{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T13:25:03Z","timestamp":1774013103063,"version":"3.50.1"},"reference-count":67,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["UIDB\/00050\/2020"],"award-info":[{"award-number":["UIDB\/00050\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sclerosis"],"abstract":"<jats:p>Multiple sclerosis (MS) is a chronic neurological disease with a global prevalence that has risen over the past decade. The literature suggests that in comparison with a healthy control (HC) group, people with MS experience lower levels of quality of life (QoL). The purpose of this study was (1) to investigate the differences in QoL and a set of psychosocial variables between MS patients and an HC group; (2) to examine the correlations between QoL and psychosocial, sociodemographic, and clinical variables; and (3) to assess the predictive value of a set of psychosocial, sociodemographic, and clinical variables for the QoL of patients with MS. Participants in the clinical group (n = 135) and the HC group (n = 170) filled in a sociodemographic questionnaire and self-report assessments measuring QoL, body appreciation, body acceptance by others, functionality appreciation, body responsiveness, meaning in life, and difficulties in emotion regulation. The results show that the MS group had lower general, physical, psychological, and social QoL than the HC group and that body appreciation, body acceptance by others, body functionality, meaning in life, and difficulties in emotion regulation are important predictors of QoL.<\/jats:p>","DOI":"10.3390\/sclerosis1020010","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T01:02:23Z","timestamp":1689728543000},"page":"76-90","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Quality of Life in Multiple Sclerosis: The Predictive Roles of Positive Body Image and Meaning in Life"],"prefix":"10.3390","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3459-4343","authenticated-orcid":false,"given":"Maria Carolina","family":"Barbosa","sequence":"first","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-4272","authenticated-orcid":false,"given":"Sandra","family":"Torres","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8640-9816","authenticated-orcid":false,"given":"Raquel","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8585-8705","authenticated-orcid":false,"given":"Filipa","family":"Vieira","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"given":"Leonor","family":"Lencastre","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"given":"Marina Prista","family":"Guerra","sequence":"additional","affiliation":[{"name":"Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.sbspro.2015.01.133","article-title":"Quality of life of people with multiple sclerosis: Clinical and psychosocial determinants","volume":"171","author":"Albuquerque","year":"2015","journal-title":"Procedia Soc. Behav. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.37464\/2019.364.1466","article-title":"Exploring life history methodology in chronic illness: A study in Relapsing Remitting Multiple Sclerosis","volume":"36","author":"Burke","year":"2019","journal-title":"Aust. J. Adv. Nurs."},{"key":"ref_3","first-page":"1","article-title":"Brief note on multiple sclerosis","volume":"8","author":"Mohammadi","year":"2021","journal-title":"J. Mult. Scler."},{"key":"ref_4","unstructured":"The Multiple Sclerosis International Federation (2020). Atlas of MS, The Multiple Sclerosis International Federation."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1186\/s12883-020-01755-8","article-title":"The epidemiology of multiple sclerosis in the entre Douro e Vouga region of northern Portugal: A multisource population-based study","volume":"20","author":"Branco","year":"2020","journal-title":"BMC Neurol."},{"key":"ref_6","unstructured":"De S\u00e1, J.C.C. (2014). Captura-Recaptura Como M\u00e9todo Epidemiol\u00f3gico a Aplicar \u00e0 Esclerose M\u00faltipla. [Ph.D. Thesis, Faculty of Medicine, University of Lisbon]. Available online: http:\/\/hdl.handle.net\/10451\/10837."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/S0140-6736(02)08220-X","article-title":"Multiple Sclerosis","volume":"359","author":"Compston","year":"2002","journal-title":"Lancet"},{"key":"ref_8","first-page":"59","article-title":"Multiple Sclerosis: Causes, Diagnosis and Management","volume":"Volume 1","author":"Scholz","year":"2012","journal-title":"Multiple Sclerosis: Causes, Diagnosis and Management"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1762","DOI":"10.1016\/j.clineuro.2013.04.007","article-title":"Month of birth and risk of multiple sclerosis in a Portuguese population","volume":"115","author":"Barros","year":"2013","journal-title":"Clin. Neurol. Neurosurg."},{"key":"ref_10","unstructured":"Maia, L.A.C. (2006). Esclerose M\u00faltipla: Avalia\u00e7\u00e3o Cognitiva, Psicosoma. [1st ed.]."