P01-298 - Effects of written emotional expression on general health of patients with multiple sclerosis

2010 ◽  
Vol 25 ◽  
pp. 511
Author(s):  
F. Ranjbar ◽  
S. Herizchi ◽  
M. Talebi ◽  
N. Pourafkary
1981 ◽  
Vol 11 (2) ◽  
pp. 425-427 ◽  
Author(s):  
Peter V. Rabins ◽  
Benjamin R. Brooks

SynopsisThe 28-item General Health Questionnaire (GHQ) was found to be a valid and sensitive instrument for detecting emotional morbidity in patients attending a multiple sclerosis clinic.


CNS Spectrums ◽  
2006 ◽  
Vol 11 (S6) ◽  
pp. 1-11 ◽  
Author(s):  
Jeffrey L. Cummings ◽  
David B. Arciniegas ◽  
Benjamin R. Brooks ◽  
Robert M. Herndon ◽  
Edward C. Lauterbach ◽  
...  

AbstractUncontrollable episodes of emotional expression occur in a variety of neurological conditions. This emotional disinhibition syndrome is characterized by episodes of crying or laughing that are unrelated to or out of proportion to the eliciting stimulus. This syndrome is common among patients with amyotrophic lateral sclerosis, multiple sclerosis, stroke, and traumatic brain injury and a variety of terms and definitions have been used to describe it. The confusing nomenclature has been a barrier to understanding, diagnosis, and treatment of this disorder. The authors propose a unifying term, involuntary emotional expression disorder (IEED), and provide diagnostic criteria for this disorder.


2003 ◽  
Vol 40 (2) ◽  
pp. 193-207 ◽  
Author(s):  
MELISSA A. BRAY ◽  
LEA A. THEODORE ◽  
SHAMIM S. PATWA ◽  
SUZANNE G. MARGIANO ◽  
JOLIE M. ALRIC ◽  
...  

Author(s):  
Mar Estrada ◽  
Elena Fernández-Martínez ◽  
José Enrique Bayón Darkistade ◽  
Cristina Liébana-Presa ◽  
Antonio José Molina

<p><strong>Resumen</strong></p><p>El objetivo de la presente investigación es determinar el deterioro cognitivo de pacientes con Esclerosis múltiple (EM) y analizar si existen diferencias de género con EM en las variables: deterioro físico (escala de fatiga EDSS), deterioro cognitivo (STROOP) y salud general (GHQ-28). Participaron 65 personas con EM, con leve disfunción neurológica, de las cuales 17 fueron hombres y 48 mujeres con edades comprendidas entre los 24 y 62 años. Los resultados muestran como la EM afecta a todos los dominios cognitivos y emocionales, probándose un efecto de rendimiento diferencial en relación al género.<strong></strong></p><p><strong>Abstract</strong></p><p>The aim of the present investigation is to determine the cognitive impairment in patients with Multiple Sclerosis (MS) and to analyze whether there are gender differences with MS in the variables: physical deterioration (EDSS fatigue scale), cognitive impairment (STROOP) and general health GHQ-28). A total of 65 MS patients with mild neurological dysfunction were included, of whom 17 were men and 48 were women between the ages of 24 and 62 (mean age = 40 years). The results show how MS disease affects all cognitive and emotional domains, proving a differential performance effect in relation to gender.</p>


2019 ◽  
Author(s):  
Jacqueline Nicholas ◽  
Batul Electricwala ◽  
Lulu K. Lee ◽  
Kristen M Johnson

Abstract Background: MS is prevalent among working age individuals (20-60 years), leading to high burden on work productivity. Few data are available about the absenteeism and presenteeism in employed individuals with MS in comparison to non-MS personnel. This study aimed to quantify the burden of illness of employed US adults with relapsing-remitting multiple sclerosis (RRMS) and examine burden by levels of work impairment. Methods: A retrospective cross-sectional analysis was conducted using patient-reported responses from the US National Health and Wellness Survey (NHWS). Data from NHWS 2015-2016 were analyzed from 196 employed RRMS respondents who were matched 1:4 to employed respondents without multiple sclerosis (MS) based on demographic and general health characteristics. Demographic and general health characteristics for employed RRMS individuals were analyzed by levels of work impairment (none, 1-30%; 31-68%; 69-100%). Work productivity (absenteeism, presenteeism, and work impairment), decrements in health-related quality of life (HRQoL) (short form-36, EQ-5D), and healthcare resource utilization (HCRU) were compared to determine the burden of RRMS. Results: After propensity score matching, the levels of absenteeism and presenteeism were 2 and 1.8 times higher in the employed RRMS population than the employed non-MS population, respectively (P<0.001 for both). HRQoL was significantly lower in employed respondents with RRMS than those without MS (P<0.001 for all). Employed respondents with RRMS had significantly more HCRU over 6 months compared to those without MS (P<0.001). Furthermore, among employed RRMS respondents, greater levels of impairment were associated with increasing disease severity, greater healthcare resource use, fatigue, and cognitive impairment and inversely associated with mental and physical HRQoL (P<0.0001 for all). Conclusions: Among employed individuals, respondents with RRMS had lower, work productivity, HRQoL, and higher HCRU as compared with those without MS. Given the large impact RRMS has on work impairment, a need exists to manage individuals on therapies that improve HRQoL, reduce symptoms, and improve their ability to perform in the workforce.


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