Clicca qui per scaricare

Esercizio fisico e salute psicologica in donne affette da Sclerosi Multipla: l’effetto di moderazione del livello di disabilità
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Mattia Roppolo, Anna Mulasso, Massimiliano Gollin, Antonio Bertolotto, Emanuela Rabaglietti 
Anno di pubblicazione:  2015 Fascicolo: Lingua: Italiano 
Numero pagine:  19 P. 5-23 Dimensione file:  206 KB
DOI:  10.3280/PDS2015-003001
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Lo studio intende indagare gli effetti di un programma di attività motoria sullo stato di salute psicologica dei soggetti con Sclerosi Multipla (SM), analizzando gli effetti diretti dell’esercizio fisico sulla qualità di vita (QdV) e sulla depressione, e gli effetti di moderazione del livello di disabilità nella relazione tra allenamento motorio e variabili psicologiche. Sono state coinvolte 31 donne affette da SM recidivante remittente, con un’età media di 40 anni (DS = 5; min = 22; max = 50) e un livello di disabilità di 2.0 dell’Expanded Disability Status Scale (EDSS). I partecipanti allo studio sono stati suddivisi, secondo specifiche tecniche di appaiamento, in due gruppi (sperimentale, GS - controllo, GC), omogenei al baseline per le variabili di interesse. Il GS ha partecipato a 12 settimane di training motorio bisettimanale, basato su attività aerobica ed esercizi di rinforzo muscolare; mentre il GC ha mantenuto inalterate le proprie abitudini. La partecipazione all’intervento motorio ha un’influenza positiva sui sintomi depressivi (p < .001) e sulla QdV (p < .001). Il livello di disabilità è risultato un moderatore della relazione tra partecipazione all’esercizio fisico e le variabili psicologiche.


Keywords: Sclerosi multipla, esercizio fisico, qualità di vita, depressione, moderazione

  1. A.I.P. (1997). Codice Etico della ricerca psicologica.
  2. Acquadro C., Lafortune L. and Mear I. (2003). Quality of life in multiple sclerosis: translation in French Canadian of the MSQoL-54. Health and Quality of Life Outcomes, 1 (70)., DOI: 10.1186/1477-7525-1-7
  3. AISM (2013).
  4. Baron R.M. and Kenny D.A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51 (6): 1173-1182.
  5. Beck A.T., Steer R.A., Ball R. and Ranieri W. (1996). Comparison of Beck Depression Inventories – IA and-II in psychiatric outpatients. Journal of Personality Assessment, 67 (3): 588-597., DOI: 10.1207/s15327752jpa6703_1
  6. Beck A.T., Steer R.A. and Carbin M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8 (1): 77-100., DOI: 10.1016/0272-7358(88)90050-
  7. Beck A.T., Ward C.H., Mendelson M., Mock J. and Erbaugh J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4: 561-571., DOI: 10.1001/archpsyc.1961.01710120031004BenedettiM.G.,GasparroniV.,StecchiS.,ZilioliR.,StraudiS.andPipernoR.(2009).Treadmillexerciseinearlymutiplesclerosis:acaseseriesstudy.EuropeanJournalofPhysicalandRehabiitationlMedicine,45(1):53-59.DOI:R4909193
  8. Bergamasco B. e Mutani R. (2007). La neurologia di Bergamini [Neurology of Bergamini]. Torino: Libreria Cortina.
  9. Bertolotto A. e Caricati E. (2013). Cos’è la sclerosi multipla? [What is multiple sclerosis?]. In Bonino S., a cura di, Aspetti psicologici nella sclerosi multipla [Psychological aspects in Multiple Sclerosis]. Italia: Springer-Verlag, 3-11.
  10. Bowling A.C. (2010). Complementary and alternative medicine in multiple sclerosis. Continuum: Lifelong Learning in Neurology (Minneapolis, Minn), 16 (5 Multiple Sclerosis): 78-89., DOI: 10.1212/01.CON.0000389935.84660.a
  11. Cakt B.D., Nacir B., Genc H., Saracoglu M., Karagoz A., Erdem H.R. and Ergun U. (2010). Cycling progressive resistance training for people with multiple sclerosis: a randomized controlled study. American Journal of Physical Medicine & Rehabilitation, 89 (6): 446-457., DOI: 10.1097/PHM.0b013e3181d3e71
  12. Canal N., Ghezzi A., Zaffaroni M. e Zibetti A. (2001). Sclerosi Multipla, attualità e prospettive [Multiple Sclerosis, actuality and future perspectives]. Milano: Masson.