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3817","DOI":"10.1007\/s00415-021-10501-0","article-title":"Long-term analysis of patients with benign multiple sclerosis: New insights about the disability course","volume":"268","author":"Mathey","year":"2021","journal-title":"J. Neurol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/1467-9566.ep11339939","article-title":"Chronic illness as biographical disruption","volume":"4","author":"Bury","year":"1982","journal-title":"Sociol. Health Illn."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Batista, A.R., Silva, S., Lencastre, L., and Guerra, M.P. (2022). Biopsychosocial Correlates of Quality of Life in Multiple Sclerosis Patients. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192114431"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1023\/A:1020734901150","article-title":"Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population","volume":"9","author":"McCabe","year":"2002","journal-title":"J. Clin. Psychol. Med. Settings"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.clineuro.2011.11.012","article-title":"Factors predicting quality of life in a group of Polish subjects with multiple sclerosis: Accounting for functional state, socio-demographic and clinical factors","volume":"114","author":"Stelmasiak","year":"2012","journal-title":"Clin. Neurol. Neurosurg."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"WHOQOL Group (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Soc. Sci. Med., 41, 1403\u20131409.","DOI":"10.1016\/0277-9536(95)00112-K"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1034\/j.1600-0404.2001.00022.x","article-title":"Depression and quality of life in multiple sclerosis","volume":"104","author":"Fruehwald","year":"2001","journal-title":"Acta Neurol. Scand."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.dhjo.2018.05.003","article-title":"Quality of life and psychological well-being in the early stages of multiple sclerosis (MS): Importance of adopting a biopsychosocial model","volume":"11","author":"Strober","year":"2018","journal-title":"Disabil. Health J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"211","DOI":"10.4274\/tnd.37074","article-title":"Quality of life, coping, and social support in patients with multiple sclerosis: A pilot study","volume":"23","author":"Zengin","year":"2017","journal-title":"Turk. J. Neurol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1600-0404.2004.00257.x","article-title":"Factors influencing quality of life in multiple sclerosis patients: Disability, depressive mood, fatigue and sleep quality","volume":"110","author":"Lobentanz","year":"2004","journal-title":"Acta Neurol. Scand."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.3109\/09638288.2010.540292","article-title":"Quality of life in patients with multiple sclerosis in Eastern Slovakia","volume":"33","author":"Szilasiova","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/jnp.12134","article-title":"Altered bodily self-consciousness in multiple sclerosis","volume":"12","author":"Nava","year":"2017","journal-title":"J. Neuropsychol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/j.1600-0404.2010.01460.x","article-title":"Impaired body image in patients with multiple sclerosis","volume":"124","author":"Pfaffenberger","year":"2011","journal-title":"Acta Neurol. Scand."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.bodyim.2015.04.001","article-title":"What is and what is not positive body image? Conceptual foundations and construct definition","volume":"14","author":"Tylka","year":"2015","journal-title":"Body Image"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.bodyim.2005.06.002","article-title":"The Body Appreciation Scale: Development and psychometric evaluation","volume":"2","author":"Avalos","year":"2005","journal-title":"Body Image"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.bodyim.2017.07.008","article-title":"The Functionality Appreciation Scale (FAS): Development and psychometric evaluation in US community women and men","volume":"23","author":"Alleva","year":"2017","journal-title":"Body Image"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.1111\/j.1471-6402.2005.00183.x","article-title":"The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating","volume":"29","author":"Daubenmier","year":"2005","journal-title":"Psychol. Women Q."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"221","DOI":"10.2466\/pms.1979.48.1.221","article-title":"Body-cathexis and self-cathexis in an interactional, awareness training class","volume":"48","author":"Clance","year":"1979","journal-title":"Percept. Mot. Ski."},{"key":"ref_29","first-page":"63","article-title":"O papel da imagem corporal positiva na qualidade de vida de pessoas com insufici\u00eancia renal cr\u00f3nica","volume":"35","author":"Cunha","year":"2021","journal-title":"Rev. Assoc. Port. Psicol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1080\/21642850.2021.2007098","article-title":"Quality of life in patients with inflammatory bowel disease: The role of positive psychological factors","volume":"9","author":"Matos","year":"2021","journal-title":"Health Psychol. Behav. