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Feelings of depression, pain and walking difficulties have the largest impact on the quality of life of people with multiple sclerosis, irrespective of clinical phenotype
Objective: To examine the associations between 13 common MS symptoms and HRQoL in the total sample and stratified by MS phenotype.
Method: The study included 1985 participants. HRQoL was measured with two multi-attribute utility instruments: assessment of quality of life with eight dimensions (AQoL-8D) and European quality of life with five dimensions and five levels for each dimension (EQ-5D-5L). Multivariable linear regression was used to identify the symptoms that had the largest impact on the HRQoLs.
Results: Feelings of depression, pain, fatigue, and feelings of anxiety were most strongly associated with AQoL-8D and EQ-5D-5L. Walking difficulties additionally contributed to reduced EQ-5D-5L. The strongest single predictors in the multivariable analyses were feelings of depression or pain for AQoL-8D and walking difficulties for EQ-5D-5L, irrespective of MS phenotype.
Conclusion: The strongest single predictors for the AQoL-8D and EQ-5D-5L were feelings of depression, pain and walking difficulties, irrespective of MS phenotype. Reducing these symptoms may have the largest impact on improving HRQoL in all MS phenotypes of people with MS.
History
Publication title
Multiple Sclerosis JournalIssue
SeptemberPagination
1-14ISSN
1352-4585Department/School
Menzies Institute for Medical ResearchPublisher
ArnoldPlace of publication
Hodder Headline Plc, 338 Euston Road, London, England, Nw1 3BhRights statement
Copyright 2020 The AuthorsRepository Status
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