  13. Chwastiak L., Ehde D.M., Gibbons L.E., Sullivan M., Bowen J.D. and Kraft G.H. (2002). Depressive symptoms and severity of illness in multiple sclerosis: epidemiologic study of a large community sample. American Journal of Psychiatry, 159 (11): 1862-1868.
  14. Ciairano S., Bertolotto A., Marnetto F., Mulasso A., Roppolo M., Gollin M., Di Sapio A., Sperli F., Musella G., Rabaglietti E. e Rainoldi A. (2012). Gli effetti dell’esercizio aerobico ed anaerobico sugli indicatori di adattamento psicologico in donne affette da sclerosi multipla [Effects of aerobic and anaerobic exercise on psychological indicators of adjustment in women affected by Multiple Sclerosis]. Giornale Italiano di Psicologia dello Sport, 1 (13): 11-18.
  15. Crayton H.J. and Rossman H.S. (2006). Managing the symptoms of multiple sclerosis: a multimodal approach. Clinical Therapeutics, 28 (4): 445-460.
  16. Dalgas U., Stenager E. and Ingemann-Hansen T. (2008). Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance- and combined training. Multiple Sclerosis, 14 (1): 35-53.
  17. Dodd K.J., Taylor N.F., Shields N., Prasad D., McDonald E. and Gillon A. (2011). Progressive resistance training did not improve walking but can improve muscle performance, quality of life and fatigue in adults with multiple sclerosis: a randomized controlled trial. Multiple Sclerosis, 17 (11): 1362-1374.
  18. Engel G.L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196 (4286): 129-136., DOI: 10.1126/science.84746
  19. Filipi M.L., Kucera D.L., Filipi E.O., Ridpath A.C. and Leuschen M.P. (2011). Improvement in strength following resistance training in MS patients despite varied disability levels. Neuro Rehabilitation, 28 (4): 373-382.
  20. Filippi M. and Rocca M.A. (2010). MRI and cognition in multiple sclerosis. Neurological Sciences, 31 (Suppl 2): S231-234., DOI: 10.1007/s10072-010-0367-
  21. Gallagher D., Heymsfield S.B., Heo M., Jebb S.A., Murgatroyd P.R. and Sakamoto Y. (2000). Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. American Journal of Clinical Nutrition, 72 (3): 694-701.
  22. Gallien P., Nicolas B., Robineau S., Petrilli S., Houedakor J. and Durufle A. (2007). Physical training and multiple sclerosis. Annales de Réadaptation et de Médecine Physique, 50 (6): 373-376, 369-372.
  23. Gehlsen G.M., Grigsby S.A. and Winant D.M. (1984). Effects of an aquatic fitness program on the muscular strength and endurance of patients with multiple sclerosis. Physical Therapy, 64 (5): 653-657.
  24. Ghaem H., Borhani Haghighi A., Jafari P. and Nikseresht A.R. (2007). Validity and reliability of the Persian version of the multiple sclerosis quality of life questionnaire. Neurology India, 55 (4): 369-375.
  25. Ghisi M., Flebus G.B., Montano A., Sanavio E. e Sica C. (2006). Beck Depression Inventory-II. Adattamento italiano: Manuale. [Beck Depression Inventory-II. Italian adaptation: Manual]. Firenze: Organizzazioni Speciali.
  26. Giacobbi Jr P.R., Dietrich F., Larson R. and White L.J. (2012). Exercise and quality of life in women with multiple sclerosis. Adapted Physical Activity Quarterly, 29 (3): 224-242.
