- Rehabilitation Psychology, Adapted Physical Activity, Health related Quality of Life, Paralympics, Self-Efficacy, Self-Esteem, and 9 moreSelf-regulation, Self-Organization, Self Esteem and Sport, Body Esteem and Self Esteem, Self Efficacy, Self- efficacy Expectation, Self-Management of Health, Self-Management, and Patient self-management of chronic illnessesedit
- Maciej Wilski is a psychologist and post-doctoral Research Associate in Chair of the Physical Culture of the Disabled... moreMaciej Wilski is a psychologist and post-doctoral Research Associate in Chair of the Physical Culture of the Disabled in University of Physical Education in Poznan. He has habilitation in health sciences, Ph.D. in physical culture sciences (Ph.D. dissertation: Personal and social predictors of self-care in persons with myocardial infarction) and experience in social sciences (M.A. in psychology; M.A. in physiotherapy). His research interests are in the factors that promote physical activity among people with disabilities. Other research and academic interests are in rehabilitation psychology, sport psychology and adapted physical activity. He has been active member of several research projects and an expert in the area of sport and recreation of persons with disabilities in national study of the situation, needs and opportunities of persons with disabilities in Poland (systemic research project funded by European Union) . He has experience in cooperation with associations, organizations and institutions working for the intellectually disabled. He is national clinic coordinator Strong Minds Project in Special Olympics Poland.edit
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Research Interests: Psychology, Clinical Psychology, Psychometrics, Multiple sclerosis, Chronic illness, and 15 moreMedicine, Patient education, Factor analysis, Humans, Female, Construct Validity, Male, Aged, Middle Aged, Internal Consistency, Adult, Pilot Projects, Factor structure, Clinical Application, and Disability Evaluation
Background. Paediatric-onset MS (POMS) has a unique clinical profile compared to the more prevalent adult-onset MS. For this study, we aimed to determine the demographic and clinical characteristics of POMS in Poland as well as addressing... more
Background. Paediatric-onset MS (POMS) has a unique clinical profile compared to the more prevalent adult-onset MS. For this study, we aimed to determine the demographic and clinical characteristics of POMS in Poland as well as addressing some of its epidemiological aspects. Methods. A retrospective study was conducted based on the Polish Multiple Sclerosis Registry, considering a population of children and adolescents with MS (age ≤ 18 years). Data were collected by all 13 centres across Poland specializing in diagnosing and treating POMS. The actual course of the disease and its clinical properties were compared between child (≤12 years) and juvenile (>12 years) patients. MS onset and its prevalence were assessed at the end of 2019, stratified by age range. Results. A total of 329 paediatric or juvenile patients (228 girls, 101 boys) with a clinically definite diagnosis of MS, in conformity with the 2017 McDonald Criteria, were enrolled. For 71 children (21.6%), the first sympt...
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Religiosity can be both beneficial and harmful for happiness. It depends on its operationalization and the measures of religiosity and sociodemographics used, together with cultural and psychosocial factors – still not comprehensively... more
Religiosity can be both beneficial and harmful for happiness. It depends on its operationalization and the measures of religiosity and sociodemographics used, together with cultural and psychosocial factors – still not comprehensively explored. This topic is especially important for religious-affiliated chronic patients such as those diagnosed with Multiple Sclerosis. Religion can deliver a sense of meaning, direction, and purpose in life and be an additional source of support and coping with the stress and limitations connected with the disease. The aim of the present study was to verify whether religiosity, directly and indirectly, through finding meaning in life, is related to one’s level of happiness and whether gender, drinking of alcohol, financial status and age are moderators in this relationship. In sum, 600 patients from Poland who suffered from Multiple Sclerosis were included in the study. Firstly, some gender differences were noticed. In women, religiosity was both dire...
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Scientific achievements concerning the direct relation between personality traits and positive orientation among patients with multiple sclerosis do not explain the role of potential mediators. In fact, some researchers argue that the... more
Scientific achievements concerning the direct relation between personality traits and positive orientation among patients with multiple sclerosis do not explain the role of potential mediators. In fact, some researchers argue that the traits–positivity association is much more complex than it seems to be. For this reason, we made an attempt to analyze the indirect relationship between the above-mentioned variables, including meaning in life as a mediator. In total, 618 patients with MS took part in the study. The NEO Five-Factor Inventory, the Positive Orientation Scale, and the Meaning in Life Questionnaire were used. The results showed that positive orientation/the presence of meaning/searching for meaning correlated positively with extraversion, openness to experience, agreeableness, and conscientiousness, and were negatively associated with neuroticism. Moreover, meaning in life in both its dimensions acted as a mediator in 9 of 10 models. It can be assumed that a propensity to ...
