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Quality of life and impairment in patients with multiple sclerosis
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
2005 (English)In: Journal of Neurology, Neurosurgery and Psychiatry, ISSN 0022-3050, Vol. 76, no 1, 64-69 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aims of this study were to describe the quality of life in patients with multiple sclerosis (MS) given immunological treatment and in those not given immunological treatment and to investigate the relationship between impairment and quality of life. METHODS: Twenty nine patients given immunological treatment were matched with the same number of patients not given such treatment. Matching variables were sex, Kurtzke's Expanded Disability Status Scale (EDSS), years since diagnosis, and age (total n = 58). The patients were interviewed using the self-reported impairment checklist and they answered two questionnaires on quality of life, the 36-Item Short-Form Health Survey (SF-36) and the Subjective Estimation of Quality of Life (SQoL). RESULTS: The self-reported impairment checklist captured a more differentiated picture of the patients' symptoms of MS than the EDSS. Health related quality of life was markedly reduced, while the subjective quality of life was less affected. There was a stronger association between self-reported ratings of impairment and health related quality of life on the SF-36 than between impairment and global ratings of quality of life on the SQoL. Subjective quality of life on the SQoL was not directly dependent on impairment expressed in physical limitations. There were no statistically significant differences between the treated and untreated groups. A non-significant trend towards better health related quality of life was found in favour of the treated group with respect to emotional role, physical role, and social function on the SF-36. CONCLUSIONS: The self-reported impairment checklist and SF-36 proved to be valuable complements to the well established EDSS in describing the diverse symptoms of MS. Measuring both health related quality of life and subjective wellbeing provides valuable knowledge about the consequences of MS.

Place, publisher, year, edition, pages
2005. Vol. 76, no 1, 64-69 p.
Keyword [en]
Activities of Daily Living, Adjuvants; Immunologic/administration & dosage, Adult, Aged, Female, Health Status, Health Surveys, Humans, Male, Middle Aged, Multiple Sclerosis/*complications/drug therapy/*psychology, Quality of Life/*psychology
National Category
Nursing Nursing
Identifiers
URN: urn:nbn:se:hj:diva-3677PubMedID: 15607997OAI: oai:DiVA.org:hj-3677DiVA: diva2:34497
Available from: 2007-10-10 Created: 2007-10-10Bibliographically approved

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