  27. Goksel Karatepe A., Kaya T., Gunaydn R., Demirhan A., Ce P. and Gedizlioglu M. (2011). Quality of life in patients with multiple sclerosis: the impact of depression, fatigue, and disability. International Journal of Rehabilitation Research, 34 (4): 290-298., DOI: 10.1097/MRR.0b013e32834ad47
  28. Hardmeier M., Schoonheim M.M., Geurts J.J., Hillebrand A., Polman C.H., Barkhof F. and Stam C.J. (2012). Cognitive dysfunction in early multiple sclerosis: altered centrality derived from resting-state functional connectivity using magneto-encephalography. PLoS One, 7 (7): e42087., DOI: 10.1371/journal.pone.004208
  29. Heiskanen S., Merilainen P. and Pietila A.M. (2007). Health-related quality of life-testing the reliability of the MSQOL-54 instrument among MS patients. Scandinavian Journal of Caring Science, 21 (2): 199-206.
  30. Huisinga J.M., Filipi M.L. and Stergiou N. (2012). Supervised resistance training results in changes in postural control in patients with multiple sclerosis. Motor Control, 16 (1): 50-63.
  31. Idiman E., Uzunel F., Ozakbas S., Yozbatiran N., Oguz M., Callioglu B., Gokce N. and Bahar Z. (2006). Cross-cultural adaptation and validation of multiple sclerosis quality of life questionnaire (MSQOL-54) in a Turkish multiple sclerosis sample. Journal of the Neurological Science, 240 (1-2): 77-80.
  32. Jackson K., Edginton-Bigelow K., Cooper C. and Merriman H. (2012). A group kickboxing program for balance, mobility, and quality of life in individuals with multiple sclerosis: a pilot study. Journal of Neurologic Physical Therapy, 36 (3): 131-137., DOI: 10.1097/NPT.0b013e3182621ee
  33. Kargarfard M., Etemadifar M., Baker P., Mehrabi M. and Hayatbakhsh R. (2012). Effect of Aquatic Exercise Training on Fatigue and Health-Related Quality of Life in Patients With Multiple Sclerosis. Archives of Physical Medicine and Rehabilitation, 93 (10)., DOI: 10.1016/j.apmr.2012.05.00
  34. Kraft G.H., Freal J.E. and Coryell J.K. (1986). Disability, disease duration, and rehabilitation service needs in multiple sclerosis: patient perspectives. Archives of Physical Medicine and Rehabilitation, 67 (3): 164-168.
  35. Kurtzke J.F. (1983). Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33 (11): 1444-1452.
  36. Lobentanz I.S., Asenbaum S., Vass K., Sauter C., Klosch G., Kollegger H., Kristoferitsch W. and Zeitlhofer J. (2004). Factors influencing quality of life in multiple sclerosis patients: disability, depressive mood, fatigue and sleep quality. Acta Neurologica Scandinavica, 110 (1): 6-13., DOI: 10.1111/j.1600-0404.2004.00257.
  37. Loeb C. e Favale E. (2003). Neurologia di Fazio Loeb [Neurology of Fazio Loeb]. Universo, vol II.
  38. Marandi S.M., Nejad V.S., Shanazari Z. and Zolaktaf V. (2013). A Comparison of 12 Weeks of Pilates and Aquatic Training on the Dynamic Balance of Women with Mulitple Sclerosis. International Journal of Preventive Medicine, 4 (S1): S110.
  39. Mazzoni D., Laghi M. e Cicognani E. (2013). Qualità della vita e fattori psicosociali nei pazienti con insufficienza renale [Quality of life and psychosocial factors in patients with renal insufficienty]. Psicologia della Salute, 3: 5-27., DOI: 10.3280/PDS2013-00300
  40. Miller A. and Dishon S. (2005). Health-related quality of life in multiple sclerosis: psychometric analysis of inventories. Multiple Sclerosis, 11 (4): 450-458.
  41. Mishra S.K., Singh P., Bunch S.J. and Zhang R. (2012). The therapeutic value of yoga in neurological disorders. Annals of Indian Academy of Neurology, 15 (4): 247-254., DOI: 10.4103/0972-2327.10432
  42. Moran P.J. and Mohr D.C. (2005). The validity of Beck Depression Inventory and Hamilton Rating Scale for Depression items in the assessment of depression among patients with multiple sclerosis. Journal of Behavioral Medicine, 28 (1): 35-41.
