Abstract

Background: Multiple sclerosis (M.S) has been introduced as the most common causes of disability in adults, especially young persons which can be affected by various aspects such as physiological status, social interactions and beliefs. Objectives: With the spread of MS disease and psychosocial, psychological and cognitive changes, the self-esteem can be altered in the patient. Additionally, changes in self-esteem can shape self-efficacy. This study aimed to investigate the relationship between fatigue and self-esteem with self-efficacy in patients with multiple sclerosis (M.S). This study was a descriptive-analytic correlational research. written consent was taken from patients referred to M.S society and then the questionnaires were given to them. Methods: In this study, 203 patients were examined by Fatigue Severity Scale (FSS), Rosenberg’s Self-Esteem Scale and Multiple sclerosis self-efficacy scale. The SPSS Statistics software (version 24.0; SPSS, Inc., Chicago, IL, USA) was employed to analyse the data in this study. Results: Fatigue has higher mean scores in those with lower self-esteem and lower self-efficacy. Conclusions: As the patient‘s fatigue with multiple sclerosis is higher, self-esteem and self-efficacy will be reduced. The results of this study showed that physical symptoms could have an impact on psychological issues in MS patients, so it was recommended to pay special attention to relevant problems such as self-esteem and self-efficacy in patients affected with fatigue.