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Low participation of multiple sclerosis (MS) patients in the therapeutic process is considered a primary area in research on the management of this condition. One of the key research directions is the role of self and self-involvement in... more
Low participation of multiple sclerosis (MS) patients in the therapeutic process is considered a primary area in research on the management of this condition. One of the key research directions is the role of self and self-involvement in MS patients. Clinical symptoms of MS and unpredictability of this condition may affect patients' attitude to their self and self-involvement. Self-image and self-appraisal of one's abilities to cope with the disease exert significant effects not only on patient's emotional status but also on their behavior. This assumption is consistent with the cognitive-behavioral paradigm according to which emotions and behaviors of an individual reflect specific self-interpretation, self-assessed situational context and self-perceived ability to cope with a given situation. Enforcement of self-esteem and self-efficacy may promote self-management and thus, increase patients' participation in the therapeutic process. In this paper, we briefly review recent advances in research on the role of self in treatment and rehabilitation of MS patients.
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Research Interests: Education, Multiple sclerosis, Quality of life, Body Image, Medicine, and 15 moreIllness Perceptions, Self Efficacy, Optimism, Humans, Female, Male, Health Status, Middle Aged, Self Concept, Adult, Cost of Illness, Disability Evaluation, attitude to health, Psychology and Cognitive Sciences, and Medical and Health Sciences
Wstep. Obecnie do oceny skuteczno¶ci postepowania rehabilitacyjnego u osob po udarze mozgu coraz cze¶ciej stosuje sie ro?nego rodzaju skale pomiaru jako¶ci ?ycia. Dotychczasowe wyniki badan w tym zakresie wskazuj± wyra¼nie, ?e jako¶ae... more
Wstep. Obecnie do oceny skuteczno¶ci postepowania rehabilitacyjnego u osob po udarze mozgu coraz cze¶ciej stosuje sie ro?nego rodzaju skale pomiaru jako¶ci ?ycia. Dotychczasowe wyniki badan w tym zakresie wskazuj± wyra¼nie, ?e jako¶ae ?ycia osob po udarze mozgu ulega obni?eniu zarowno w aspekcie dobrostanu psychicznego, jak i w wymiarze funkcjonalnym. Materia³ i metody. W pilota?owych badaniach jako¶ci ?ycia wzie³o udzia³ 25 osob po udarze mozgu. Do oceny subiektywnej i obiektywnej jako¶ci ?ycia u?yto odpowiednio Kwestionariusza Satysfakcji ¯yciowej oraz anonimowej ankiety obejmuj±cej dane demograficzne i ocene obiektywnych aspektow jako¶ci ?ycia (zatrudnienie, dochody, sposob spedzania wolnego czasu). Wyniki. Z przeprowadzonych badan wynika, ?e osoby po udarze mozgu nisko oceniaj± swoj± ogoln± satysfakcje ?yciow± - jedynie 24% badanych osob by³o zadowolonych z ?ycia jako ca³o¶ci. Najcze¶ciej podejmowan± form± spedzania czasu wolnego przez osoby po udarze mozgu by³o ogl±danie telewizji. Osoby po udarze mozgu najbardziej zadowolone by³y z ?ycia rodzinnego oraz z relacji z partnerem, natomiast najmniej satysfakcjonuj±c± dziedzin± ?ycia by³a ich sytuacja zawodowa. Wnioski. Wskutek udaru mozgu obni?a sie jako¶ae ?ycia zarowno w wymiarze obiektywnym, jak i subiektywnym. Bior±c pod uwage znaczenie, jakie ma ocena stanu jako¶ci ?ycia w programowaniu procesu indywidualnego usprawniania osob po udarze, prowadzenie badan na wieksz± skale w tym obszarze wydaje sie istotne. Gerontol. Pol. 2010; 18, 3: 128-133
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Research Interests: Psychology, Clinical Psychology, Multiple sclerosis, Self Regulation, Self Management, and 10 moreSelf-Management of Health, Chronic disease self-management education, Medicine, Illness Perceptions, Self Efficacy, Chronic Pain Management and Self-Care, Clinical Sciences, Patient self-management of chronic illnesses, Illness Perceptions in Chronic Disease Patients and Their Carers, and Self Esteem
The aim of this study was to explain the relationship between work locus of control and burnout in Polish physiotherapists through the mediation of coping styles. In particular, we hypothesized that external work locus of control may have... more
The aim of this study was to explain the relationship between work locus of control and burnout in Polish physiotherapists through the mediation of coping styles. In particular, we hypothesized that external work locus of control may have a positive direct relationship with burnout symptoms via positive relationship with emotion-focused and avoidant coping styles, and a negative relationship with problem-focused style. We tested the mediational hypothesis using structural equation modeling of self-report data from 155 Polish physiotherapists. The relationship between external work locus of control and physiotherapists' burnout was shown to be mediated by a positive relationship with emotion-focused coping and an inverse relationship with problem-focused coping. The variables included in the model explained about 15% of the variance of emotional exhaustion, 14% of depersonalization, and 14% of personal accomplishment. Physiotherapists perceiving the situation as difficult to cont...