  43. Mostert S. and Kesselring J. (2002). Effects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis. Multiple Sclerosis, 8 (2): 161-168.
  44. Motl R.W., Arnett P.A., Smith M.M., Barwick F.H., Ahlstrom B. and Stover E.J. (2008). Worsening of symptoms is associated with lower physical activity levels in individuals with multiple sclerosis. Multiple Sclerosis, 14 (1): 140-142.
  45. Motl R.W. and Gosney J.L. (2008). Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis. Multiple Sclerosis, 14 (1): 129-135.
  46. Motl R.W., McAuley E., Wynn D., Suh Y. and Weikert M. (2011). Effects of change in fatigue and depression on physical activity over time in relapsing-remitting multiple sclerosis. Psychology, Health & Medicine, 16 (1): 1-11.
  47. Motl R.W. and Pilutti L.A. (2012). The benefits of exercise training in multiple sclerosis. Nature Reviews Neurology, 8 (9): 487-497., DOI: 10.1038/nrneurol.2012.13
  48. Motl R.W., Smith D.C., Elliott J., Weikert M., Dlugonski D. and Sosnoff J.J. (2012). Combined training improves walking mobility in persons with significant disability from multiple sclerosis: a pilot study. Journal of Neurologic Physical Therapy, 36 (1): 32-37., DOI: 10.1097/NPT.0b013e3182477c9
  49. Motl R.W. and Snook E.M. (2008). Physical activity, self-efficacy, and quality of life in multiple sclerosis. Annals of Behavioral Medicine, 35 (1): 111-115., DOI: 10.1007/s12160-007-9006-
  50. Nunnally J.C. (1978). Psychometric theory. New York: Mc Graw Hill.
  51. Orton S.M., Herrera B.M., Yee I.M., Valdar W., Ramagopalan S.V., Sadovnick A.D. and Ebers G.C. (2006). Sex ratio of multiple sclerosis in Canada: a longitudinal study. Lancet Neurology, 5 (11): 932-936.
  52. Pekmezovic T., Kisic Tepavcevic D., Kostic J. and Drulovic J. (2007). Validation and crosscultural adaptation of the disease-specific questionnaire MSQOL-54 in Serbian multiple sclerosis patients sample. Quality of Life Research, 16 (8): 1383-1387., DOI: 10.1007/s11136-007-9234-
  53. Petajan J.H., Gappmaier E., White A.T., Spencer M.K., Mino L. and Hicks R.W. (1996). Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of Neurology, 39 (4): 432-441., DOI: 10.1002/ana.41039040
  54. Petajan J.H. and White A.T. (1999). Recommendations for physical activity in patients with multiple sclerosis. Sports Medicine, 27 (3): 179-191.
  55. Petrillo G., Caso D. e Capone V. (2014). Un’applicazione del Mental Health Continuum di Keyes al contesto italiano: benessere e malessere in giovani, adulti e anziani [The Mental Health Continuum by Keyes in Italian context: Mental Health and Mental Illness in the young, adults, and older people]. Psicologia della Salute, 2: 159-181., DOI: 10.3280/PDS2014-00201
  56. Phadke J.G. (1990). Clinical aspects of multiple sclerosis in north-east Scotland with particular reference to its course and prognosis. Brain, 113 (Pt 6): 1597-1628. Prosperini L., Fortuna D., Gianni C., Leonardi L., Marchetti M.R. and Pozzilli C. (2013).
  57. Home-Based Balance Training Using the Wii Balance Board: A Randomized, Crossover Pilot Study in Multiple Sclerosis. Neurorehabilitation and Neural Repair, 27 (6).
  58. Rampello A., Franceschini M., Piepoli M., Antenucci R., Lenti G., Olivieri D. and Chetta A. (2007). Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: a randomized crossover controlled study. Physical Therapy, 87 (5): 545-555.
