Abstract
Zusammenfassung. Es ist wenig darüber bekannt, wie von Multiple Sklerose (MS) Betroffene ihr Leben so gestalten können, dass es günstige Auswirkung auf den Krankheitsverlauf hat. In der vorliegenden Studie wurde untersucht, ob die im Modell der Selektion, Optimierung und Kompensation (SOK) beschriebenen Zielauswahl- und Zielverfolgungsstrategien hierfür Ansatzpunkte bieten. In einer korrelativen Fragebogenstudie wurden bei 177 MS-Betroffenen Zusammenhänge zwischen SOK-Strategien, Ressourcen und solchen psychologischen Variablen untersucht, für die ein substanzieller Einfluss auf das Immunsystem angenommen werden kann. SOK-Strategien wiesen erwartungskonform signifikante Zusammenhänge zu den untersuchten psychoneuroimmunologisch relevanten Variablen auf. Ebenfalls erwartungskonforme signifikante Zusammenhänge zeigten sich zwischen SOK-Strategien und dem Ausmaß individueller Ressourcen. Die Nutzung von SOK-Strategien scheint mit günstigen Ausprägungen psychoneuroimmunologisch relevanter Variablen einherzugehen und kann möglicherweise krankheitsbedingten Ressourcenverlusten entgegenwirken.
Abstract. Little is known about how multiple sclerosis (MS) patients can handle their lives in order to influence the disease in a beneficial way. This study investigated whether strategies for goal selection and pursuit (model of selection, optimization, and compensation [SOC]) can be a starting point. Relationships between SOC strategies, resources and psychological variables, that are supposed to have a substantial impact on the immune system, were examined in 177 MS patients using a correlative survey design. As expected, there were relationships between SOC strategies and variables of psychoneuroimmunological relevance. Also in line with the hypotheses the SOC strategies corresponded to the amount of individual resources. SOC strategies seem to be associated with beneficial values in variables of psychoneuroimmunological relevance and may attenuate disease-related loss of resources.
Literatur
(2016). Combined exercise training reduces fatigue and modulates the cytokine profile of t-cells from multiple sclerosis patients in response to neuromediators. Journal of Neuroimmunology, 293, 91–99. https://doi.org/10.1016/j.jneuroim.2016.02.014
Americas Committee for Treatment and Research in Multiple Sclerosis . (2016). ACTRIMS Forum 2016: Schedule at a glance. Zugriff unter http://forum2016.actrims.org/forum2016/index.php/program/full-program(2012a). Stress overload: A new approach to the assessment of stress. American Journal of Community Psychology, 49, 55–71. https://doi.org/10.1007/s10464–011-9438-x
(2012b). Erratum to: Stress overload: A new approach to the assessment of stress. American Journal of Community Psychology, 49, 72. https://doi.org/10.1007/s10464-011-9476-4
(2011). Stress as a risk factor for multiple sclerosis onset or relapse: A systematic review. Neuroepidemiology, 36, 109–120. https://doi.org/10.1159/000323953
(2016). Multivariate Analysemethoden: Eine anwendungsorientierte Einführung. Berlin: Springer Gabler.
(1990).
Psychological perspectives on successful aging: The model of selective optimization with compensation . In P. B. Baltes & M. M. Baltes (Eds.), Successful aging. Perspectives from the behavioral sciences (pp. 1–34). New York, NY: Cambridge University Press.(1999). The measurement of selection, optimization, and compensation (SOC) by self report. Technical Report 1999 (Vol. 66). Berlin: Max-Planck-Institut für Bildungsforschung.
(2003). Reduction of work- family conflict through the use of selection, optimization, and compensation behaviors. Journal of Applied Psychology, 88, 1005–1018. https://doi.org/10.1037/0021-9010.88.6.1005
(2006).
Life span theory in developmental psychology . In W. Damon & R. M. Lerner (Eds.), Handbook of child psychology: Theoretical models of human development (Vol. 1, pp. 569–664). Hoboken, NJ: Wiley.(1994).
