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Cognitive and Emotional Predictors of Health-Related Quality of Life in Pediatric-Onset Multiple Sclerosis
Noa Gur1, Ayal Rozenberg2, Dan Hoofien3
1Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel; The Neuropsychological Unit, Schneider Children's Medical Center of Israel, Petach Tikvah, Israel.
Insights
Pediatric multiple sclerosis impacts children
Area of Science:
- Pediatric Neurology
- Quality of Life Research
Background:
- Pediatric-onset multiple sclerosis (POMS) significantly affects children's health-related quality of life (HRQOL).
- Understanding HRQOL predictors is vital for developing effective interventions.
- This study investigated cognitive and emotional factors influencing HRQOL in children with POMS.
Purpose of the Study:
- To identify cognitive and emotional predictors of HRQOL in children with POMS.
- To compare children's and parents' perspectives on HRQOL determinants.
- To inform clinical strategies for improving HRQOL in pediatric MS patients.
Main Methods:
- Cross-sectional study of 30 children with POMS (mean age 15.76).
- Assessed HRQOL (self- and parent-report), cognitive function (processing speed, attention, memory), and psychological status (depression, anxiety).
- Used multiple regressions and correlations to analyze predictors of HRQOL.
Main Results:
- School functioning was the most impacted HRQOL domain.
- Child-reported HRQOL was primarily predicted by anxiety and depression.
- Parent-reported HRQOL was influenced by cognitive factors (processing speed, attention) and depression.
Conclusions:
- Children's HRQOL is significantly linked to their emotional state (anxiety, depression).
- Parents' perceptions of HRQOL are more influenced by cognitive functioning.
- Integrated assessment of emotional and cognitive factors is crucial for enhancing HRQOL in POMS.
Background:
Pediatric-onset multiple sclerosis (POMS) affects children's health-related quality of life (HRQOL). This study aimed to examine the role of parents' and children's perspectives on HRQOL. Since identification of predictors for HRQOL is crucial to intervention and patients' QOL, this study focused on identifying cognitive and emotional predictors of POMS patients' HRQOL.
Methods:
A cross-sectional study assessing HRQOL predictors from child and parent reports in 30 children with POMS (mean age = 15.76 years, 63% female). Children were assessed for HRQOL, psychological, and cognitive functioning. HRQOL was measured using self- and parent-reports on the Pediatric Quality of Life Inventory, evaluating physical health, psychological, social, and school functioning. Predictors included cognitive functioning (processing speed, attention, memory), psychological functioning (depression, anxiety), and disease severity (Expanded Disability Status Scale). Multiple regressions identified predictors of child- and parent-reported HRQOL, and correlations examined relationships between significant predictors and HRQOL subdomains.
Results:
School functioning was the most affected HRQOL domain, followed by physical health, emotional, and social functioning. Self-reported HRQOL was predicted solely by psychological functioning: anxiety and depression significantly predicted child-reported HRQOL, with anxiety having the strongest impact. Parent-reported HRQOL was predicted by processing speed, attention, and depression, with cognitive functioning relating to school, physical, and social domains, while depression was linked to psychological HRQOL.
Conclusions:
Children's HRQOL perceptions were strongly shaped by anxiety and depressive symptoms, whereas parents emphasized mainly cognitive functioning. Integrating both perspectives in clinical assessments is essential. Addressing anxiety and depression in children, alongside cognitive rehabilitation and parental education, may enhance HRQOL in POMS.
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