Physical Activity, Resilience, Sense of Coherence and Coping in People with Multiple Sclerosis in the Situation Derived from COVID-19

Int J Environ Res Public Health. 2020 Nov 6;17(21):8202. doi: 10.3390/ijerph17218202.


The confinement forced by COVID-19 can have repercussions on the health of people diagnosed with multiple sclerosis. The objective of this study is to analyze the relationships between physical activity, a sense of coherence, resilience and coping among people diagnosed with Multiple Sclerosis during the health emergency situation. To achieve this goal, this transversal descriptive study included 84 patients that belonged to multiple sclerosis associations during the period of confinement. Participants filled out the Physical Activity (IPAQ-SF), Sense of Coherence (SOC-13), Resilience Scale (ER-14) and coping (COPE-28) questionnaires. The results showed that the average age was 46.9 and that 67.9% had Relapsing Remittent Multiple Sclerosis diagnosed on average 13.9 years ago. They had a high degree (33.3%) and moderate degree (34.5%) of physical activity, high levels of resilience, while the level of a sense of coherence was average and the most commonly used strategies for coping were active confrontation and religion. Physical activity was not related to the rest of the studied variables, but there were correlations between the other variables. The people with multiple sclerosis who belong to patient associations have remained physically active during the obligatory confinement period and have elevated degrees of resilience and an average sense of coherence, as well as using suitable coping strategies, which is why the social-health resource of belonging to a patient association could be boosting these variables that are beneficial to their health.

Keywords: COVID-19; coping; multiple sclerosis; physical activity; resilience; sense of coherence.

MeSH terms

  • Adaptation, Psychological*
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections*
  • Exercise
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis* / psychology
  • Pandemics*
  • Pneumonia, Viral*
  • SARS-CoV-2
  • Sense of Coherence*
  • Surveys and Questionnaires