Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness

BACKGROUND: The purpose of this study was to identify the effective factors that are related to depression in people with multiple sclerosis (MS). METHODS: This study utilized a cross-sectional, descriptive, and correlational design. Statistical population of this research included all patients w...

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Main Author: Shahab Baheshmat
Format: Article
Language:English
Published: Vesnu Publications 2019-08-01
Series:Chronic Diseases Journal
Subjects:
Online Access:http://cdjournal.muk.ac.ir/index.php/cdj/article/view/381
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author Shahab Baheshmat
author_facet Shahab Baheshmat
author_sort Shahab Baheshmat
collection DOAJ
description BACKGROUND: The purpose of this study was to identify the effective factors that are related to depression in people with multiple sclerosis (MS). METHODS: This study utilized a cross-sectional, descriptive, and correlational design. Statistical population of this research included all patients with MS in Mazandaran Province, Iran, in 2016. The sample consisted of 147 patients who were selected via the available sampling method. For data collection, the Depression, Anxiety, and Stress Scale-21 items (DASS-21), Rosenberg Self-Esteem Scale (RSES), and Freiburg Mindfulness Inventory-Short Form (FMI-SF) were administered for all patients. Then the data was analyzed via SPSS and AMOS software using confirmatory factor analysis (CFA) and structural equation modeling (SEM). RESULTS: The results of the CFA to review the construct validity of the questionnaires indicated that the model was consistent with the data. SEM indicated that self-esteem served as a mediator between both stress and depression. Also, mindfulness had the role of mediator variable in the relationship between self-esteem and depression. CONCLUSION: This study adds to the existing literature by providing SEM for depression in patients with MS. Theoretical and practical implications of presented results and model are also discussed.
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spelling doaj.art-44aa5f27772e411598f73b385b3f3cad2023-03-14T09:51:48ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262019-08-01728086https://doi.org/10.22122/cdj.v7i2.381Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulnessShahab Baheshmat0https://orcid.org/0000-0002-7779-1379Iranian National Center for Addiction Studies, Iranian Institute for Reduction of High-risk Behaviors, Tehran University of Medical Sciences, Tehran, IranBACKGROUND: The purpose of this study was to identify the effective factors that are related to depression in people with multiple sclerosis (MS). METHODS: This study utilized a cross-sectional, descriptive, and correlational design. Statistical population of this research included all patients with MS in Mazandaran Province, Iran, in 2016. The sample consisted of 147 patients who were selected via the available sampling method. For data collection, the Depression, Anxiety, and Stress Scale-21 items (DASS-21), Rosenberg Self-Esteem Scale (RSES), and Freiburg Mindfulness Inventory-Short Form (FMI-SF) were administered for all patients. Then the data was analyzed via SPSS and AMOS software using confirmatory factor analysis (CFA) and structural equation modeling (SEM). RESULTS: The results of the CFA to review the construct validity of the questionnaires indicated that the model was consistent with the data. SEM indicated that self-esteem served as a mediator between both stress and depression. Also, mindfulness had the role of mediator variable in the relationship between self-esteem and depression. CONCLUSION: This study adds to the existing literature by providing SEM for depression in patients with MS. Theoretical and practical implications of presented results and model are also discussed.http://cdjournal.muk.ac.ir/index.php/cdj/article/view/381depressionlife stressself-conceptmindfulnessmultiple sclerosis
spellingShingle Shahab Baheshmat
Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
Chronic Diseases Journal
depression
life stress
self-concept
mindfulness
multiple sclerosis
title Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
title_full Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
title_fullStr Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
title_full_unstemmed Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
title_short Identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach: The role of stress, self-esteem, and mindfulness
title_sort identifying the effective factors on depression in patients with multiple sclerosis using structural equation modeling approach the role of stress self esteem and mindfulness
topic depression
life stress
self-concept
mindfulness
multiple sclerosis
url http://cdjournal.muk.ac.ir/index.php/cdj/article/view/381
work_keys_str_mv AT shahabbaheshmat identifyingtheeffectivefactorsondepressioninpatientswithmultiplesclerosisusingstructuralequationmodelingapproachtheroleofstressselfesteemandmindfulness