ECTRIMS eLearning

The impact of stigma in people with primary progressive multiple sclerosis
Author(s): ,
F. Pérez-Miralles
Affiliations:
Hospital Universitari i Politècnic La Fe, Valencia
,
D. Prefasi
Affiliations:
Roche Farma
,
A. García-Merino
Affiliations:
Hospital Universitario Puerta de Hierro, Madrid
,
J.R. Ara
Affiliations:
Hospital Universitario Miguel Servet, Zaragoza
,
G. Izquierdo
Affiliations:
Hospital Universitario Virgen Macarena, Sevilla
,
V. Meca-Lallana
Affiliations:
Hospital Universitario La Princesa, Madrid
,
F. Gascón
Affiliations:
Hospital Clínico Universitario, Valencia
,
M.L. Martínez-Ginés
Affiliations:
Hospital Universitario Gregorio Marañón, Madrid
,
L. Ramió-Torrentà
Affiliations:
Hospital Universitari Josep Trueta, Girona
,
L. Costa-Frossard
Affiliations:
Hospital Universitario Ramón y Cajal, Madrid
,
Ó. Fernández
Affiliations:
Institute of Biomedical Research (IBIMA), Hospital Regional Universitario, Málaga
,
S. Moreno-García
Affiliations:
Hospital Universitario 12 de Octubre, Madrid, Spain
,
J. Maurino
Affiliations:
Roche Farma
B. Casanova-Estruch
Affiliations:
Hospital Universitari i Politècnic La Fe, Valencia
ECTRIMS Learn. Pérez-Miralles F. 10/10/18; 229191; EP1352
Francesc Pérez-Miralles
Francesc Pérez-Miralles
Contributions
Abstract

Abstract: EP1352

Type: Poster Sessions

Abstract Category: Clinical aspects of MS - Epidemiology

Introduction: The stigma associated with neurological disorders contributes to poor health-related quality of life outcomes. Understanding stigma in multiple sclerosis (MS) may be important to carry out specific education intervention strategies. However, limited information is available in people with primary progressive multiple sclerosis (PPMS).
Objective: To assess the perception of stigma and its impact in PPMS.
Methods: A multicenter, cross-sectional study was conducted in a sample of adult patients with PPMS (McDonald 2010 criteria). The 8-item Stigma Scale for Chronic Illness (SSCI-8), the 29-item Multiple Sclerosis Impact Scale (MSIS-29), and the Beck Depression Inventory-Fast Screen (BDI-FS) were used to gather information on stigma, health-related quality of life and depressive symptoms, respectively.
Results: Fifty-five subjects were studied (mean age 55.8 ± 9.5 years, 56.4% male). The mean time since MS diagnosis was 4.1 ± 4.5 years and the median Expanded Disability Status Scale (EDSS) score was 5.5 (interquartile range 4.0, 6.5). Stigma prevalence was 78.2% (n=43). Twenty-four subjects (43.6%) were classified as depressed and six (11%) had a moderate-to-severe depression. SSCI-8 score correlated with physical (rho=0.464, p< 0.001) and psychological (rho=0.358, p=0.007) MSIS-29 subscores. Stigma predicted concurrent depression (OR=1.135; 95%CI: 1.002-1.286; p=0.046).
Conclusion: Stigma is highly prevalent in people with PPMS with a detrimental effect on their quality of life and mood.
Disclosure: This study was funded by the Medical Department of Roche Farma Spain. D.P. and J.M. are employees of Roche Farma Spain. The rest of the authors declare no potential conflict of interest.

Abstract: EP1352

Type: Poster Sessions

Abstract Category: Clinical aspects of MS - Epidemiology

Introduction: The stigma associated with neurological disorders contributes to poor health-related quality of life outcomes. Understanding stigma in multiple sclerosis (MS) may be important to carry out specific education intervention strategies. However, limited information is available in people with primary progressive multiple sclerosis (PPMS).
Objective: To assess the perception of stigma and its impact in PPMS.
Methods: A multicenter, cross-sectional study was conducted in a sample of adult patients with PPMS (McDonald 2010 criteria). The 8-item Stigma Scale for Chronic Illness (SSCI-8), the 29-item Multiple Sclerosis Impact Scale (MSIS-29), and the Beck Depression Inventory-Fast Screen (BDI-FS) were used to gather information on stigma, health-related quality of life and depressive symptoms, respectively.
Results: Fifty-five subjects were studied (mean age 55.8 ± 9.5 years, 56.4% male). The mean time since MS diagnosis was 4.1 ± 4.5 years and the median Expanded Disability Status Scale (EDSS) score was 5.5 (interquartile range 4.0, 6.5). Stigma prevalence was 78.2% (n=43). Twenty-four subjects (43.6%) were classified as depressed and six (11%) had a moderate-to-severe depression. SSCI-8 score correlated with physical (rho=0.464, p< 0.001) and psychological (rho=0.358, p=0.007) MSIS-29 subscores. Stigma predicted concurrent depression (OR=1.135; 95%CI: 1.002-1.286; p=0.046).
Conclusion: Stigma is highly prevalent in people with PPMS with a detrimental effect on their quality of life and mood.
Disclosure: This study was funded by the Medical Department of Roche Farma Spain. D.P. and J.M. are employees of Roche Farma Spain. The rest of the authors declare no potential conflict of interest.

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