Research Interests: Psychology, Health Psychology, Health Sciences, Physiotherapy, Occupational Medicine, and 15 moreFatigue, Poland, Occupational Health Psychology, Humans, Locus of Control, Coping, Burnout, Female, Male, Incidence, Clinical Sciences, Adult, Occupational Stress, Physical Therapists, and Job Stress Psychology
Objective. This study assesses and compares the mental health status of people with multiple sclerosis (PwMS) in Poland during the second wave of the Coronavirus Disease 2019 (COVID-19) pandemic (November 2020) to a similar group whose... more
Objective. This study assesses and compares the mental health status of people with multiple sclerosis (PwMS) in Poland during the second wave of the Coronavirus Disease 2019 (COVID-19) pandemic (November 2020) to a similar group whose mental health status was examined in November 2017. It also analyzed the psychological resources such as self-efficacy and health locus of control (HLC) and their relationship to mental health in both groups. Methods. Cross-sectional study included two groups of PwMS with 113 respondents each. The respondents completed the General Health Questionnaire-12 and questionnaires for assessing self-efficacy and HLC. The clinical and demographic data of participants were also collected. Results. No differences in mental health status were observed between the studied groups. A hierarchical regression model of the group studied in 2020 revealed that general self-efficacy (β = −0.21, p = 0.032), HLC—internal (β = −0.21, p = 0.035), and education (β = −0.18, p =...
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BACKGROUND Hippotherapy is an acknowledged form of rehabilitation for multiple sclerosis (MS) in Poland, but is still rarely used. The aim of the study was to assess the differences in the intensity of the personality traits of patients... more
BACKGROUND Hippotherapy is an acknowledged form of rehabilitation for multiple sclerosis (MS) in Poland, but is still rarely used. The aim of the study was to assess the differences in the intensity of the personality traits of patients with MS who use and who do not use hippotherapy. METHODS The examination covered 92 patients with MS, aged 15-81 years old (85.9% women), average age 41.78 (± 15.02) years old, both using hippotherapy and not using this method of rehabilitation. The NEO-FFI Personality Inventory has been used for the study of personality traits. Socio-demographic and clinical data, as well as information regarding the use of hippotherapy, has been collected with the assistance of a self-designed survey. RESULTS For all of the patients, the trait expressed with the greatest intensity was conscientiousness (31 ± 7.51), and the least-expressed trait was neuroticism (24±10.42). 46% of the patients used hippotherapy and, compared to the non-users, they had a significantly greater level of agreeableness (34 v. 29, P<.001) and conscientiousness (33 v. 29, P=.009). Hippotherapy was most often used by the elderly patients (age average 49 ± 13.7, years old), while the average age of the non-users was 36 ± 13.6, years old (P<.001). Gender, education, place of residence, and economic status did not affect the choice of hippotherapy as a rehabilitation method. CONCLUSIONS The patients who use hippotherapy had a significantly higher level of agreeableness, conscientiousness, and openness to experience. The most important trait influencing the decision to try hippotherapy was agreeableness.
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Low level of self-management in people with multiple sclerosis (MS) is considered to be a predominant factor that leads to poor rehabilitation efficacy. Studies focusing on the relationship between self-management and psychological... more
Low level of self-management in people with multiple sclerosis (MS) is considered to be a predominant factor that leads to poor rehabilitation efficacy. Studies focusing on the relationship between self-management and psychological variables that can be modified could contribute to expanding the knowledge needed to propose interventional programs aiming at patient activation. This study aimed to analyze whether coping strategies play a mediating role in the association between the perceived impact of MS and level of self-management in people with MS. The cross-sectional study included 382 people with MS. The participants completed the Multiple Sclerosis Self-Management Scale—Revised, Multiple Sclerosis Impact Scale-29, and Coping Inventory for Stressful Situations. The study hypothesis was evaluated using mediation analysis. The STROBE checklist specifically prepared for cross-sectional research was applied in this study for reporting. Results indicate that the emotion- and problem-...
