ABSTRACT

Everyday, people with multiple sclerosis (MS) face a wide range of complex symptoms, unpredictable uctuations in function, and compromised quality of life (QoL).1,2 As previous chapters in this book have indicated, the symptoms of MS can contribute to signi„cant restrictions in activity and participation in self-care tasks, domestic life responsibilities,

CONTENTS

22.1 The Nature of MS Caregiving .......................................................................................... 498 22.2 The Impact of Caregiving ................................................................................................. 501

22.2.1 The Negative Impacts of Caregiving .................................................................. 501 22.2.1.1 Psychological and Emotional ................................................................ 501 22.2.1.2 Relationships............................................................................................502 22.2.1.3 Social, Recreational, and Leisure Activities ........................................503 22.2.1.4 Financial ...................................................................................................503 22.2.1.5 Career and Employment ........................................................................504 22.2.1.6 Physical Health ........................................................................................504 22.2.1.7 Caregiver Burden ....................................................................................504