Self-efficacy . In V. S. Ramachaudran (Ed.), Encyclopedia of human behaviour (Vol. 4, pp. 71–81). New York, NY: Academic Press. Zugriff unter https://www.uky.edu/~eushe2/Bandura/BanEncy.html(1995).
Exercise of personal and collective efficacy in changing societies . In A. Bandura (Ed.), Self-efficacy in changing societies (pp. 1–45). New York, NY: Cambridge University Press.(2012). Ein Messinstrument zur Erfassung subjektiver Kompetenzerwartungen: Allgemeine Selbstwirksamkeit Kurzskala (ASKU) (GESIS-Working Papers No. 2012/17). Mannheim: GESIS – Leibniz-Institut für Sozialwissenschaften. Zugriff unter http://www.gesis.org/fileadmin/_migrated/content_uploads/ASKU_Workingpaper_01.pdf
(2014). Eine Single-Item-Skala zur Erfassung der Allgemeinen Lebenszufriedenheit: Die Kurzskala Lebenszufriedenheit-1 (L-1) (GESIS-Working Papers No. 2014/33). Mannheim: GESIS – Leibniz-Institut für Sozialwissenschaften. Zugriff unter http://www.gesis.org/fileadmin/kurzskalen/working_papers/L1_WorkingPapers_2014-33.pdf
(2003). Screening for multiple sclerosis cognitive impairment using a self-administered 15-item question- naire. Multiple Sclerosis, 9, 95–101. https://doi.org/10.1191/1352458503ms861oa
(2003). A review about the impact of multiple sclerosis on health-related quality of life. Disability and Rehabilitation, 25, 1291–1303. https://doi.org/10.1080/09638280310001608591
(2006).
Self-efficacy and adult development . In C. Hoare (Ed.), Handbook of adult development and learning (pp. 169–195). New York, NY: Oxford University Press.(2012). Testing the significance of a correlation with nonnormal data: Comparison of Pearson, Spearman, transformation, and resampling approaches. Psychological Methods, 17, 399–417. https://doi.org/10.1037/a0028087
(2010). Fatigue in multiple sclerosis: Mechanisms, evaluation, and treatment. Sleep, 33, 1061–1067.
(1979). A simple test for heteroscedasticity and random coefficient variation. Econometrica, 47, 1287. https://doi.org/10.2307/1911963
(2014). Do positive or negative stressful events predict the development of new brain lesions in people with multiple sclerosis? Psychological Medicine, 44, 349–359. https://doi.org/10.1017/S0033291713000755
(2003). Emotional style and susceptibility to the common cold. Psychosomatic Medicine, 65, 652–657. https://doi.org/10.1097/01.PSY.0000077508.57784.DA
(1996). For better or worse: The impact of upward social comparison on self-evaluations. Psychological Bulletin, 119, 51–69. https://doi.org/10.1037/0033-2909.119.1.51
(2008). Multiple sclerosis. Lancet, 372, 1502–1517. https://doi.org/10.1016/S0140-6736(08)61620-7
(1998). Averaging correlations: Expected values and bias in combined pearson rs and Fisher’s z transformations. Journal of General Psychology, 125, 245–261. https://doi.org/10.1080/00221309809595548
Deutsche Gesellschaft für Psychologie e. V. ,Berufsverband Deutscher Psychologinnen und Psychologen e. V . (2004). Revision der auf die Forschung bezogenen ethischen Richtlinien. Zugriff unter https://www.dgps.de/fileadmin/documents/ethikrl 2004.pdf(1984). Subjective well-being. Psychological Bulletin, 95, 542–575. https://doi.org/10.1037/0033-2909.95.3.542
(1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302. https://doi.org/10.1037/0033-2909.125.2.276
(2010). Positive affect and psychobiological processes. Neuroscience & Biobehavioral Reviews, 35, 69–75. https://doi.org/10.1016/j.neubiorev.2010.01.006
(2014). Baltes’ SOC model of successful ageing as a potential framework for stroke rehabilitation. Disability and Rehabilitation: An International, Multidisciplinary Journal, 36, 424–429. https://doi.org/10.3109/09638288.2013.793412
(2007). Loss and change: Experiences of people severely affected by multiple sclerosis. Palliative Medicine, 21, 101–107. https://doi.org/10.1177/0269216307076333
European Multiple Sclerosis Platform . (2015). MS Barometer 2015. Brüssel. Zugriff unter http://www.emsp.org/projects/ms-barometer/(2008). Multiple-Sklerose-Register in Deutschland. Deutsches Ärzteblatt, 105(7), 113–119. https://doi.org/10.3238/arztebl.2008.0113
(2007).