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The relationship between sport result and pre-competition mental state of 109 boccia athletes was analyzed. Mental state was described by: athletic identity, self-esteem, self-efficacy for sports, hope for success, fear of failure,... more
The relationship between sport result and pre-competition mental state of 109 boccia athletes was analyzed. Mental state was described by: athletic identity, self-esteem, self-efficacy for sports, hope for success, fear of failure, anxiety, and expectancy of success. Correlation analyses were made for all four boccia classes (BC1, BC2, BC3, and BC4) and revealed that only athletic identity was associated with sport result in class BC4. Four hierarchical multiple regression models (for BC1, BC2, BC3, and BC4 boccia classes) were created, with sport result as the dependent variable. Only the BC4 model was significant and included athletic identity, anxiety, self-efficacy for sports, and expectancy of success, which explained 49% of variance in sport result. BC4 class results indicate that psychological variables have a potential impact on sport performance in boccia, and the type and level of disability should be taken into account.
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Introduction. Nowadays, in order to assess effectiveness of rehabilitation process in people with stroke, different scales evaluating quality of life are used. Up-today results of research in this area show that quality of life after... more
Introduction. Nowadays, in order to assess effectiveness of rehabilitation process in people with stroke, different scales evaluating quality of life are used. Up-today results of research in this area show that quality of life after stroke decreases in two dimensions of well-being, psychological as well as functional.
Material and methods. Twenty five people with stroke took part in the pilot study assessing quality of life. In order to assess subjective and objective quality of life the Life Satisfaction Questionnaire and anonymous questionnaire covering demographic data and evaluation of objective aspects of life (employment, income, free-time activities) were used respectively.
Results. The results of undertaken study show that people with stroke assess their global life satisfaction (life as a whole) as low. Only 24% of study participants were satisfied with their life as a whole. The most often activity undertaken by people with stroke within their free-time was watching television. People with stroke were most satisfied with their family life and partnership relations, and the least satisfying area of life was their vocational situation.
Conclusion. The both dimensions of life quality, objective and subjective, decrease as a result of stroke. Taking into account the importance of quality of life assessment on individual rehabilitation program following stoke, it seems that future larger study in this area is needed.
Material and methods. Twenty five people with stroke took part in the pilot study assessing quality of life. In order to assess subjective and objective quality of life the Life Satisfaction Questionnaire and anonymous questionnaire covering demographic data and evaluation of objective aspects of life (employment, income, free-time activities) were used respectively.
Results. The results of undertaken study show that people with stroke assess their global life satisfaction (life as a whole) as low. Only 24% of study participants were satisfied with their life as a whole. The most often activity undertaken by people with stroke within their free-time was watching television. People with stroke were most satisfied with their family life and partnership relations, and the least satisfying area of life was their vocational situation.
Conclusion. The both dimensions of life quality, objective and subjective, decrease as a result of stroke. Taking into account the importance of quality of life assessment on individual rehabilitation program following stoke, it seems that future larger study in this area is needed.
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Introduction: One of the factors which increase the rehabilitation efficacy and accelerate the convalescence and return to society of the patients after myocardial infarction may be the self-care attitude. Therefore it seems justifiable... more
Introduction: One of the factors which increase the rehabilitation efficacy and accelerate the convalescence and return to society of the patients after myocardial infarction may be the self-care attitude. Therefore it seems justifiable to seek such factors which will affect the self-care level. Self-estimation belongs to the most important determinants of coping efficacy and undertaking health behaviours. Considering that health behaviours may be treated as a behavioural manifestation of
the self-care attitude, it is probable that the correlation between the self-image and self-care attitude appears to be strong.
Aim: The aim of the research was determination of the strength of the correlation between the level of self-image and selfcare attitude as well as the care types in patients after myocardial infarction. Methods: The study involved 127 persons who had myocardial infarction for the first time and did not undergo any other severe concomitant illnesses. The study covered 28 women and 99 men aged from 39 to 81, with the average age 57.74. The study consisted in completing the KTS questionnaire measuring the self-care level and OS questionnaire measuring the self-image level. The results were analysed statistically
and discussed. Results: Analysis of the levels of self-care and self-image in patients after myocardial infarction showed a strong correlation between those variables at the 0.01 significance level. It is a linear correlation which means that the higher the self-image level, the higher the self-care level. This rule applies to each of the care dimensions, i.e. responsibility, involvement and future perspective as well as each of the types of self-care.
