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Study of the relationship between physical disability and quality of life of patients with multiple sclerosis in the Ibn-Sina hospital in Rabat

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El Harchaoui I., Abderemane A., RegraguI W., Touhami Ahami A. O.

vol. 21(2)

147-157

Multiple sclerosis (MS) is a chronic inflammatory disease affecting the central nervous system and is a chronic disease leading to a reduced quality of life. The objective of the study is the assessing of physical disability in patients with MS and its impact on QoL; the aim is to facilitate the treatment of patients with this pathology. 75 patients with multiple sclerosis from the Neurology and Neurogenetic Department of the Ibn Sina University Hospital, Rabat, Morocco were studied. The data was collected using a kit composed of several tools including a sociodemographic and clinical questionnaire, the Expanded Disability Status Scale (EDSS), and quality of life SEP-59. Of the 75 MS patients in the study, females accounted for 77.3% (n = 58) (the female/male ratio being 3.4). The mean age of the population was 38.29±13.31 years, Relapsing remitting is most present at 65.3% (n=49), while 56% (n=42) were married. We determined that the average EDSS was 4.067 (SD 1.829) with 54.3% (n = 34) of the patients displaying a moderate level of disability (EDSS between 4 and 6.5). We found that of the role limitations - mental and physique, energy, overall quality of life, emotional well-being, distress, sexual satisfaction, sexual function were the QoL scales affected most (SEP-59). Furthermore EDSS is significantly associated with QoL SEP-59. The results of this study indicate a strong link between disability and the physical and mental health of patients with multiple sclerosis, which causes a deterioration in their quality of life. The involvement of psychological support is essential.

A study into the relationship between anxiety-depression and self-esteem disorder in patients with multiple sclerosis at the Rabat Ibn Sina Hospital, Morocco

86%

El Harchaoui I., Regragui W., Driss T., Mammad K., Ziri R., Touhami Ahami A. O.

Multiple Sclerosis (MS) is a chronic inflammatory disease affecting the central nervous system through the destruction of sheaths (myelin), disseminated in space and time. The aim of our work is to study the neurocognitive concept and mood disorders in patients with MS. The study includes in this study 75 cases of MS, collected at the Neurology (B) and Neurogenetics Department of Rabat Ibn Sina Hospital. The study was performed on MS patients using different scales that included: a self-questionnaire (socio-demographic, clinical), Hospital Anxiety and Depression scale (HADS), Rosenberg's Self-Esteem scale (RSE) and Expanded Disability Status Scale (EDSS). The mean age for the onset of the disease was 30-years, with a sex ratio of 3.4. The main clinical signs are: 69.33% and 70.67% of patients had respectively anxious and depressive disorder, which was associated with low self-esteem in 89% of them. The distribution according to the evolutionary forms of MS is 65% Relapsing Remitting (RR), 29% secondary progressive (SP) and 5% Primary Progressive (PP). As for the assessment of disability using EDSS, we note an average 4.07±1.829. That results of our study concord with other studies on the same age category. It confirms the predominance of women. They are followed by the appearance of psychological disorders such as depression anxiety and cognitive disorders. Remitting MS is the most common when compared to other forms. The anxiety and depression score was strongly correlated with the degree of self-esteem and disability.

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2 Acta Neuropsychologica

2 2023

2 El Harchaoui I.

2 Touhami Ahami A. O.

1 Abderemane A.

1 Driss T.

1 Mammad K.

1 RegraguI W.

1 Regragui W.

1 Ziri R.

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Study of the relationship between physical disability and quality of life of patients with multiple sclerosis in the Ibn-Sina hospital in Rabat

A study into the relationship between anxiety-depression and self-esteem disorder in patients with multiple sclerosis at the Rabat Ibn Sina Hospital, Morocco