Selektion, Optimierung und Kompensation im Kontext persönlicher Ziele: Das SOK-Modell . In J. Brandtstädter & U. Lindenberger (Hrsg.), Entwicklungspsychologie der Lebensspanne (S. 367–388). Stuttgart: Kohlhammer.(1998). Selection, optimization, and compensation as strategies of life management: Correlations with subjective indicators of successful aging. Psychology and Aging, 13, 531–543. https://doi.org/10.1037/0882-7974.13.4.531
(2002). Life-management strategies of selection, optimization and compensation: Measurement by self-report and construct validity. Journal of Personality and Social Psychology, 82, 642–662. https://doi.org/10.1037/0022-3514.82.4.642
(2001). What I have and what I do – The role of resource loss and gain throughout life. Applied Psychology: An International Review, 50, 370–380.
(2010). A new international socio-economic index (ISEI) of occupational status for the international standard classification of occupation 2008 (ISCO-08) constructed with data from the ISSP 2002–2007. (Paper presented at the Annual Conference of Intern ational Social Survey Programme). Lissabon. Zugriff unter http://www.harryganzeboom.nl/pdf/2010-Ganzeboom-ISEI08-ISSP-Lisbon-(paper).pdf
(1992). A standard international socio-economic index of occupational status. Social Science Research, 21, 1–56. https://doi.org/10.1016/0049-089X(92)90017-B
(2002). Adaptation to disability: Applying selective optimization with compensation to the behaviors of older adults with osteoarthritis. Psychology and Aging, 17, 520–524. https://doi.org/10.1037/0882-7974.17.3.520
(2001). Disease specific quality of life instruments in multiple sclerosis: Validation of the Hamburg Quality of Life Questionnaire in Multiple Sclerosis (HAQUAMS). Multiple Sclerosis, 7, 119–130.
(2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576. https://doi.org/10.1146/annurev.psych.58.110405.085530
(2016). Habitual and low-intensity physical activity in people with multiple sclerosis. Brain Impairment, 17, 77–86. https://doi.org/10.1017/BrImp.2016.9
(2010). Lebensqualität bei Multipler Sklerose: Berliner DMSG-Studie 2006, DMSG-Mitgliederbefragung 2006. Berlin: De Gruyter.
(1972). Development tasks and education. New York, NY: McKay.
(2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford.
(2001). The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory. Applied Psychology: An International Review, 50, 337–370. https://doi.org/10.1111/1464-0597.00062
(2010).