Conclusions: The research indicated a strong correlation between the self-care level and types and the self-image level in those who underwent myocardial infarction. It appeared that the higher the self-image level after myocardial infarction, the higher the self-care level and the fuller
the self-care. Therefore the self-acceptance level should be increased in the patient, because in the case of those who underwent myocardial infarction it is extremely important for development of the self-care attitude. A change in the self-image from negative into positive may be directly translated into an increase in the self-care level.
the self-care attitude, it is probable that the correlation between the self-image and self-care attitude appears to be strong.
Aim: The aim of the research was determination of the strength of the correlation between the level of self-image and selfcare attitude as well as the care types in patients after myocardial infarction. Methods: The study involved 127 persons who had myocardial infarction for the first time and did not undergo any other severe concomitant illnesses. The study covered 28 women and 99 men aged from 39 to 81, with the average age 57.74. The study consisted in completing the KTS questionnaire measuring the self-care level and OS questionnaire measuring the self-image level. The results were analysed statistically
and discussed. Results: Analysis of the levels of self-care and self-image in patients after myocardial infarction showed a strong correlation between those variables at the 0.01 significance level. It is a linear correlation which means that the higher the self-image level, the higher the self-care level. This rule applies to each of the care dimensions, i.e. responsibility, involvement and future perspective as well as each of the types of self-care.
Conclusions: The research indicated a strong correlation between the self-care level and types and the self-image level in those who underwent myocardial infarction. It appeared that the higher the self-image level after myocardial infarction, the higher the self-care level and the fuller
the self-care. Therefore the self-acceptance level should be increased in the patient, because in the case of those who underwent myocardial infarction it is extremely important for development of the self-care attitude. A change in the self-image from negative into positive may be directly translated into an increase in the self-care level.
Research Interests: Self Care, Self Management, Self-Management of Health, Chronic disease self-management education, Self-Esteem, and 9 moreSelf-image, Self-Care, Chronic Pain Management and Self-Care, Self-Management, Patient self-management of chronic illnesses, Body Esteem and Self Esteem, Myocardial Infarction, Self Image, and Body Image and Self Esteem
The aims of this study were to assess the quality of life (QOL) in people with spinal cord injury (SCI) following the earthquake in China (2008) and to identify the most important areas of rehabilitation. All study participants (14 people... more
The aims of this study were to assess the quality of life (QOL) in people with spinal cord injury (SCI) following the earthquake in China (2008) and to identify the most important areas of rehabilitation. All study participants (14 people with SCI) completed a closedquestion social questionnaire, Life Satisfaction Questionnaire, and Aims of Rehabilitation Questionnaire. The most satisfying areas of life were partnership relations and contacts with friends and the least satisfying was vocational situation. The most important aim of rehabilitation was: " recovery of independence in everyday functioning ". The least important aim was: " getting a vocational job, which besides regular income guarantees high prestige and offers vocational development ". Overall QOL of SCI-earthquake survivors in China is rather low. There is a demand for patient-education in China on the role of modern rehabilitation and the realistic goals that a person with SCI can achieve in terms of vocational and social inclusion.
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Self-management of a disease is considered one of the most important factors affecting the treatment outcome. The research on the correlates of self-management in multiple sclerosis (MS) is limited. The aim of this study was to determine... more
Self-management of a disease is considered one of the most important factors affecting the treatment outcome. The research on the correlates of self-management in multiple sclerosis (MS) is limited. The aim of this study was to determine if personal factors, such as illness perception, treatment beliefs, self-esteem and self-efficacy, are correlates of self-management in MS.
This cross-sectional study included 210 patients with MS who completed Multiple Sclerosis Self-Management Scale - Revised, Brief Illness Perception Questionnaire, Treatment Beliefs Scale, Rosenberg Self-Esteem Scale, and Generalized Self-Efficacy Scale. The patients were recruited from a MS rehabilitation clinic. Demographic data and illness-related problems of the study participants were collected with a self-report survey. Correlation and regression analyses were performed to determine associations between variables.
Four factors: age at the time of the study (β = 0.14, P = 0.032), timeline (β = 0.16, P = 0.018), treatment control (β = 0.17, P = 0.022), and general self-efficacy (β = 0.19, P = 0.014) turned out to be the significant correlates of self-management in MS. The model including these variables explained 25% of variance in self-management in MS.
Personal factors, such as general self-efficacy, perception of treatment control and realistic MS timeline perspective, are more salient correlates of self-management in MS than the objective clinical variables, such as the severity, type, and duration of MS.
