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Identifying Symptom Co-Occurrence in Persons With Multiple Sclerosis

Author

Listed:
  • Pamela K. Newland
  • Louise H. Flick
  • Florian P. Thomas
  • William D. Shannon

Abstract

Patients with multiple sclerosis (MS) experience a myriad of symptoms. There is some evidence that symptoms may co-occur, or happen in particular combinations. Yet most existing studies focus on single symptoms and practitioners make a priori care decisions based on individual symptoms alone. We examined symptom co-occurrences in patients with relapsing–remitting MS (RRMS), collecting qualitative and quantitative data (mixed methods; N = 140). Content analysis revealed fatigue, heat intolerance, numbness, balance problems, and leg weakness as the most common symptoms. Factor analysis revealed the following factors: urinary, problems with balance, vision, heat, depression, and sleep. These preliminary findings indicate co-occurrence of several disabling symptoms from the overall self-report MS-Related Symptom Scale and 3-month recall. This information will guide health care professionals in developing targeted interventions and improve outcomes.

Suggested Citation

  • Pamela K. Newland & Louise H. Flick & Florian P. Thomas & William D. Shannon, 2014. "Identifying Symptom Co-Occurrence in Persons With Multiple Sclerosis," Clinical Nursing Research, , vol. 23(5), pages 529-543, October.
  • Handle: RePEc:sae:clnure:v:23:y:2014:i:5:p:529-543
    DOI: 10.1177/1054773813497221
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    References listed on IDEAS

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    1. MerriKay Oleen-Burkey & Jane Castelli-Haley & Maureen Lage & Kenneth Johnson, 2012. "Burden of a Multiple Sclerosis Relapse," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 5(1), pages 57-69, March.
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