Conservation of resources theory: Its implication for stress, health and resilience . In S. Folkman (Ed.), The Oxford handbook of stress, health, and coping (pp. 127–147). New York, NY: Oxford University Press.(2008). Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence. Psychosomatic Medicine, 70, 546–554. https://doi.org/10.1097/PSY.0b013e318177216c
(2007). The presence and meaning of chronic sorrow in patients with multiple sclerosis. Journal of Clinical Nursing, 16, 315–324. https://doi.org/10.1111/j.1365-2702.2007.01995.x
(2012). Adapting to unavoidable loss during adulthood: A thinking-aloud study with video vignettes. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry, 25, 73–82. https://doi.org/10.1024/1662-9647/a000056
(2006). Resources and life-management strategies as determinants of successful aging: On the protective effect of selection, optimization, and compensation. Psychology and Aging, 21, 253–265. https://doi.org/10.1037/0882-7974.21.2.253
(2016). Psychological factors and DNA methylation of genes related to immune/inflammatory system markers: The VA normative aging study. BMJ Open, 6, 1–10. https://doi.org/10.1136/bmjopen-2015-009790
(2015). Linking goal progress and subjective well-being: A meta-analysis. Journal of Happiness Studies, 16, 37–65. https://doi.org/10.1007/s10902-013-9493-0
(2006). Costs and quality of life of multiple sclerosis in Germany. European Journal of Health Economics, 7(Suppl. 2), 34–44. https://doi.org/http://link.springer.com/journal/volumesAndIssues/10198
(1972). On the effects of non-normality on the distribution of the sample product-moment correlation coefficient. Applied Statistics, 21, 1. https://doi.org/10.2307/2346598
(1996). Untersuchungen mit einer deutschen Version der „Positive and Negative Affect Schedule“ (PANAS). Diagnostica, 42, 139–156.
(1975). The Philadelphia Geriatric Center Morale Scale: A revision. Journal of Gerontology, 30, 85–89. https://doi.org/10.1093/geronj/30.1.85
(1984). Stress, appraisal, and coping. New York, NY: Springer.
(2013). Stress in multiple sclerosis: Review of new developments and future directions. Current Neurology and Neuroscience Reports, 13. https://doi.org/10.1007/s11910-013-0398-4
(2012). Neurologie. Stuttgart: Thieme.
(2010).
Developmental tasks across the lifespan . In K. L. Fingerman, C. A. Berg, J. Smith & T. C. Antonucci (Eds.), Handbook of life-span development (pp. 117–140). New York, NY: Springer.(2010). Quality of life in multiple sclerosis: Determinants, measurement, and use in clinical practice. Current Neurology and Neuroscience Reports, 10, 397–406. https://doi.org/10.1007/s11910-010-0132-4
(2012).
Defining and identifying fatigue in MS . In M. Messmer Uccelli (Ed.), MS in focus. London: Multiple Sclerosis International Federation (MSIF).(2009). Continued validation of the Symptom Inventory in multiple sclerosis. Journal of the Neurological Sciences, 285, 134–136. https://doi.org/10.1016/j.jns.2009.06.015
(2006). Symptoms, self-efficacy, and physical activity among individuals with multiple sclerosis. Research in Nursing & Health, 29, 597–606. https://doi.org/10.1002/nur.20161
(2013). A single-item global job satisfaction measure is associated with quantitative blood immune indices in white-collar employees. Industrial Health, 51, 193–201. https://doi.org/10.2486/indhealth.2012-0059
National Disability Institute . (2012). Financial wellness among individuals living with multiple sclerosis (MS): A report on findings from NDI and MSAA’s online survey and focus groups. Zugriff unter http://www.realeconomicimpact.org/data/files/reports/financial%20wellness%20survey%20report%20-%2009.04.12.pdf(2002).
Social production function (SPF) theory as an heuristic for understanding developmental trajectories and outcomes . In L. Pulkkinen & A. Caspi (Eds.), Paths to successful development: Personality in the life course. Cambridge, UK: Cambridge University Press.(2015). Fatigue bei Patienten mit Multipler Sklerose – Pathogenese, Klinik, Diagnostik und Therapie. Fortschritte der Neurologie · Psychiatrie, 83, 211–220. https://doi.org/10.1055/s-0034-1399353
(2005). Use and misuse of Likert scales. Medical Education, 39, 970. https://doi.org/10.1111/j.1365-2929.2005.02237.x
(2015).