This cross-sectional study included 210 patients with MS who completed Multiple Sclerosis Self-Management Scale - Revised, Brief Illness Perception Questionnaire, Treatment Beliefs Scale, Rosenberg Self-Esteem Scale, and Generalized Self-Efficacy Scale. The patients were recruited from a MS rehabilitation clinic. Demographic data and illness-related problems of the study participants were collected with a self-report survey. Correlation and regression analyses were performed to determine associations between variables.
Four factors: age at the time of the study (β = 0.14, P = 0.032), timeline (β = 0.16, P = 0.018), treatment control (β = 0.17, P = 0.022), and general self-efficacy (β = 0.19, P = 0.014) turned out to be the significant correlates of self-management in MS. The model including these variables explained 25% of variance in self-management in MS.
Personal factors, such as general self-efficacy, perception of treatment control and realistic MS timeline perspective, are more salient correlates of self-management in MS than the objective clinical variables, such as the severity, type, and duration of MS.
Research Interests: Multiple sclerosis, Self-Efficacy, Self Management, Self-Management of Health, Chronic disease self-management education, and 9 moreIllness Perceptions, Self-regulation, Self-Esteem, Self Efficacy, Chronic Pain Management and Self-Care, Self-Management, Patient self-management of chronic illnesses, Illness Perceptions in Chronic Disease Patients and Their Carers, and Smptom Management, Illness Perception
Purpose: The principal aim of this study was to verify if specific socio-demographic, clinical, and socio-psychological factors are correlates of body esteem in women with multiple sclerosis (MS). Methods: The study included 185 women... more
Purpose:
The principal aim of this study was to verify if specific socio-demographic, clinical, and socio-psychological factors are correlates of body esteem in women with multiple sclerosis (MS).
Methods:
The study included 185 women with MS who completed the Body Esteem Scale (BES), Rosenberg Self-Esteem Scale (RSES), Multiple Sclerosis Impact Scale (MSIS-29), Brief Illness Perception Questionnaire (B-IPQ), Actually Received Support Scale (a part of the Berlin Social Support Scale), and Expanded Disability Status Scale (EDSS). The patients were recruited as a result of cooperation with the Multiple Sclerosis Rehabilitation Centre in Borne Sulinowo and Polish Society of Multiple Sclerosis. The demographic characteristics of the participants and their illness-related problems were determined with a self-report survey.
Results:
A hierarchical multiple regression revealed that four factors, psychological condition (R (2) = 0.23, p ≤ 0.001), received support (R (2) = 0.28, p ≤ 0.001), personal control (R (2) = 0.30, p ≤ 0.001), and physical condition (R (2) = 0.31, p ≤ 0.001), were significant correlates of the general body esteem in our study group of women with MS. The model explained 31 % of variance in body esteem.
Conclusion:
Positive body esteem, an important component of self-esteem in women with MS, is associated with better social support, overcoming negative illness-related appraisals and improvement of psychological well-being. Subjective perception of a negative impact of MS on one's physical condition may be helpful in the identification of women with MS being at increased risk of decreased body esteem.
The principal aim of this study was to verify if specific socio-demographic, clinical, and socio-psychological factors are correlates of body esteem in women with multiple sclerosis (MS).
Methods:
The study included 185 women with MS who completed the Body Esteem Scale (BES), Rosenberg Self-Esteem Scale (RSES), Multiple Sclerosis Impact Scale (MSIS-29), Brief Illness Perception Questionnaire (B-IPQ), Actually Received Support Scale (a part of the Berlin Social Support Scale), and Expanded Disability Status Scale (EDSS). The patients were recruited as a result of cooperation with the Multiple Sclerosis Rehabilitation Centre in Borne Sulinowo and Polish Society of Multiple Sclerosis. The demographic characteristics of the participants and their illness-related problems were determined with a self-report survey.
Results:
A hierarchical multiple regression revealed that four factors, psychological condition (R (2) = 0.23, p ≤ 0.001), received support (R (2) = 0.28, p ≤ 0.001), personal control (R (2) = 0.30, p ≤ 0.001), and physical condition (R (2) = 0.31, p ≤ 0.001), were significant correlates of the general body esteem in our study group of women with MS. The model explained 31 % of variance in body esteem.
Conclusion:
Positive body esteem, an important component of self-esteem in women with MS, is associated with better social support, overcoming negative illness-related appraisals and improvement of psychological well-being. Subjective perception of a negative impact of MS on one's physical condition may be helpful in the identification of women with MS being at increased risk of decreased body esteem.