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"439","DOI":"10.14417\/ap.1394","article-title":"A influ\u00eancia do sentido de vida e de fatores psicossociais na qualidade de vida de doentes com esclerose m\u00faltipla [The influence of meaning in life and depression in multiple sclerosis]","volume":"36","author":"Pinto","year":"2018","journal-title":"An\u00e1l. Psicol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1286747","DOI":"10.1080\/23311908.2017.1286747","article-title":"Meaning in life in medical settings: A new measure correlating with psychological variables in disease","volume":"4","author":"Guerra","year":"2017","journal-title":"Cogent. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1037\/a0016545","article-title":"Psychological well-being after spinal cord injury: Perception of loss and meaning making","volume":"54","author":"Valvano","year":"2009","journal-title":"Rehabil. Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1037\/a0034393","article-title":"Meaning in life: An important factor for the psychological well-being of chronically ill patients?","volume":"58","author":"Dezutter","year":"2013","journal-title":"Rehabil. Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2405","DOI":"10.1007\/s10902-019-00182-y","article-title":"Treatment adherence, meaning in life and affects in quality of life of HIV\/AIDS patients","volume":"21","author":"Reis","year":"2020","journal-title":"J. Happiness Stud."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"337","DOI":"10.4236\/psych.2012.34048","article-title":"Meaning in life, psychological well-being and depressive symptomatology: A comparative study","volume":"3","author":"Kleftaras","year":"2012","journal-title":"Psychology"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale","volume":"26","author":"Gratz","year":"2004","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1001\/archneur.55.2.241","article-title":"A happy state of mind: A history of mild elation, denial of disability, optimism, and laughing in multiple sclerosis","volume":"55","author":"Finger","year":"1998","journal-title":"Arch. Neurol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0165-0327(00)00298-6","article-title":"Depression associated with multiple sclerosis. Looking beyond the diagnosis to symptom expression","volume":"66","author":"Feinstein","year":"2001","journal-title":"J. Affect. Disord."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1348\/014466508X379566","article-title":"Attentional lapses, emotional regulation and quality of life in multiple sclerosis","volume":"48","author":"Phillips","year":"2009","journal-title":"Br. J. Clin. Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1080\/13803395.2014.946891","article-title":"Difficulties with emotion regulation in multiple sclerosis: Links to executive function, mood, and quality of life","volume":"36","author":"Phillips","year":"2014","journal-title":"J. Clin. Exp. Neuropsychol."},{"key":"ref_42","unstructured":"Faul, F., and Erdfelder, E. (1992). GPOWER A Priori-, Post Hoc-, and Compromise Power Analyses or MS-DOS [Computer Program], Bonn University."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"WHOQOL Group (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol. Med., 28, 551\u2013558.","DOI":"10.1017\/S0033291798006667"},{"key":"ref_44","first-page":"41","article-title":"Estudos psicom\u00e9tricos do instrumento de avalia\u00e7\u00e3o da qualidade de vida da Organiza\u00e7\u00e3o Mundial de Sa\u00fade (WHOQOL-Bref) para portugu\u00eas de Portugal","volume":"27","author":"Serra","year":"2006","journal-title":"Psiquiatr. Cl\u00edn."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bodyim.2018.04.004","article-title":"Factor structure and psychometric properties of the Body Appreciation Scale-2 among adolescents and young adults in Danish, Portuguese, and Swedish","volume":"26","author":"Lemoine","year":"2018","journal-title":"Body Image"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bodyim.2019.02.011","article-title":"Extending the use of the Body Appreciation Scale -2 in older adults: A Portuguese validation study","volume":"29","author":"Meneses","year":"2019","journal-title":"Body Image"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1037\/0022-0167.53.4.486","article-title":"Exploring a model of Intuitive Eating with College Women","volume":"53","author":"Avalos","year":"2006","journal-title":"J. Couns. Psychol."},{"key":"ref_48","unstructured":"Barbosa, R., Vieira, F.M., Brand\u00e3o, M.P., Meneses, L., Fernandes, R., and Torres, S. (2018, January 12\u201314). Measurement of positive body image\u2019s facets: Psychometric properties of the BESAA and BAOS in Portuguese adolescents and adults. Proceedings of the Appearance Matters 8 Conference, Bath, UK."},{"key":"ref_49","unstructured":"Lencastre, L., Torres, S., Vieira, F.M., Guerra, M.P., Estrelinha, M., and Barbosa, R. (2021, January 13\u201315). The Functional-ity Appreciation Scale (FAS): Psychometric properties and factor structure in Portuguese adults [poster presentation]. Proceedings of the Appearance Matters 9 Conference, Virtual."