Abstract:
BACKGROUND:Individuals with multiple sclerosis (MS) report fatigue, pain, depression, cognitive difficulties, and other symptoms. It is often difficult to compare symptoms across studies and populations because scales used to measure individual symptoms or quality of life indicators (QOLI) use different metrics and often do not provide norms. PROMIS and Neuro-QOL measures, developed with modern psychometric methods, use a common metric and provide population norms. OBJECTIVE:To create symptom profiles and compare symptoms and QOLIs of people living with MS to a US general population sample. METHODS:Data from observational cross-sectional survey studies of 1544 community dwelling individuals with MS were analyzed. T-tests and non-parametric tests were used to examine whether symptoms or QOLIs of people with MS differed from the general US population. Regression analyses were used to adjust differences for age and sex. Measures included PROMIS or NeuroQoL anxiety, depression, fatigue, sleep disturbance and related impairment, pain interference, physical function, satisfaction with social roles, and applied cognition. Symptom levels were also compared by age, gender, and disability level. RESULTS:Scores on all health domains were statistically significantly (all p < 0.001) worse than the general US population and six domains had scores worse by half standard deviation or more. These differences remained significant after adjusting for age and sex. CONCLUSIONS:Individuals with MS report clinically meaningful worse health compared to the general population across multiple health related domains. Symptom profiles utilizing PROMIS or NeuroQoL measures can be used to quickly assess symptom levels in an individual or group.
journal_name
Disabil Health Jjournal_title
Disability and health journalauthors
Amtmann D,Bamer AM,Kim J,Chung H,Salem Rdoi
10.1016/j.dhjo.2017.04.008subject
Has Abstractpub_date
2018-01-01 00:00:00pages
99-107issue
1eissn
1936-6574issn
1876-7583pii
S1936-6574(17)30079-1journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Adults with physical disabilities typically engage in low levels of physical activity (PA), thus a better understanding of how motivational factors and behavior vary over time and in relation to disability type and severity is needed. OBJECTIVE/HYPOTHESIS:To examine temporal changes in theory of planned beh...
journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
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更新日期:2014-01-01 00:00:00
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
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journal_title:Disability and health journal
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2016.02.002
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Prescription opioid use among people with disabilities has not been well characterized. OBJECTIVE:To examine prescription opioid use, misuse, and use disorder, reason and source for last prescription opioid misuse, and receipt of prescription opioid treatment among people with and without disabilities. MET...
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journal_title:Disability and health journal
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2009.04.002
更新日期:2009-10-01 00:00:00
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更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
doi:10.1016/j.dhjo.2014.01.002
更新日期:2014-07-01 00:00:00
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journal_title:Disability and health journal
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doi:10.1016/j.dhjo.2016.12.020
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journal_title:Disability and health journal
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更新日期:2009-07-01 00:00:00
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journal_title:Disability and health journal
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更新日期:2017-01-01 00:00:00
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journal_title:Disability and health journal
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更新日期:2019-10-01 00:00:00
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journal_title:Disability and health journal
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更新日期:2019-04-01 00:00:00
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journal_title:Disability and health journal
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更新日期:2014-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Disability and health journal
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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