Pittock et al1 conclude in a provocative title that quality of life (QOL) is favorable for most patients with multiple sclerosis (MS). This conclusion is in striking contrast to population-based studies reporting that 45% of MS patients were unemployed due to their disease and 37% experienced a decline in their standards of living.2,3 The conclusion is based on the finding that patients’ Short Form-36 scores were comparable to that of the US population on 3 of 4 mental health scales, even though they reported lower scores on 4 of 8 Short Form-36 scales.
Janssens ACJW, Hintzen RQ. Adaptation Is Favorable for Most Patients With Multiple Sclerosis. Arch Neurol. 2004;61(11):1807. doi:10.1001/archneur.61.11.1807-a