A preliminary report on a skills-based telephone-administered peer support programme for patients with multiple sclerosis

2005 ◽  
Vol 11 (2) ◽  
pp. 222-226 ◽  
Author(s):  
David C Mohr ◽  
Heather Burke ◽  
Victoria Beckner ◽  
Natalia Merluzzi
Keyword(s):  
Multiple Sclerosis ◽  
Peer Support ◽  
Rating Scale ◽  
Depression Scale ◽  
Skills Training ◽  
Training Model ◽  
Epidemiological Studies ◽  
Composite Scale ◽  
Support Programme ◽  
Physical Health Composite Score

Objective: Peer-support interventions have shown no statistically significant or clinically meaningful effect on quality of life (QOL) or depressive symptoms for multiple sclerosis (MS) patients. Peer-support interventions for MS generally provide support but no skills training. The aim of this study was to evaluate a brief telephone-administered skills-training model of peer-support for patients with MS. Methods: Sixteen patients with MS showing signs of moderate distress received eight sessions of telephone-administered peer support (TAPS). TAPS is a manualized programme administered by peer-support counsellors diagnosed with MS. Using a workbook, peer-support counsellors teach skills to manage distress and MS symptoms. Subjective depression was assessed using the Center for Epidemiological Studies Depression Scale while objective depression was rated using the Hamilton Rating Scale for Depression. QOL was measured preand post-treatment using the SF-36. Results: The participants showed significant improvements on both the CESD (p=0.04) and the HRSD (p=0.01). Overall QOL improved significantly (p=0.045), however this was not reflected in either the Physical Health composite score or the Mental Health Composite Scale (p-0.17). Conclusions: These findings suggest that TAPS may prove to be an efficacious peer-support model for patients with MS.

Depressive symptoms in a treated multiple sclerosis cohort

2003 ◽  
Vol 9 (6) ◽  
pp. 616-620 ◽  
Author(s):  
Scott B Patten ◽  
Shanika Fridhandler ◽  
Cynthia A Beck ◽  
Luanne M Metz
Keyword(s):  
Multiple Sclerosis ◽  
Depressive Symptoms ◽  
Interferon Beta ◽  
Rating Scale ◽  
Epidemiological Studies ◽  
Treatment Groups ◽  
Increased Risk ◽  
The University ◽  
Depression Ratings

Background: Recent side effect data from clinical trials of interferon beta in multiple sclerosis (MS) have failed to confirm that these medications are associated with an increased risk of depression. However, these studies have used highly selected samples and the results may not be generalizable to real world settings. Methods: C linical data on subjects from southern A lberta who have applied for, or are receiving, public reimbursement for MS treatment are maintained in a database at the University of C algary Multiple Sclerosis C linic. Depression ratings obtained using the C enter for Epidemiological Studies Depression Rating Scale (C ES-D) are included in this database. In the current analysis, these longitudinal data were used to determine whether depressive symptoms were associated with disease-modifying treatments. Results: A t baseline, ratings were available for 163 subjects. Those choosing interferon beta resembled those choosing glatiramer acetate in most respects. During follow-up, no differences were observed in the prevalence or incidence of depression and C ES-D scores were not found to differ between the treatment groups. Conclusions: The failure to identify higher rates of depression both in previous intervention studies and in the current observational study provides confirmation that these drugs are not substantially associated with the occurrence of depression.

scholarly journals Online Mental Health Survey for Addressing Psychosocial Conditions During the COVID-19 Pandemic in Indonesia: Instrument Evaluation

2021 ◽  
Author(s):  
Deni Sunjaya ◽  
Bambang Sumintono ◽  
Elvine Gunawan ◽  
Dewi Herawati ◽  
Teddy Hidayat
Keyword(s):  
Rating Scale ◽  
Virus Disease ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Online Assessment ◽  
Validity And Reliability ◽  
Post Traumatic Stress ◽  
Chi Square ◽  
Self Rating ◽  
Psychosocial Conditions