Negativfaktoren, Immunaktivität und Psychotherapie . In C. Schubert (Hrsg.), Psychoneuroimmunologie und Psychotherapie (S. 141–167). Stuttgart: Schattauer.(2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903. https://doi.org/10.1037/0021-9010.88.5.879
(2007). Positive affective style covaries with stimulated IL-6 and IL-10 production in a middle-aged community sample. Brain, Behavior, and Immunity, 21, 1033–1037. https://doi.org/10.1016/j.bbi.2007.04.009
(1997). MSQLI: Multiple Sclerosis Quality of Life Inventory. A user’s manual. (National Multiple Sclerosis Society, Ed.). Zugriff unter http://www.nationalmssociety.org/NationalMSSociety/media/MSNationalFiles/Brochures/MSQLI_-A-User-s-Manual.pdf
(2003). Affective style and in vivo immune response: Neurobehavioral mechanisms. Proceedings of the National Academy of Sciences, 100, 11148–11152. https://doi.org/10.1073/pnas.1534743100
(1992). Quality of life in multiple sclerosis: Comparison with inflammatory bowel disease and rheumatoid arthritis. Archives of Neurology, 49, 1237. https://doi.org/10.1001/archneur.1992.00530360035014
(2009). Multiple sclerosis: Medical and psychosocial aspects, etiology, incidence, and prevalence. Journal of Vocational Rehabilitation, 31, 75–82.
(2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. https://doi.org/10.1037/1082-989X.7.2.147
(2005). Stress and health: Psychological, behavioral, and biological determinants. Annual Review of Clinical Psychology, 1, 607–628. https://doi.org/10.1146/annurev.clinpsy.1.102803.144141
). (1999). Skalen zur Erfassung von Lehrer- und Schülermerkmalen: Dokumentation der psychometrischen Verfahren im Rahmen der Wissenschaftlichen Begleitung des Modellversuchs Selbstwirksame Schulen. Berlin: Freie Universität Berlin. Zugriff unter http://userpage.fu-berlin.de/~health/self/skalendoku_selbstwirksame_schulen.pdf
(2000). Berlin Social-Support Scales (BSSS). Zugriff unter http://userpage.fu-berlin.de/~health/soc_e.htm
(2002). Fatigue in multiple sclerosis: Current understanding and future directions. Journal of Rehabilitation Research and Development, 39, 211–224.
(2004). What affects your MS? Responses to an anonymous, internet-based epidemiological survey. Multiple Sclerosis, 10, 202–211. https://doi.org/http://dx.doi.org/10.1191/1352458504ms1006oa
(2009). Applied multivariate statistics for the social sciences. New York, NY: Routledge.
(2016). Systematic review of correlates and determinants of physical activity in persons with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, 97, 633–645.e29. https://doi.org/10.1016/j.apmr.2015.11.020
(1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
(2015). Sources and level of income among individuals with multiple sclerosis compared to the general population: A nationwide population-based study. Multiple Sclerosis, 21, 1730–1741. https://doi.org/10.1177/1352458515570767
(1990). Impact of perceived self-efficacy in coping with stressors on components of the immune system. Journal of Personality and Social Psychology, 59, 1082–1094. https://doi.org/10.1037/0022-3514.59.5.1082
(2002). Subjective career success and emotional well-being: Longitudinal predictive power of selection, optimization, and compensation. Journal of Vocational Behavior, 60, 321–335. https://doi.org/10.1006/jvbe.2001.1835
(2017). Can Likert scales be treated as interval scales? – A simulation study. Journal of Social Service Research, 43, 527–532. https://doi.org/10.1080/01488376.2017.1329775
(2007). Using selection, optimization, and compensation to reduce job/family stressors: Effective when it matters. Journal of Business and Psychology, 21, 511–539. https://doi.org/10.1007/s10869-007-9039-8
(1999). „Fatigue“ bei multipler Sklerose. Der Nervenarzt, 70, 566–574. https://doi.org/10.1007/s001150050482
