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Table 2 Categories and sub-categories extracted from the analysis of patients' experiences

From: Barriers to quality of life in patients with multiple sclerosis: a qualitative study

Category

Sub-category

Repetitive Codes

Intrapersonal problems

Physical problems

Sensory-motor problems, vision problems, speech and swallowing problems, cognitive disorders, bladder dysfunction, extreme fatigue, unstable body temperature, balance and gait disorders, impotence and sexual dysfunction, …

Psychological disorders

Depression, stress, anxiety, bipolar disorder, personality disorders, loneliness, stressful thinking habits, emotional fatigue, …

Turbulent future

Falling hopeless, worries about the future of the children, worries about saving life, worries about marriage and childbearing, …

Functional limitations

Limitations in physical/ social and cognitive functions, physical dependence on others, …

Job loss and pennilessness

Financial problems, leaving the job, forced to change job, losing job, disability and homelessness, …

Environmental barriers

Disease and treatment process

Disease progression, late diagnosis, rejection and incompatibility with disease, non-adherence to treatment, concealment of the disease by the patient, drug and therapeutic side effects, incompatibility with treatment, high cost of treatment, neglect of patients' rights by therapists, lack of easy access to medicine, lack of appropriate and sufficient empathy on the part of medical staff, …

Fatigue of caregivers

Sense of helplessness, inability and despair in the caregiver, …

Information deficiency about MS

Lack of knowledge or little knowledge of patients with MS and society about MS, the weakness of the media in portraying the disease, …

Family tensions

Broken and unpleasant marital relationships, illness in the family, addiction of a family member, death of a loved one, divorce, conflicts within and between families, …

Lack of social support

Compassionate attitudes, unwarranted sympathies, social misconceptions about MS, unwarranted jealousy, inappropriate family support for the patient, insufficient support of family and friends, …

Fun and entertainment

Deprivation of presence in some places, …