Abstract Background: Regular monitoring of the pandemic’s psychosocial impact could be conducted among the community but is limited through online media. This study aims to evaluate the self-rating questionnaire commonly used for online monitoring of the psychosocial implications of the corona virus disease 2019 (COVID-19) pandemic. Methods: The data was taken from the online assessment results of two groups, with a total of 765 participants. The instruments studied were: Self-Rating Questionnaire (SRQ-20), post-traumatic stress disorder (PTSD), and Center for Epidemiological Studies Depression Scale-10 (CESD-10), used in the online assessment. Data analysis used Rasch modeling and Winsteps applications. Validity and reliability were tested, data were fit with the model, rating scale, and item fit analysis.Results: All the scales for outfit mean square (MnSq) were very close to the ideal value of 1.0, and the Chi-square test was significant. Item reliability was greater than 0.67, item separation was greater than 3, and Cronbach’s alpha was greater than 0.60; all the instruments were considered very good. The raw variance explained by measures for the SRQ-20, PTSD, and CESD-10 was 30.7%, 41.6%, and 47.6%, respectively. The unexplained Eigen-value variances in the first contrast were 2.3, 1.6, and 2.0 for the SRQ-20, PTSD, and CESD-10, respectively. All items had positive point-measure correlations. Conclusions: The internal consistency of all the instruments was reliable. Data were fit to the model as the items were productive for measurement and had a reasonable prediction. All the scales are functionally one-dimensional.

Validity of an Internet version of the Multiple Sclerosis Neuropsychological Questionnaire

2010 ◽  
Vol 16 (12) ◽  
pp. 1500-1506 ◽  
Author(s):  
Nadine Akbar ◽  
Kimia Honarmand ◽  
Nancy Kou ◽  
Brian Levine ◽  
Neil Rector ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Impairment ◽  
Sensitivity And Specificity ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Self Report ◽  
The Internet ◽  
Roc Curve Analysis ◽  
Internal Reliability ◽  
Neuropsychological Screening

Background: Neuropsychological batteries are long and require expertise to administer. For this reason, the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) was developed as it is quick and easy to complete. The informant version of the scale has proven to be a useful screen for cognitive impairment in multiple sclerosis (MS). Objective: The objective was to validate an Internet version of the MSNQ. Methods: The following psychometric data were collected at home over the Internet in 82 MS patients: (a) patient self-report version MSNQ (P-MSNQ), (b) informant version MSNQ (I-MSNQ), and (c) Center for Epidemiological Studies Depression Scale (CES-D). Thereafter patients underwent in-office testing with the Brief Repeatable Battery of Neuropsychological Tests (BRB-N). The sensitivity and specificity of the Internet MSNQ to detect cognitive impairment relative to the BRB-N was determined using receiver operating characteristic (ROC) curve analysis. Results: Thirty-five percent of the sample was cognitively impaired. The P-MSNQ was correlated with depression and two tests of the BRB-N. The I-MSNQ was correlated with depression and all five tests of the BRB-N. A cut-off score of 26 on the I-MSNQ gave a sensitivity and specificity of 72% and 60% respectively. Test-retest and internal reliability analyses were strong for both the P-MSNQ and I-MSNQ. Conclusion: This is the first attempt at an Internet validation of the MSNQ. The modest sensitivity and specificity values suggest that further research is needed before either the patient or informant version of the MSNQ can be used for neuropsychological screening purposes over the Internet.

scholarly journals The diagnostic validity of depression scales and clinical judgement in the Kurdistan region of Iraq

2012 ◽  
Vol 9 (4) ◽  
pp. 96-98 ◽  
Author(s):  
Zerak Al-salihy ◽  
Twana A. Rahim ◽  
Mahmud Q. Mahmud ◽  
Asma S. Muhyaldin ◽  
Alex J. Mitchell
Keyword(s):  
Rating Scale ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Mental Health Practitioners ◽  
Clinical Judgement ◽  
Kurdistan Region ◽  
Health Practitioners ◽  
Patient Health ◽  
Dsm Iv ◽  
Depression Scales