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Torres, S., Vieira, A.I., Vieira, F.M., Lenastre, L., Guera, M.P., and Barbosa, R. (2023). Boosting multidimensional assessment of body image: Psychometric analysis of the Body Responsiveness Questionnaire in the Portuguese population, Submitted for publication.","DOI":"10.21203\/rs.3.rs-3097874\/v1"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1590\/S0101-60832010000400001","article-title":"Vers\u00e3o portuguesa da Escala de Dificuldades de Regula\u00e7\u00e3o Emocional e sua rela\u00e7\u00e3o com sintomas psicopatol\u00f3gicos","volume":"37","author":"Coutinho","year":"2010","journal-title":"Rev. Psiquiatr. Cl\u00ednica"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e67670","DOI":"10.5812\/sdme.67670","article-title":"Snowball sampling: A purposeful method of sampling in qualitative research","volume":"14","author":"Naderifar","year":"2017","journal-title":"Strides Dev. Med. Educ."},{"key":"ref_53","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Pituch, K.A., and Stevens, J. (2016). Applied Multivariate Statistics for the Social Sciences, Lawrence Erlbaum Associates. [6th ed.].","DOI":"10.4324\/9781315814919"},{"key":"ref_55","unstructured":"Tabachnick, B.G., and Fidell, L.S. (2001). Using Multivariate Statistics, Allyn and Bacon. [4th ed.]."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"101386","DOI":"10.1016\/j.msard.2019.101386","article-title":"Quality of life in patients with multiple sclerosis and its association with depressive symptoms and physical disability","volume":"36","author":"Flores","year":"2019","journal-title":"Mult. Scler. Relat. Disord."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/S1474-4422(08)70259-X","article-title":"Cognitive impairment in multiple sclerosis","volume":"7","author":"Chiaravalloti","year":"2008","journal-title":"Lancet Neurol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s11195-019-09603-5","article-title":"Sexual Dysfunction in Patients with Multiple Sclerosis from Argentina: What are the Differences Between Women and Men?","volume":"37","author":"Contentti","year":"2019","journal-title":"Sex. Disabil."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/135245850100700511","article-title":"Quality of life in multiple sclerosis: The impact of depression, fatigue and disability","volume":"7","author":"Amato","year":"2001","journal-title":"Mult. Scler. J."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"651936","DOI":"10.1155\/2011\/651936","article-title":"Mindfulness Intervention for Stress Eating to Reduce Cortisol and Abdominal Fat among Overweight and Obese Women: An Exploratory Randomized Controlled Study","volume":"2011","author":"Daubenmier","year":"2011","journal-title":"J. Obes."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1037\/rep0000455","article-title":"Adaptations to mindfulness-based interventions for neurological impairment: The SMALL PROMPTS approach","volume":"67","author":"Finlay","year":"2022","journal-title":"Rehabil. Psychol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1037\/a0035049","article-title":"Life is pretty meaningful","volume":"69","author":"Heintzelman","year":"2014","journal-title":"Am. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1037\/rep0000456","article-title":"Impact of mindfulness training on emotion regulation in multiple sclerosis: Secondary analysis of a pilot randomized controlled trial","volume":"67","author":"Duraney","year":"2022","journal-title":"Rehabil. Psychol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s11136-016-1378-3","article-title":"The effects of body image impairment on the quality of life of non-operated Portuguese female IBD patients","volume":"26","author":"Trindade","year":"2017","journal-title":"Qual. Life Res."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S1740-1445(03)00002-0","article-title":"Body image across the adult life span: Stability and change","volume":"1","author":"Tiggemann","year":"2004","journal-title":"Body Image"},{"key":"ref_66","first-page":"380","article-title":"Adapta\u00e7\u00e3o \u00e0 les\u00e3o vertebro-medular adjustment to spinal cord injury","volume":"15","author":"Ferreira","year":"2014","journal-title":"Psicol. Sa\u00fade Doen\u00e7as"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1037\/a0030893","article-title":"The Intuitive Eating Scale-2: Item refinement and psychometric evaluation with college women and men","volume":"60","author":"Tylka","year":"2013","journal-title":"J. Couns. Psychol."}],"container-title":["Sclerosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2813-3064\/1\/2\/10\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:14:30Z","timestamp":1760127270000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2813-3064\/1\/2\/10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":67,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["sclerosis1020010"],"URL":"https:\/\/doi.org\/10.3390\/sclerosis1020010","relation":{},"ISSN":["2813-3064"],"issn-type":[{"value":"2813-3064","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,19]]}}}