Pego Pérez, Emilio RubénBermello López, LourdesGómez Fernández, EvaMarín Arnés, María del RosarioFernández Vázquez, MercedesNúñez Hernández, María IreneGutiérrez García, Emilio2025-12-012025-12-012025-12-01Pego 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/neurolint17120195https://hdl.handle.net/10347/44142Background/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 HRQoLengAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Relapsing-remitting multiple sclerosisQuality of lifeHealth assessmentFollow-upNursingAutoimmune diseasesHealth status indicatorsSocial interactionPsychological distressEmotional exhaustion2490 Neurocienciasjournal article10.3390/neurolint171201952035-8377open access