We aimed to find the depression rating scale with the greatest accuracy when applied by psychiatrists in Iraqi Kurdistan. We recruited 200 patients with primary depression and 200 controls living in the Kurdistan region of Iraq. The Mini International Neuropsychiatry Inventory (MINI) was used as a gold standard for DSM-IV depression. We also used: the two-item and the nine-item versions of the Patient Health Questionnaire (PHQ2, PHQ9), the Hospital Anxiety and Depression Scale (HADS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Centre for Epidemiological Studies Depression (CES-D) scale. Interviews were performed by psychiatrists who also rated their clinical judgement using the Clinical Global Impression (CGI) scale and other mental health practitioners. All scales and tools performed with high accuracy and reliability. The least accurate tool was the PHQ2; however, with only two items it was efficient. Sensitivity and specificity for all tools were above 90%. Clinicians using the CGI were accurate in their clinical judgement. The CDSS appeared to be the most accurate scale for DSM-IV major depression and the PHQ2 the most efficient. However, only the CDSS appeared to offer an advantage over psychiatrists' judgement.

Changes in the Rate of Diagnosis of Major Depression in Adolescents Following Routine Use of a Depression Rating Scale

2002 ◽  
Vol 36 (2) ◽  
pp. 229-233 ◽  
Author(s):  
Joseph M Rey ◽  
David Grayson ◽  
Tayebeh Mojarrad ◽  
Garry Walter
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Major Depression ◽  
Health Service ◽  
Patient Population ◽  
Rating Scale ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Initial Assessment ◽  
Self Rating

Objective: Because major depression in adolescents often goes undiagnosed, it is useful to establish whether clinicians’ rates of making this diagnosis in a specialist adolescent mental health service change when a self-rating depression scale is routinely administered. Method: A retrospective, naturalistic study examining the rate of diagnosis of major depression in a mental health service between 1993 and 1997. The intervention was the administration of the Center for Epidemiological Studies Depression Scale (CES-D) prior to initial assessment from September 1995 onwards. The proportion of clinical diagnoses of DSM-III-R or DSM-IV major depression was the outcome measure. Age, gender, ratings of depression and other confounding variables were used to control for changes in patient population over time. Results: One thousand three hundred and ten adolescents aged 12 to 17 years assessed between 1993 and 1997 were included. After taking into account potential confounders, diagnosis of major depression was 2.8 times (95% confidence interval 1.8, 4.3) as likely when the CES-D was in use. Increase was more marked when adolescents were more disturbed overall. There was no evidence suggesting this was due to changes in diagnostic practices or in the patient population. Conclusion: Availability to clinicians of a self-rating depression scale completed prior to assessment was associated with an increase in the frequency of diagnosis of depression in a specialist mental health service for adolescents.

scholarly journals Relationship Between Interpersonal Deressive Symptoms and Reduced Amygdala Volume in People with Multiple Sclerosis: Considerations for Clinical Practice

2020 ◽  
Author(s):  
Sarah Haines ◽  
Ernest Butler ◽  
Stephen Stuckey ◽  
Robert Hester ◽  
Lisa B. Grech
Keyword(s):  
Multiple Sclerosis ◽  
Brain Atrophy ◽  
Depression Scale ◽  
Hippocampal Volume ◽  
Epidemiological Studies ◽  
Cross Sectional ◽  
Regional Brain ◽  
Amygdala Volume ◽  
The Right ◽  
Regional Brain Atrophy

Abstract Background: The lifetime prevalence of depression in people with multiple sclerosis (MS) is approximately 50% compared with around 16% in the general population. There is a relationship between depression and quality of life in people with MS and evidence that depression may contribute to disease progression. Methods: This cross-sectional pilot study assessed the association between depression and regional brain atrophy, including amygdala and hippocampal volume. Forty-nine participants with MS recruited through a hospital MS clinic were administered the Center for Epidemiological Studies Depression Scale Revised (CESD-R) to investigate whether higher endorsement on the items depressive affect and interpersonal symptoms were associated with volumetric magnetic resonance imaging measurements of hippocampal and amygdala atrophy. Results: Regression analysis revealed an association between depression-related interpersonal symptoms and right amygdala volume. No association was found between depression and hippocampal volume. Conclusions: These results provide preliminary support for a unilateral, biologically based relationship between the right amygdala and characteristic interpersonal depressive symptoms expressed by people with MS and add to the growing body of literature implicating regional brain atrophy in MS-associated depression. Given that the interpersonal subcomponent of the CESD-R measures social functioning, and the neural networks in the amygdala are known to be implicated in processing social stimuli, this research suggests that targeted diagnosis and treatments for depression in people with MS may be particularly beneficial in this population. Further confirmatory research of this relationship is required.

