Vol 57, No 6 (2023)
Research Paper
Published online: 2023-11-27

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Sense of happiness in Polish patients with multiple sclerosis

Waldemar Brola1, Małgorzata Szcześniak2, Maciej Wilski3, Marek Żak1, Piotr Sobolewski1, Marcin Wnuk4, Roman Ryszard Szałachowski2, Katarzyna Kapica-Topczewska5, Agata Czarnowska5, Joanna Tarasiuk5, Alina Kułakowska5, Beata Zakrzewska-Pniewska6, Katarzyna Kubicka-Bączyk7, Natalia Morawiec7, Monika Adamczyk-Sowa7, Adam Stępień8, Jacek Zaborski9, Halina Bartosik-Psujek10, Beata Lech11, Adam Perenc11, Małgorzata Popiel11, Anna Ratajczak12, Marcin Ratajczak12, Zdzisław Kroplewski2, Andrzej Potemkowski2
Pubmed: 38009502
Neurol Neurochir Pol 2023;57(6):484-491.

Abstract

Introduction. Happiness is crucial to patient well-being and their acceptance of their disease. The aim of this study was to assess the sense of happiness in persons with multiple sclerosis (PwMS), compare it to the level of happiness in patients with other neurological conditions, and determine which factors affect the sense of happiness in PwMS.

Material and methods. Five hundred and eighty-nine PwMS and 145 control subjects (post-stroke patients with chronic pain syndromes and neuropathies) were included in the study. Due to the differences between the groups in terms of demographic variables, an adjusted group of PwMS (n = 145) was selected from the entire group of PwMS. All patients were assessed using the Oxford Happiness Questionnaire (OHQ), the Satisfaction with Life Scale (SLS), and the Family APGAR Questionnaire. Based on regression analysis, the study examined which variables affected the level of happiness in the groups.

Results. Analysis of the OHQ scores showed that PwMS had a lower sense of happiness compared to the control group in the overall score [113.21 (25–42) vs. 119.88 (25–49), respectively; p = 0.031] and the subscales (OHQ subscale 1 — 54.52 vs. 57.84, respectively; p = 0.027; subscale 2 — 35.61 vs. 37.67; respectively; p = 0.044). Based on linear regression analysis, life satisfaction (β = 0.40; p < 0.001), positive orientation (β = 0.32; p < 0.001), and primary education (β = 0.08; p = 0.009) were the most significant predictors of a higher level of happiness in PwMS. Similar results were found in the control group.

Conclusions. The sense of happiness in PwMS was lower than in patients with other conditions. The most important factors influencing happiness included life satisfaction and positive orientation. Influencing these predictors should be the aim of psychological interventions, especially in patients with a reduced sense of happiness.

