The impact of disease characteristics on multiple sclerosis patients’ quality of life
Open accessAbstract
OBJECTIVES: The aim of this study was to assess the quality of life (QoL) of patients with multiple sclerosis (MS), and to investigate the effects of characteristics of MS such as disease course, severity, and relapses on patients' QoL. METHODS: This was a cross-sectional study, in which 171 patients were enrolled. Health-related QoL was assessed using the Persian version of the Multiple Sclerosis Quality of Life-54 questionnaire. To measure patients' disability status, we used the Expanded Disability Status Scale. Other variables included in the study were disease course and relapses of the disease. RESULTS: The average scores for patients' physical and mental QoL were 60.9±22.3 and 59.5±21.4, respectively. In a bivariate analysis, disease course, severity of the disease, and relapses were significantly associated with the physical and mental health composite scores. In a hierarchal regression analysis, disease course, severity of the disease, and relapses were responsible for 38 and 16% of the variance in physical and mental QoL, respectively. It was also observed that relapses were a strong predictor of both physical and mental QoL. CONCLUSIONS: Our results showed that disease characteristics significantly affected both dimensions of QoL. It is therefore suggested that health care providers should be aware of these characteristics of MS to more successfully improve MS patients' QoL.
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Disease duration might have an impact on physical disability and health-related quality of life of people with multiple sclerosis.
“given that disease duration might have an impact on physical disability and HRQoL of pwMS [5,42]”
From Coping strategies and their impact on quality of life and physical disability of people with multiple sclerosis (2021) · cites this paper as [42]
Relapses in the last 3 months are a relevant factor negatively affecting quality of life in multiple sclerosis.
“Disease duration,30 31 progressive type,26 36 37 progressive MS onset38 and relapses in the last 3 months were further relevant factors negatively affecting QoL.26”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [26]
Functional impairment as assessed by the Expanded Disability Status Scale level was one of the leading causes of diminished quality of life in multiple sclerosis.
“Functional impairment as assessed by the Expanded Disability Status Scale (EDSS) level was one of the leading causes of diminished QoL.25–35”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [26]
Progressive type is a relevant factor negatively affecting quality of life in multiple sclerosis.
“Disease duration,30 31 progressive type,26 36 37 progressive MS onset38 and relapses in the last 3 months were further relevant factors negatively affecting QoL.26”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [26]
The Expanded Disability Status Scale was most employed for assessment of functional impairment.
“The results showed that the EDSS was most employed for assessment of functional impairment.25–35”
From Quality of life in adults with multiple sclerosis: A systematic review (2020) · cites this paper as [26]
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- Authors
- Rezapour, A., Almasian Kia, A., Goodarzi, S., Hasoumi, M., Nouraei Motlagh, S., & Vahedi, S.
- Affiliations
- Iran University of Medical Sciences (IR)
- Shiraz University of Medical Sciences (IR)
- Zabol University of Medical Sciences (IR)
- Venue
- Epidemiology and Health
- Publisher
- Korean Society of Epidemiology
- Published
- 2017-02-19
- Volume
- 39
- Pages
- e2017008
- ISSN
- 1225-3596 (ISSN-L)
- 2092-7193
- PMC
- PMC5434226
- OpenAlex
- W2616424252
- Cited by
- 80
- References
- 38
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 12 · 2023: 4 · 2022: 17 · 2021: 18 · 2020: 8 · 2019: 5 · 2018: 1
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Epidemiology and Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- multiple sclerosis, quality of life, clinical course, disease severity, relapse, disability, physical health-related quality of life, mental health-related quality of life, MSQOL-54, Expanded Disability Status Scale
- MeSH terms
- Adult, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Male, Multiple Sclerosis, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Recurrence, Regression Analysis, Severity of Illness Index
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