scholarly journals Validation of the Korean Version of the Anosognosia Questionnaire for Dementia

2021 ◽  
Vol 18 (4) ◽  
pp. 324-331
Author(s):  
Gi Hwan Byeon ◽  
Woo Jin Kim ◽  
Min Soo Byun ◽  
Jun Ho Lee ◽  
So Yeon Jeon ◽  
...  
Keyword(s):  
Daily Living ◽  
Rating Scale ◽  
Depression Scale ◽  
Reliability And Validity ◽  
Epidemiological Studies ◽  
Activity Of Daily Living ◽  
Retest Reliability ◽  
Korean Version ◽  
Basic Activity ◽  
Test Retest Reliability

Objective Anosognosia is a common phenomenon in individuals with dementia. Anosognosia Questionnaire for dementia (AQ-D) is a well-known scale for evaluating anosognosia. This study aimed to establish a Korean version of the AQ-D (AQ-D-K) and to evaluate the reliability and validity of the AQ-D-K in patients with Alzheimer’s disease (AD) dementia.Methods We translated the original English version of AQ-D into Korean (AQ-D-K). Eighty-four subjects with very mild or mild AD dementia and their caregivers participated. Reliability of AQ-D-K was assessed by internal consistency and one-month test-retest reliability. Construct validity and concurrent validity were also evaluated.Results Internal consistencies of the AQ-D-K patient form and caregiver form were high (Cronbach alpha 0.95 and 0.93, respectively). The test-retest reliability of AQ-D-K measured by intra-class correlation coefficient was 0.84. Three factors were identified: 1) anosognosia of instrumental activity of daily living; 2) anosognosia basic activity of daily living; and 3) anosognosia of depression and disinhibition. AQ-D-K score was significantly correlated with the clinician-rated anosognosia rating scale (ARS), center for epidemiological studies-depression scale (CES-D) and state-trait anxiety inventory (STAI).Conclusion The findings suggest that the AQ-D-K is a reliable and valid scale for evaluating anosognosia for AD dementia patients using Korean language.

scholarly journals Psychological assessment of persons following suicide attempt by self-poisoning

2010 ◽  
Vol 67 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Gordana Dedic ◽  
Slavisa Djurdjevic ◽  
Boris Golubovic
Keyword(s):  
Suicide Attempt ◽  
Crisis Intervention ◽  
Psychological Assessment ◽  
Defense Mechanisms ◽  
Rating Scale ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Acting Out ◽  
Repeated Suicide Attempt ◽  
Suicidal Crisis

