Pain, quality of life, and religiosity in people with multiple sclerosis

• Published in: Neurological sciences 2022-05, Vol.43 (5), p.3247-3254
• Main Authors: Sparaco, Maddalena, Miele, Giuseppina, Abbadessa, Gianmarco, Ippolito, Domenico, Trojsi, Francesca, Lavorgna, Luigi, Bonavita, Simona
• Format: Article
• Language: English
• Subjects: Functional morphology; Humans; Medicine; Medicine & Public Health; Multiple sclerosis; Multiple Sclerosis - complications; Multiple Sclerosis - psychology; Neural networks; Neurology; Neuroradiology; Neurosciences; Neurosurgery; Original Article; Pain; Pain - etiology; Pain - psychology; Pain perception; Patients; Psychiatry; Quality of life; Quality of Life - psychology; Religion; Spirituality; Structure-function relationships; Surveys and Questionnaires; Visual pathways
• ISSN: 1590-1874; 1590-3478
• DOI: 10.1007/s10072-021-05759-1

Purpose To investigate in multiple sclerosis (MS) patients, the relationship between pain and religiosity and to determine whether distinct dimensions of religiosity were associated with quality of life. Methods MS patients during clinical follow-up filled out the visual analogue scale for pain (VAS), the Mc Gill questionnaire (McGQ), the 36-Item Short Form Health Survey (SF-36), and the religious attitude scale (RAS), and expanded disability status scale (EDSS) was assessed. Results Ninety-two MS patients were enrolled, only two declined. There was a negative correlation between religious practice and faith and some domains of the SF-36 and a positive correlation between sensory, affective, and evaluative aspects of pain (at McGQ) and religious practices, and between evaluative aspects of pain (at McGQ) and faith. EDSS was significantly higher in practitioner believers compared to not practitioners. Conclusions More disabled MS patients, with worse quality of life, also due to physical pain, find a source of comfort in faith and religious practices. Pain is not relieved by prayer; therefore, we may guess that in MS the poor beneficial effect of religiosity and practice on pain perception may be linked to a structural/functional damage of neural circuits involved in reducing pain during prayer.