Figure 7

Causal and mutual relationships with family/social well-being of FAMS score. Scores for the number of sources of disease information and communication with nurses positively affect the FAMS family/social well-being score directly. Changes in employment status and EDSS scores negatively affect the NAS-J anxiety/depression, self-esteem, acceptance, and attitude scores. In contrast, knowledge of disease information positively influences these scores, which in turn have a positive influence on the FAMS family/social well-being score. d1, e1, e2, e3, e4, and e5 in the figure are error terms. Numbers are standardized path coefficients, and asterisks (*) indicate statistical significance (p < 0.05).