{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:37:06Z","timestamp":1790771826617,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T00:00:00Z","timestamp":1468454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000890","name":"National Multiple Sclerosis Society","doi-asserted-by":"publisher","award":["RG3932\u2010A\u20102"],"award-info":[{"award-number":["RG3932\u2010A\u20102"]}],"id":[{"id":"10.13039\/100000890","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec><jats:title>\n<jats:bold>Background and purpose<\/jats:bold>\n<\/jats:title><jats:p>The clinical predictors of health\u2010related quality of life (HRQoL) in multiple sclerosis (MS) have mainly been studied in patients with long\u2010standing disease. The objective of this study was to investigate the longitudinal association among HRQoL and clinical characteristics in early MS.<\/jats:p><\/jats:sec><jats:sec><jats:title>\n<jats:bold>Methods<\/jats:bold>\n<\/jats:title><jats:p>Relapsing MS patients within 12 months of clinical onset were enrolled in a neuroprotection trial of riluzole versus placebo as an add\u2010on to weekly interferon with up to 36 months of follow\u2010up. Serial clinical measures included Short Form\u201036 (SF\u201036) as the measure of HRQoL, MS Functional Composite (as a measure of disability), Modified Fatigue Impact Scale, Patient Health Questionnaire\u20109 (as a measure of depression) and a cognitive battery. Multivariable linear regression analyses assessed cross\u2010sectional associations. Mixed model regressions with mutual adjustments were used to assess the longitudinal association of HRQoL components and clinical, cognitive and demographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>\n<jats:bold>Results<\/jats:bold>\n<\/jats:title><jats:p>Forty\u2010three patients were enrolled within 7.5 \u00b1 4.9 months of clinical onset (72% female, mean age 36 years). The baseline severity of fatigue and depression predicted subsequent changes in SF\u201036 Physical Component Summary (PCS) (<jats:italic>P<\/jats:italic> values of 0.001 and 0.021, respectively). In longitudinal analyses, changes in disability and depression were associated with changes in SF\u201036 PCS (<jats:italic>P<\/jats:italic> values of 0.002 and 0.009, respectively), whereas changes in cognitive function and fatigue were associated with changes in SF\u201036 Mental Component Summary (<jats:italic>P<\/jats:italic> values of 0.037 and 0.001, respectively). A 1\u2010unit increase in MS Functional Composite was associated with a 7.1\u2010point increase in SF\u201036 PCS (95% CI, 2.6\u201311.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>\n<jats:bold>Conclusions<\/jats:bold>\n<\/jats:title><jats:p>Fatigue, depression, cognition and disability are independently associated with HRQoL in early MS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.13102","type":"journal-article","created":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T13:44:56Z","timestamp":1468503896000},"page":"1482-1486","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["Fatigue and depression predict quality of life in patients with early multiple sclerosis: a longitudinal study"],"prefix":"10.1111","volume":"23","author":[{"given":"B.","family":"Nourbakhsh","sequence":"first","affiliation":[{"name":"Department of Neurology University of California San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Julian","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of California San Francisco San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Waubant","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California San Francisco San Francisco CA USA"},{"name":"Department of Pediatrics University of California San Francisco San Francisco CA 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