Shah Rubina, Salek Sam, Ali Faraz M, Otwombe Kennedy, Nixon Stuart J, Nixon Marie-Elaine, Ingram Gillian, Ingram John R, Finlay Andrew Y
Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
School of Life & Medical Sciences, University of Hertfordshire, Hatfield, UK.
Mult Scler J Exp Transl Clin. 2025 May 27;11(2):20552173251338762. doi: 10.1177/20552173251338762. eCollection 2025 Apr-Jun.
Multiple sclerosis (MS) may have a major impact on the physical, social and psychological wellbeing of people with multiple sclerosis (pwMS) and their family members/partners.
To measure the impact of a person's MS on the quality of life of their family members/partner, and the associates of impact among family members, using a validated generic family-specific quality of life instrument, the Family Reported Outcome Measure (FROM-16).
An online cross-sectional study was conducted to recruit family members/partners of pwMS through UK patient support groups.
A total of 219 family members/partners (mean age = 49.3 years, SD = 13.7; females = 55.3%) of pwMS (mean age = 50.1, SD = 12.5; females = 56.6%) completed the FROM-16. The FROM-16 mean total score was 16.9 (SD = 7.8), indicating 'a very large effect' on family members' quality of life. The increasing age of pwMS, being a male person with MS, and being a female carer were significant predictors of family impact. 50.7% of family members had FROM-16 scores ≥17. Spouses/partners (170/219) of pwMS reported a significant impact on their sex life compared to other relationships ( < 0.001).
MS substantially impacts the quality of life of family members/partners of pwMS, indicating a need to assess this impact routinely. The FROM-16 could be used to measure the MS family impact in routine practice to support family members appropriately and to include this impact in health economic appraisal and therapeutic clinical trials.
多发性硬化症(MS)可能对多发性硬化症患者(pwMS)及其家庭成员/伴侣的身体、社交和心理健康产生重大影响。
使用经过验证的通用家庭特定生活质量工具——家庭报告结局量表(FROM - 16),测量一个人的MS对其家庭成员/伴侣生活质量的影响,以及家庭成员之间影响的关联因素。
开展一项在线横断面研究,通过英国患者支持小组招募pwMS的家庭成员/伴侣。
共有219名pwMS的家庭成员/伴侣(平均年龄 = 49.3岁,标准差 = 13.7;女性 = 55.3%)(pwMS平均年龄 = 50.1岁,标准差 = 12.5;女性 = 56.6%)完成了FROM - 16量表。FROM - 16量表的平均总分是16.9(标准差 = 7.8),表明对家庭成员的生活质量有“非常大的影响”。pwMS患者年龄的增加、男性pwMS患者以及女性照顾者是家庭影响的显著预测因素。50.7%的家庭成员FROM - 16量表得分≥17。与其他关系相比,pwMS的配偶/伴侣(170/219)报告其性生活受到了显著影响(P < 0.001)。
MS对pwMS家庭成员/伴侣的生活质量有重大影响,这表明需要常规评估这种影响。FROM - 16量表可用于在常规实践中测量MS对家庭的影响,以便适当地支持家庭成员,并将这种影响纳入卫生经济评估和治疗性临床试验。