry 2021;11:418.
  17. Simonetti V, Durante A, Ambrosca R, Arcadi P, Graziano G, Pucciarelli G, et al. Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: A large cross-sectional study. J Clin Nurs 2021;30:1360-71.
  18. Hansel TC, Saltzman LY, Melton PA, Clark TL, Bordnick PS. COVID-19 behavioral health and quality of life. Sci Rep 2022;12:961.
  19. Available from: https://covid19.who.int/region/euro/country/tr Last accessed May 29, 2022.

Copyright and license

How to cite

1.
Öncel İH, Solmaz I. Evaluation of Self-Efficacy and Health-Related Quality of Life in Pediatric-Onset Multiple Sclerosis Patients. Turk J Pediatr Dis [Internet]. 2022 Sep. 20 [cited 2025 May 25];16(5):421-4. Available from: https://turkjpediatrdis.org/article/view/855