RT Journal Article
T1 Predicting quality of life in relapsing–remitting multiple sclerosis: clinical burden meets emotional balance in early disease
A1 Pego Pérez, Emilio Rubén
A1 Bermello López, Lourdes
A1 Gómez Fernández, Eva
A1 Marín Arnés, María del Rosario
A1 Fernández Vázquez, Mercedes
A1 Núñez Hernández, María Irene
A1 Gutiérrez García, Emilio
K1 Relapsing-remitting multiple sclerosis
K1 Quality of life
K1 Health assessment
K1 Follow-up
K1 Nursing
K1 Autoimmune diseases
K1 Health status indicators
K1 Social interaction
K1 Psychological distress
K1 Emotional exhaustion
AB Background/Objectives: Relapsing-remitting multiple sclerosis (RRMS) is a chronic neurological disease that significantly impacts health-related quality of life (HRQoL). This study aimed to analyze the evolution of HRQoL in individuals with RRMS, identify associated factors, and determine predictive variables. Methods: A prospective observational study was conducted with 35 participants diagnosed with RRMS at the Lucus Augusti University Hospital between January 2023 and March 2025. HRQoL was assessed using the MSQOL-54 questionnaire at baseline, 3 months, and 6 months. Data were analyzed using non-parametric tests to account for the small sample size and non-normal distribution of the variables. Results: Results showed overall stability in HRQoL (mean score: 62.4 ± 14.1 at baseline, 62.8 ± 12.7 at 3 months, and 62.4 ± 11.8 at 6 months), although significant declines were observed in emotional limitations (64.4 ± 23.0 at baseline to 58.9 ± 20.5 at 6 months) and social functioning (70.5 ± 16.7 at baseline to 65.5 ± 12.8 at 6 months). Improvements were noted in pain perception (78.9 ± 23.6 at baseline to 81.8 ± 20.5 at 6 months) and stress (44.3 ± 22.5 at baseline to 48.9 ± 17.8 at 6 months). Factors such as family history (associated with mental health at diagnosis, p = 0.028), autoimmune diseases (associated with physical function at diagnosis, p = 0.035), and lifestyle habits (e.g., tobacco use associated with physical limitations at 3 months, p = 0.045) were significantly associated with HRQoL. Baseline HRQoL emerged as a strong predictor of future scores (Spearman’s correlations, p < 0.01), indicating that early assessments may guide interventions. Conclusions: Although overall HRQoL remains stable in RRMS, specific domains such as emotional and social functioning exhibit progressive decline, highlighting the need for tailored interventions. The findings underscore the importance of integrating early psychosocial support and lifestyle interventions into routine care to mitigate vulnerabilities in emotional and social domains of HRQoL
PB MDPI
YR 2025
FD 2025-12-01
LK https://hdl.handle.net/10347/44142
UL https://hdl.handle.net/10347/44142
LA eng
NO Pego Pérez, E.R.; Bermello López, M.L.; Gómez Fernández, E.; Marín Arnés, M.d.R.; Fernández Vázquez, M.; Núñez Hernández, M.I.; Gutiérrez García, E. Predicting Quality of Life in Relapsing–Remitting Multiple Sclerosis: Clinical Burden Meets Emotional Balance in Early Disease. Neurol. Int. 2025, 17, 195. https://doi.org/10.3390/neurolint17120195
DS Minerva
RD 24 abr 2026