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.

Pediatric Neurology
|April 8, 2026
PubMed

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.
Abstract

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