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[Purpose] To assess the effect of 12-weeks Nordic walking training on gait parameters and some elements of postural control. [Subjects and Methods] Sixty-seven women aged 65 to 74 years were enrolled in this study. The subjects were... more
[Purpose] To assess the effect of 12-weeks Nordic walking training on gait parameters and some elements of postural control. [Subjects and Methods] Sixty-seven women aged 65 to 74 years were enrolled in this study. The subjects were divided into a Nordic Walking group (12 weeks of Nordic walking training, 3 times a week for 75 minutes) and a control group. In both study groups, a set of functional tests were conducted at the beginning and at the end of the study: the Forward Reach Test (FRT) and the Upward Reach Test (URT) on a stabilometric platform, and the analysis of gait parameters on a treadmill. [Results] The NW group showed improvements in: the range of reach in the FRT test and the URT test in compared to the control group. The length of the gait cycle and gait cycle frequency also showed changes in the NW group compared to the control group. [Conclusion] A 12-week NW training program had a positive impact on selected gait parameters and may improve the postural control of women aged over 65 according to the results selected functional tests.
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Abstract: The article presents the results of research on the relationship between social support and self-care of people with myocardial infarction. 127 patients treated in a rehabilitation centre participated in the study. The Inventory... more
Abstract: The article presents the results of research on the relationship between social support and self-care of people with
myocardial infarction. 127 patients treated in a rehabilitation centre participated in the study. The Inventory of Socially
Supportive Behaviours (ISSB) and the Self-care Questionnaire (KTS) developed by the author, were used. The findings
suggest that persons receiving little support are characterised by lower level of self-care than people with medium and
high level of support. No such difference was noted between people with medium and high support level. This suggests that
social support is of considerable importance for the changes in the level of self-care only in the case of people previously
receiving little support. The research also indicates that informational support is related to higher level of self-care
whereas instrumental support is related to lower level of self-care. Emotional support was significant only for the care
for social functioning.
Key words: social support, self-care, myocardial infarction
myocardial infarction. 127 patients treated in a rehabilitation centre participated in the study. The Inventory of Socially
Supportive Behaviours (ISSB) and the Self-care Questionnaire (KTS) developed by the author, were used. The findings
suggest that persons receiving little support are characterised by lower level of self-care than people with medium and
high level of support. No such difference was noted between people with medium and high support level. This suggests that
social support is of considerable importance for the changes in the level of self-care only in the case of people previously
receiving little support. The research also indicates that informational support is related to higher level of self-care
whereas instrumental support is related to lower level of self-care. Emotional support was significant only for the care
for social functioning.
Key words: social support, self-care, myocardial infarction
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AbSTrAcT Purpose. The purpose of this study was to determine the athletic identity (AI) of blind and able-bodied tandem cyclists and explore its relationship to selected variables. An additional objective of this study was to analyze the... more
AbSTrAcT Purpose. The purpose of this study was to determine the athletic identity (AI) of blind and able-bodied tandem cyclists and explore its relationship to selected variables. An additional objective of this study was to analyze the reliability of the seven-item Athletic Identity Measurement Scale (AIMS) for tandem cyclists. Methods. The participants (N = 50) completed measures of AI, variables characterizing their loss of vision (degree and time of loss) and variables characterizing their sports level (the number of hours of training per week and sports experience). Results. The AI level of able-bodied tandem captains is significantly higher than the level in visually impaired athletes. blind tandem cyclists were found to be a fairly homogeneous group according to AI. There were no differences in AI and the degree and time of vision loss, the number of hours of training per week and when a cycling license was received. Psychometric analysis showed that AIMS is a reliable and consistent research tool in the evaluation of AI of tandem cyclists. Conclusions. The findings suggest that there is a need to increase the involvement of blind cyclists in the sport as well as their responsibility for sports results.
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Introduction: The low level of participation in cardiac rehabilitation of patients after myocardial infarction is one of the most important problems in cardiology. Participation in the cardiac rehabilitation process depends on many... more
Introduction: The low level of participation in cardiac rehabilitation of patients after myocardial infarction is one of the most important problems in cardiology. Participation in the cardiac rehabilitation process depends on many diverse factors and one of the fundamental ones is a self-care attitude. It is very important to find predictors which can effectively influence this attitude. If we can understand some of the self-care attitude predictors, we might be better prepared to lead a more effective and much faster form of rehabilitation. The presented studies relate to the above mentioned issues. Methods: The studies were performed on a group of 127 patients, 28 women and 99 men, after myocardial infarction, who were subjected to cardiac rehabilitation. The studies comprised filling out a questionnaire that appraises self-care and personal data. Theresults were then subjected to statistical analysis and discussion. Results: The study found that there is no correlation between the self care, age and socioeconomic status of the patients after myocar-dial infarction. There is a correlation between educational level and self care (0.01) and mental self care and gender (0.05). There is no correlation between general self care and gender. Conclusion: It resulted from the studies that along with the level of education the level of self care increases. Results suggest that the education of the patients after myocardial infarction can be an important factor influencing people's self care. Results also indicate that women have a higher level of mental self care than men do. Although there was no relation between self care, age and socioeconomic status, the results show that there is a trend in this connection that might be important. Further research into this problem should be encouraged.