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References

  1. Lim SS, Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859): 2224–2260.
  2. Janssens AC, van Doorn PA, de Boer JB, et al. Impact of recently diagnosed multiple sclerosis on quality of life, anxiety, depression and distress of patients and partners. Acta Neurol Scand. 2003; 108(6): 389–395.
  3. Benito-León J, Morales JM, Rivera-Navarro J, et al. A review about the impact of multiple sclerosis on health-related quality of life. Disabil Rehabil. 2003; 25(23): 1291–1303.
  4. Wilski M, Kocur P, Brola W, et al. Psychological factors associated with self-management in multiple sclerosis. Acta Neurol Scand. 2020; 142(1): 50–57.
  5. Greeke EE, Chua AS, Healy BC, et al. Depression and fatigue in patients with multiple sclerosis. J Neurol Sci. 2017; 380: 236–241.
  6. Liu XJ, Ye HX, Li WP, et al. Relationship between psychosocial factors and onset of multiple sclerosis. Eur Neurol. 2009; 62(3): 130–136.
  7. McKay KA, Tremlett H, Fisk JD, et al. CIHR Team in the Epidemiology and Impact of Comorbidity on Multiple Sclerosis. Psychiatric comorbidity is associated with disability progression in multiple sclerosis. Neurology. 2018; 90(15): e1316–e1323.
  8. Murphy R, O'Donoghue S, Counihan T, et al. Neuropsychiatric syndromes of multiple sclerosis. J Neurol Neurosurg Psychiatry. 2017; 88(8): 697–708.
  9. Delle Fave A, Bassi M, Allegri B, et al. Beyond disease: happiness, goals, and meanings among persons with multiple sclerosis and their caregivers. Front Psychol. 2017; 8: 2216.
  10. Barak Y, Achiron A. Happiness and personal growth are attainable in interferon-beta-1a treated multiple sclerosis patients. Journal of Happiness Studies. 2010; 12(5): 887–895.
  11. Tatarkiewicz W. Analysis of happiness. Martinus Nijhoff, Hague 1976.
  12. Kraut R. Two Conceptions of Happiness. The Philosophical Review. 1979; 88(2): 167–197.
  13. Diener Ed. Subjective well-being. Psychol Bull. 1984; 95(3): 542–575.
  14. Argyle M. The psychology of happiness. Methuen, London 1987.
  15. Lu L, Gilmour R, Kao SF, et al. Two ways to achieve happiness: when the East meets the West. Personality and Individual Differences. 2001; 30(7): 1161–1174.
  16. Veenhoven R. Conditions of happiness. D. Reidel Publishing Company, Dordrecht 1984.
  17. Hills P, Argyle M. Emotional stability as a major dimension of happiness. Personality and Individual Differences. 2001; 31(8): 1357–1364.
  18. Argyle M, Crossland J. The dimensions of positive emotions. Br J Soc Psychol. 1987; 26 ( Pt 2): 127–137.
  19. Costa PT, McCrae RR. Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J Pers Soc Psychol. 1980; 38(4): 668–678.
  20. Headey B, Wearing A. Personality, life events, and subjective well-being: Toward a dynamic equilibrium model. J Pers Soc Psychol. 1989; 57(4): 731–739.
  21. Haybron DM. What do we want from a theory of happiness? Metaphilosophy. 2003; 34(3): 305–329.
  22. Averill JR, More TA. Happiness. In: Lewis M, Jones JM. ed. Handbook of emotions. The Guilford Press, New York 2000: 663–676.
  23. Mahon NE, Yarcheski A. Alternative theories of happiness in early adolescents. Clin Nurs Res. 2002; 11(3): 306–323.
  24. Thompson AJ, Banwell BL, Barkhof F, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018; 17(2): 162–173.
  25. Hills P, Argyle M. The Oxford Happiness Questionnaire: a compact scale for the measurement of psychological well-being. Pers Individ Dif. 2002; 33(7): 1073–1082.
  26. Próchniak P. Profiles of wellbeing in soft and hard mountain hikers. Int J Environ Res Public Health. 2022; 19(12).
  27. Diener E, Emmons RA, Larsen RJ, et al. The satisfaction with life scale. J Pers Assess. 1985; 49(1): 71–75.
  28. Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract. 1978; 6(6): 1231–1239.
  29. Kuhn HW. The Hungarian method for the assignment problem. Naval Res Logistics. 2006; 2(1-2): 83–97.
  30. Kołodziej-Zalewska A, Przybyła-Basista H. Psychological well-being and its measurement with a Polish version of the Oxford Happiness Questionnaire. Czas Psychol. 2018; 24: 87–97.
  31. Pucak ML, Carroll KAL, Kerr DA, et al. Neuropsychiatric manifestations of depression in multiple sclerosis: neuroinflammatory, neuroendocrine, and neurotrophic mechanisms in the pathogenesis of immune-mediated depression. Dialogues Clin Neurosci. 2007; 9(2): 125–139.
  32. Francis LJ, Katz YJ. Internal consistency reliability and validity of the Hebrew translation of the Oxford Happiness Inventory. Psychol Rep. 2000; 87(1): 193–196.
  33. Pavot W, Diener E, Colvin CR, et al. Further validation of the Satisfaction with Life Scale: evidence for the cross-method convergence of well-being measures. J Pers Assess. 1991; 57(1): 149–161.
  34. Isaksson AK, Ahlström G. Managing chronic sorrow: experiences of patients with multiple sclerosis. J Neurosci Nurs. 2008; 40(3): 180–191.
  35. Kahneman D, Krueger AB, Schkade D, et al. Would you be happier if you were richer? A focusing illusion. Science. 2006; 312(5782): 1908–1910.
  36. Andrykowski MA, Lykins E, Floyd A. Psychological health in cancer survivors. Semin Oncol Nurs. 2008; 24(3): 193–201.
  37. Saravanan B, Manigandan C, Macaden A, et al. Re-examining the psychology of spinal cord injury: a meaning centered approach from a cultural perspective. Spinal Cord. 2001; 39(6): 323–326.
  38. Arnold R, Ranchor AV, Koëter GH, et al. Consequences of chronic obstructive pulmonary disease and chronic heart failure: the relationship between objective and subjective health. Soc Sci Med. 2005; 61(10): 2144–2154.
  39. Fave A, Fianco A, Sartori R. Psychological and relational resources in the experience of disability and caregiving. Positive Psychology in Practice. 2015: 613–634.
  40. Dadfar M, Moghaddasi M, Mohebi N, et al. Relationship between love of life and happiness in Iranian patients with multiple sclerosis. Mult Scler Relat Disord. 2018; 26: 252.
  41. Drenska K, Drenski T, Kaprelyan A, et al. Feeling of happiness in patients with multiple sclerosis and comorbidity. J of IMAB. 2019; 25(1): 2390–2395.
  42. Eijkholt M, Sparling A. Health, honesty and happiness: Authenticity and anonymity in social media participation of individuals with multiple sclerosis. Mult Scler Relat Disord. 2019; 27: 121–126.
  43. Leclaire K, Cecil A, LaRussa A, et al. A pilot study of a group positive psychology intervention for patients with multiple sclerosis. Int J MS Care. 2018; 20(3): 136–141.
  44. Freedman ME, Healy BC, Huffman JC, et al. An at-home positive psychology intervention for individuals with multiple sclerosis: a phase 1 randomized controlled trial. Int J MS Care. 2021; 23(3): 128–134.
  45. Donisi V, Gajofatto A, Mazzi MA, et al. A bio-psycho-social co-created intervention for young adults with multiple sclerosis (ESPRIMO): rationale and study protocol for a feasibility study. Front Psychol. 2021; 12: 598726.
  46. Minden SL. Mood disorders in multiple sclerosis: diagnosis and treatment. J Neurovirol. 2000; 6 Suppl 2: S160–S167.



Neurologia i Neurochirurgia Polska