title: [The social and familial dimension: experiences of caregivers and people with multiple sclerosis. The GEDMA study].
abstract: BACKGROUND
  Comparing the perceptions of multiple sclerosis (MS) patients and caregivers with regard to the same social and familial issues, as well as delving deeper into the factors that determine the quality of life of these patients and their relatives by using a qualitative methodology, can help us to complete the information on the same topic that has already been collected using scales and quantitative protocols.
  
  
  OBJECTIVE
  To analyse how a group of people with MS and their caregivers perceive the disease by examining the way they talk about their experience with it.
  
  
  METHODS
  A qualitative methodology was used; more particularly, data were obtained by holding six discussion groups made up of patients and caregivers, who were members of MS patient associations.
  
  
  RESULTS
  People with MS reported the social stigma attached to suffering from the disease. Many of the caregivers thought that patients with MS did not accept the disease and felt that over-protection was of little help in coming to terms with the disease and should therefore be avoided. Remunerated work was described by caregivers as a factor that, at the same time, generated and protected the burden.
  
  
  CONCLUSIONS
  The social stigma, the lack of work and coming to terms with MS were the greatest issues for the patient, while support from the family network, the relationship that should be established with the patient, the impact of MS on children and the role played by remunerated work were the main dimensions of the disease for the caregiver.
authors.affiliation: Facultad de Ciencias Sociales, Universidad de Salamanca, Spain. jrivera@usal.es
authors.forename: J
authors.initials: J
authors.lastname: Rivera-Navarro
authors.forename: J M
authors.initials: JM
authors.lastname: Morales-González
authors.forename: J
authors.initials: J
authors.lastname: Benito-León
authors.forename: A J
authors.initials: AJ
authors.lastname: Mitchell
mesh_terms: D000203:Activities of Daily Living; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009103:Multiple Sclerosis / Q000523:psychology*; D012944:Social Support