Research Interests:
The main purpose of this study was to find out what is the level and structure of athletic identity (AI) in athletes with disabilities participating in the Paracanoeing World Championship. The other aim was to examine if level of AI is... more
The main purpose of this study was to find out what is the level and structure
of athletic identity (AI) in athletes with disabilities participating in the Paracanoeing
World Championship. The other aim was to examine if level of AI is associated
with sport performance achieved by these athletes. A group of 58 athletes with
physical disabilities (female = 14, male = 44) representing 28 countries participated
in this study. The Athletic Identity Measurement Scale (AIMS) was used to assess
AI. The major finding were that analyzed athletes had high level of AI, and the
AIMS has 3-factor structure for this population. The total AIMS scores were not significantly different for World Championship medalists and those who performed
less well. However, there was significant difference between these groups with
regard to AIMS subscale called negative affectivity. There was also significant positive correlation between training load i.e. number of hours of training per week and the total AIMS score. The training load significantly predicted sport performance
during the World Championship in Paracanoeing. The results of this study demonstrate the need to investigate other factors that may contribute to sport performance in athletes with disabilities.
of athletic identity (AI) in athletes with disabilities participating in the Paracanoeing
World Championship. The other aim was to examine if level of AI is associated
with sport performance achieved by these athletes. A group of 58 athletes with
physical disabilities (female = 14, male = 44) representing 28 countries participated
in this study. The Athletic Identity Measurement Scale (AIMS) was used to assess
AI. The major finding were that analyzed athletes had high level of AI, and the
AIMS has 3-factor structure for this population. The total AIMS scores were not significantly different for World Championship medalists and those who performed
less well. However, there was significant difference between these groups with
regard to AIMS subscale called negative affectivity. There was also significant positive correlation between training load i.e. number of hours of training per week and the total AIMS score. The training load significantly predicted sport performance
during the World Championship in Paracanoeing. The results of this study demonstrate the need to investigate other factors that may contribute to sport performance in athletes with disabilities.
Research Interests:
Objectives: The aim of this study was to explain the relationship between work locus of control and burnout in Polish physiotherapists through the mediation of coping styles. In particular, we hypothesized that external work locus of... more
Objectives: The aim of this study was to explain the relationship between work locus of control and burnout in Polish physiotherapists through the mediation of coping styles. In particular, we hypothesized that external work locus of control may have a positive direct relationship with burnout symptoms via positive relationship with emotion-focused and avoidant coping styles, and a negative relationship with problem-focused style. Material and Methods: We tested the mediational hypothesis using structural equation modeling of self-report data from 155 Polish physiotherapists. Results: The relationship between external work locus of control and physiotherapists’ burnout was shown to be mediated by a positive relationship with emotion-focused coping and an inverse relationship with problem-focused coping. The variables included in the model explained about 15% of the variance of emotional exhaustion, 14% of depersonalization, and 14% of personal accomplishment. Conclusions: Physiotherapists perceiving the situation as difficult to control, feel more burned out when they use more emotion-focused strategies, and less problem-focused strategies. This indicates the importance of including both, problem-focused coping training and increasing the perception of the situation controllability in preventing physiotherapists’ burnout programs.
Research Interests:
Low participation of multiple sclerosis (MS) patients in the therapeutic process is considered a primary area in research on the management of this condition. One of the key research directions is the role of self and self-involvement in... more
Low participation of multiple sclerosis (MS) patients in the therapeutic process is considered a primary area in research on the management of this condition. One of the key research directions is the role of self and self-involvement in MS patients. Clinical symptoms of MS and unpredictability of this condition may affect patients’ attitude to their self and self-involvement. Self-image and self-appraisal of one’s abilities to cope with the disease exert significant effects not only on patient’s emotional status but also on their behavior. This assumption is consistent with the cognitive-behavioral paradigm according to which emotions and behaviors of an individual reflect specific self-interpretation, self-assessed situational context and self-perceived ability to cope with a given situation. Enforcement of self-esteem and self-efficacy may promote self-management and thus, increase patients’ participation in the therapeutic process. In this paper, we briefly review recent advances in research on the role of self in treatment and rehabilitation of MS patients.