Background/Aim. Urgent psychiatric help and effective psychotherapeutic treatments are required soon after revival of a person after suicide attempt by self-poisoning. The aim of this article was to define an assessment of actual psychological characteristics of a person after suicide attempt by self-poisoning in order to apply psychotherapeutic crisis intervention after suicide attempt, as well as to show an approach to the treatment guided by the assessment that uses a psychodynamic model of suicidal crisis intervention based on our clinical experience. Methods. Hamilton Depression Rating Scale (HAMD), Center for Epidemiological Studies- Depression Scale (CES-D), Defensive Questionnaire Scale (DSQ-40), Scaling of Life Events (Paykel), and Pierce Suicide Intent Scale (SIS) were applied in 30 hospitalized persons following suicide attempt by self-poisoning and in 30 patients who had asked for psychiatric examination at the outpatient clinic due to various life crises not resulting in suicide attempt. The examinees of both groups were matched by sex, age, and education, professional and marital status. Comparison of the patient groups was done by the ttest. Logistic regression analysis was used for suicidal risk assessment. Results. The suicide attempters were depressed (HAMD = 22.60 ? 5.93, CES-D = 29.67 ? 7.99), with medium suicide risk factor (SIS = 4.5 ? 4.17), using immature (projection, dissociation, devaluation, acting-out) and neurotic (altruism) defense mechanisms. The most important motives for suicide attempt were separation problems, problems with parents and a problem of loneliness. The commonest feelings and thoughts of a subject preceding suicide attempt were a wish to escape an unbearable situation, loss of control, desire to show love for a partner and wish to be helped. After a suicide attempt, 90% of the persons felt relief because the attempt failed, although almost half of them intend to repeat it. The risk of repeated suicide attempt was 1.8 (90% CI = 0.09-37.70, p < 0.001) times higher if values on the SIS Total Score were increased and 1.62 (90% CI = 0.03-81.39, p < 0.001) times higher if values on the SIS 1 (Circumstances Score) subscale were increased, too. Conclusion. Before starting with psychotherapy for persons after suicide attempt by self-poisoning it is very important to define psychological assessment of a person, choose the treatment (out-patient clinic or inpatient/ hospital), assess indications for pharmacotherapy and psychotherapy that also must include a selection of patients for application of this therapeutic method. Assessment of conscientious and unconscientious conflicts leading to a suicide attempt represents initial basis for a therapist's work with a patient after suicide attempt and for application of psychotherapeutic crisis intervention.

Depression in multiple sclerosis: A long-term longitudinal study

2014 ◽  
Vol 21 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Marcus W Koch ◽  
Scott Patten ◽  
Sandy Berzins ◽  
Simon Zhornitsky ◽  
Jamie Greenfield ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
General Population ◽  
Antidepressant Treatment ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Antidepressant Use ◽  
Long Term Prognosis ◽  
Depressive Episodes

Background: Depression is a common comorbidity in multiple sclerosis (MS), but little is known about its long-term prognosis. Depression in the general population is usually episodic with relatively short-lasting depressive episodes. In this study we investigate the long-term prognosis of depression in MS. Methods: Using data from a large longitudinal observational study and from the Calgary MS clinic database, we investigated changes in Center for Epidemiological Studies Depression Scale (CESD) scores in MS patients over four years of follow-up. We used logistic regression to investigate the association of the factors sex, age, disease duration, Expanded Disability Status Scale (EDSS), depression at baseline, and antidepressant use with depression at each year of follow-up. Results: CESD scores remained largely stable, or decreased slightly over four years of follow-up, whereas EDSS scores steadily increased. Depression at baseline was the strongest predictor of depression at follow-up; the other factors were not or not consistently associated with depression at follow-up. As expected, antidepressant use was associated with a greater risk of depression at follow-up. Starting and stopping antidepressant treatment during follow-up was not associated with the risk of depression at follow-up or with significant change in CESD scores. Conclusion: In contrast to depression in the general population, depression in MS is largely chronic, which suggests a different pathophysiology.

Coping with multiple sclerosis

1989 ◽  
Vol 6 (2) ◽  
pp. 118-124 ◽  
Author(s):  
Sheila M. Greene ◽  
Anne Hickey
Keyword(s):  
Multiple Sclerosis ◽  
Sex Differences ◽  
Locus Of Control ◽  
Coping Strategies ◽  
Health Locus Of Control ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Control Scale ◽  
Coping Scale ◽  
Multidimensional Health

AbstractA questionnaire containing the Multidimensional Health Locus of Control scale, a focus of coping scale, the Centre for Epidemiological Studies Depression scale, and the Hopelessness scale was posted to 50 male and 50 female Dublin members of the Multiple Sclerosis Society of Ireland. The aim of the study was to examine ways in which people with multiple sclerosis cope with their illness, and to determine whether the coping strategies used were effective or ineffective in terms of the relations between the scales that were used. Sex differences on each of the scales were also examined. Results indicated that there were some sex differences on the locus of control scale. However, no sex differences were found on the focus of coping, or on the depression and hopelessness scales. Rather, both sexes were found to have mean depression and hopelessness scores above what is considered to be the norm for both of these scales.

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