Research ArticleOpen Access

The Relationship between Quality of Life and Disability in Multiple Sclerosis Patients and Pain, Sleep Quality, Mood and Fatigue

Volume 2 - Issue 2

**Pınar Öztürk¹, Gönül Vural²*, Mehmet Öztürk³ and Şadiye Gümüşyayla²**

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- ¹Department of Neurology, Atatürk Training and Research Hospital, Ankara, Turkey
- ²Department of Neurology, School of Medicine, Yildirim Beyazit University, Ankara, Turkey
- ³Department of Psychiatry, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
*Corresponding author: Gönül Vural, Yildirim Beyazit University, Medical Faculty, Department of Neurology, Ankara 06800, Turkey

Received: January 20, 2018; Published: February 08, 2018

DOI: 10.26717/BJSTR.2018.02.000742

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Abstract

Purpose: This study aims to evaluate the quality of life in multiple sclerosis (MS) patients and investigate the relationship between pain, sleep quality, fatigue and mood disorders with disability and quality of life.

Material and metods: 50 MS patients and 50 healthy volunteers participated in this study. The Expanded Disability Status Scale (EDSS), Functional Independence Measure (FIM), Visual Analog Scale (VAS) and McGill Pain Index, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), SF-36 quality of life scale, Beck Depression Inventory (BDI) and Fatigue Impact Scale (FIS) were used.

Results: The SF-36 scores were significantly lower, andthe BDI, FIS and PSQI score swere significantly higher in the MS patients when compared to the healthy volunteers. The results showed that fatigue, depressive moods, impaired sleep quality and severity of pain had a significant effect on quality of life. The increments in the EDSS scores were correlated with fatigue and depressive moods, while no such correlation was shown with sleep disorder orseverity of pain.

Conclusion: Conclusion: Our findings suggest that MS patients experience poors leep quality, are more depressive, and often suffer from fatigue and pain. Accordingly, physicians should inquire about such parameters as fatigue, pain, depression and sleep disorders that lower the quality of life in patients and render them more disabled, and should use practical test batteries to objectively evaluate and cover these factors in their treatment strategy

Keywords: multiple sclerosis; Fatigue; Pain; sleep quality; Depression; Quality Of Life; Disability