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Pain and participation in social activities in people with relapsing remitting and progressive multiple sclerosis.


ABSTRACT:

Background

Differences in pain between subtypes of multiple sclerosis are understudied.

Objective

To compare the prevalence of pain, and the association between pain and: (a) pain interference and (b) social participation in people with relapsing-remitting multiple sclerosis and progressive multiple sclerosis.

Methods

Participants completed the McGill Pain Questionnaire Short-Form-2, Pain Effects Scale and Ability to Participate in Social Roles and Activities-V2.0 questionnaires. We tested the association between multiple sclerosis subtype, pain severity, and pain interference/social participation using quantile regression.

Results

Of 231 participants (relapsing-remitting multiple sclerosis: 161, progressive multiple sclerosis: 70), 82.3% were women. The prevalence of pain was 95.2%, of more than mild pain was 38.1%, and of pain-related limitations was 87%; there were no differences between multiple sclerosis subtypes. Compared to participants with relapsing-remitting multiple sclerosis, those with progressive multiple sclerosis reported higher pain interference (mean (standard deviation) Pain Effects Scale; progressive multiple sclerosis: 15[6.0] vs relapsing-remitting multiple sclerosis: 13[5], p = 0.039) and lower social participation (Ability to Participate in Social Roles and Activities T-scores 45[9.0] vs 48.3[8.9], p = 0.011). However, on multivariable analysis accounting for age, physical disability, mood/anxiety and fatigue, multiple sclerosis subtype was not associated with differences in pain interference or social participation.

Conclusions

Pain was nearly ubiquitous. Over one-third of individuals with relapsing-remitting multiple sclerosis and progressive multiple sclerosis reported pronounced pain, although this did not differ by multiple sclerosis subtype.

SUBMITTER: Jain D 

PROVIDER: S-EPMC10359714 | biostudies-literature | 2023 Jul-Sep

REPOSITORIES: biostudies-literature

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Publications

Pain and participation in social activities in people with relapsing remitting and progressive multiple sclerosis.

Jain Dhruv D   Bernstein Charles N CN   Graff Lesley A LA   Patten Scott B SB   Bolton James M JM   Fisk John D JD   Hitchon Carol C   Marriott James J JJ   Marrie Ruth Ann RA  

Multiple sclerosis journal - experimental, translational and clinical 20230719 3


<h4>Background</h4>Differences in pain between subtypes of multiple sclerosis are understudied.<h4>Objective</h4>To compare the prevalence of pain, and the association between pain and: (a) pain interference and (b) social participation in people with relapsing-remitting multiple sclerosis and progressive multiple sclerosis.<h4>Methods</h4>Participants completed the McGill Pain Questionnaire Short-Form-2, Pain Effects Scale and Ability to Participate in Social Roles and Activities-V2.0 questionn  ...[more]

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