  59. Rietberg M.B., Brooks D., Uitdehaag B.M.J. and Kwakkel G. (2005). Exercise therapy for multiple sclerosis – art. no. CD003980.pub2. Cochrane Database of Systematic Reviews. DOI 1.1002/14651858.Cd003980.Pub2
  60. Romberg A., Virtanen A., Ruutiainen J., Aunola S., Karppi S.L., Vaara M., Surakka J., Pohjolainen T. and Seppanen A. (2004). Effects of a 6-month exercise program on patients with multiple sclerosis: a randomized study. Neurology, 63 (11): 2034-2038.
  61. Roppolo M., Mulasso A., Gollin M., Bertolotto A. and Ciairano S. (2013). The role of fatigue between physical exercise and psychological health in multiple sclerosis: direct and indirect effects. Mental Health and Physical Activity, 6 (2): 87-94., DOI: 10.1016/j.mhpa.2013.05.00
  62. Rudick R.A., Miller D., Clough J.D., Gragg L.A. and Farmer R.G. (1992). Quality of life in multiple sclerosis. Comparison with inflammatory bowel disease and rheumatoid arthritis. Archives of Neurology, 49 (12): 1237-1242.
  63. Salem Y., Scott A.H., Karpatkin H., Concert G., Haller L., Kaminsky E., Weisbrot R. and Spatz E. (2011). Community-based group aquatic programme for individuals with multiple sclerosis: a pilot study. Disability and Rehabilitation, 33 (9): 720-728., DOI: 10.3109/09638288.2010.50785
  64. Schneider N. and Yvon C. (2013). A review of multidomain interventions to support healthy cognitive ageing. Journal of Nutrition, Health, and Aging, 17 (3): 252-257., DOI: 10.1007/s12603-012-0402-
  65. Sehanovic A., Dostovic Z., Smajlovic D. and Avdibegovic E. (2011). Quality of life in patients suffering from Parkinson’s disease and multiple sclerosis. Medical Archives, 65 (5): 291-294.
  66. Sellner J., Kraus J., Awad A., Milo R., Hemmer B. and Stuve O. (2011). The increasing incidence and prevalence of female multiple sclerosis--a critical analysis of potential environmental factors. Autoimmunity Reviews, 10 (8): 495-502.
  67. Shepherd D.I. (1979). Clinical features of multiple sclerosis in north-east Scotland. Acta Neurologica Scandinavica, 60 (4): 218-230.
  68. Solari A., Filippini G., Mendozzi L., Ghezzi A., Cifani S., Barbieri E., Baldini S., Salmaggi A., Mantia L.L., Farinotti M., Caputo D. and Mosconi P. (1999). Validation of Italian multiple sclerosis quality of life 54 questionnaire. Journal of Neurology, Neurosurgery, and Psychiatry, 67 (2): 158-162.
  69. Stroud N.M. and Minahan C.L. (2009). The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis. Health and Quality of Life Outcomes, 7 (68).
  70. Suh Y., Weikert M., Dlugonski D., Sandroff B. and Motl R.W. (2012). Physical activity, social support, and depression: possible independent and indirect associations in persons with multiple sclerosis. Psychology, Health & Medicine, 17 (2): 196-206., DOI: 10.1080/13548506.2011.60174
  71. Tadic D. and Dajic V. (2013). Quality of life in patients with multiple sclerosis in Republic of Srpska. Medicinski Glasnik (Zenica), 10 (1): 113-119. Vickrey B.G., Hays R.D., Harooni R., Myers L.W. and Ellison G.W. (1995). A health-related quality of life measure for multiple sclerosis. Quality of Life Research, 4 (3): 187-206.
  72. Weineck J. (2009). L’allenamento ottimale. Perugia: Calzetti Mariucci.
  73. Yamout B., Issa Z., Herlopian A., El Bejjani M., Khalifa A., Ghadieh A.S. and Habib R.H. (2013). Predictors of quality of life among multiple sclerosis patients: a comprehensive analysis. European Journal of Neurology, 20 (5): 756-764., DOI: 10.1111/ene.1204

Mattia Roppolo, Anna Mulasso, Massimiliano Gollin, Antonio Bertolotto, Emanuela Rabaglietti, in "PSICOLOGIA DELLA SALUTE" 3/2015, pp. 5-23, DOI:10.3280/PDS2015-003001

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche