The Relationship Among Performance of Instrumental Activities of Daily Living, Self-Report of Quality of Life, and Self-Awareness of Functional Status in Individuals With Multiple Sclerosis

Yael Goverover, Nancy Chiaravalloti, Elizabeth Gaudino-Goering, Nancy Moore, John DeLuca

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the relationship between self-awareness of functional status and performance of Instrumental Activities of Daily Living (IADL), and self-reports of quality of life (QOL) in persons with multiple sclerosis (MS). Design: A between-groups design, using a correlational approach to examine the relationship between self-awareness of functional status, IADL and QOL. Participants: We studied 47 individuals with clinically definite MS and 26 healthy controls (HCs). Measures: The Functional Behavior Profile was completed by both participants and their informants. Participants' scores were subtracted from those of their informants', and the absolute value was used as the self-awareness/concordance score. The Executive Function Performance Test measured IADL performance; QOL was measured with the Functional Assessment of Multiple Sclerosis. Results: MS participants showed lower levels of self-awareness relative to HCs. Significant correlations were observed between performance of IADL, reports of QOL and self-awareness levels of functional status. However, reports of QOL were not significantly correlated with performance of IADL. Conclusions: The positive association between self-awareness of functional status with IADL performance and QOL reports provides support for the role of awareness in rehabilitation.

Original languageEnglish (US)
Pages (from-to)60-68
Number of pages9
JournalRehabilitation Psychology
Volume54
Issue number1
DOIs
StatePublished - Feb 2009

Keywords

  • cognitive rehabilitation
  • multiple sclerosis
  • outcome measures
  • self-awareness
  • Activities of daily living

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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