Anxiety and social activities in multiple sclerosis patients

AbstractDespite that the prevalence of depression has been thoroughly analyzed in multiple sclerosis (MS) patients and affects approximately 15%–20% of the MS population, attention paid to social activities concomitant with anxiety is still too sporadic. The aim of this study was to find the prevalence of anxiety and social activities aggraded/aggravated with anxiety in the MS population in Lithuania and to analyze how it correlates with socio-demographic factors, clinical outcomes of MS and depression. Three hundred twelve MS patients took part in this study; anxiety prevalence was pointed in 20.2%. Only 23.4% of the study population was socially active. Our study shows a significant level of anxiety and low level of social activity in people with MS. Anxiety in MS patients was strongly related with younger age, shorter MS duration, prevalence of depression and lower level of social activity. A higher level of social activity was significantly related with older urban MS patients who indicated family status as living together and longer MS duration.

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Multiple Sclerosis Patients in Saudi Arabia: Prevalence of Depression and its Extent of Severity

Cureus ◽

10.7759/cureus.7005 ◽

2020 ◽

Author(s):

Hamad Alhussain ◽

Abdulaziz A Aldayel ◽

Abdulaziz Alenazi ◽

Faris Alowain

Keyword(s):

Multiple Sclerosis ◽

Saudi Arabia ◽

Prevalence Of Depression ◽

Multiple Sclerosis Patients

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Multiple Sclerosis and Catastrophic Health Expenditure in Iran

Global Journal of Health Science ◽

10.5539/gjhs.v8n9p194 ◽

2016 ◽

Vol 8 (9) ◽

pp. 194 ◽

Cited By ~ 4

Author(s):

Yaser Juyani ◽

Dorsa Hamedi ◽

Seyede Sedighe Hosseini Jebeli ◽

Maryam Qasham

Keyword(s):

Multiple Sclerosis ◽

Health Insurance ◽

Health Expenditure ◽

Catastrophic Health Expenditure ◽

Medical Conditions ◽

Equity In Health ◽

Catastrophic Health Expenditures ◽

Study Population ◽

Multiple Sclerosis Patients ◽

Logit Regression Model

BACKGROUND: There are many disabling medical conditions which can result in catastrophic health expenditure. Multiple Sclerosis is one of the most costly medical conditions through the world which encounter families to the catastrophic health expenditures. This study aims to investigate on what extent Multiple sclerosis patients face catastrophic costs.METHOD: This study was carried out in Ahvaz, Iran (2014). The study population included households that at least one of their members suffers from MS. To analyze data, Logit regression model was employed by using the default software STATA12.RESULTS: 3.37% of families were encountered with catastrophic costs. Important variables including brand of drug, housing, income and health insurance were significantly correlated with catastrophic expenditure.CONCLUSIONS: This study suggests that although a small proportion of MS patients met the catastrophic health expenditure, mechanisms that pool risk and cost (e.g. health insurance) are required to protect them and improve financial and access equity in health care.

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Telephone-based assessment of multiple sclerosis patients at Ain Shams University Hospital in the coronavirus disease 2019 pandemic

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-021-00316-1 ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Mohamed A. Abdel Hafeez ◽

Dina A. Zamzam ◽

Mahmoud S. Swelam ◽

Alaa Abo Steit ◽

Janet Masoud ◽

...

Keyword(s):

Multiple Sclerosis ◽

Motor Impairment ◽

University Hospital ◽

Healthcare Facilities ◽

Significant Difference ◽

Study Population ◽

Psychological Impairment ◽

Multiple Sclerosis Patients ◽

Post Hoc

Abstract Background Assessment of multiple sclerosis (MS) patients during the era of the coronavirus disease 2019 (COVID-19) pandemic was confronted with the overwhelmed healthcare facilities in Egypt and fear of the patients to get infected while attending the follow-up visits. This study aimed to assess the value of telephone-based assessments in the follow-up of MS patients. It includes one hundred and five patients who participated in the study and completed 3 telephone-based assessments which are the Hauser Ambulation index, Multiple Sclerosis Neuropsychology Questionnaire (MSNQ), and Symptoms of Multiple Sclerosis Scale (SMSS). Results The Hauser Ambulation index was significantly correlated with the latest Expanded Disability Status Scale (EDSS) score done within 1 month from the telephone call (r=0.738, P<0.001). The analysis of MSNQ scores showed that one-third of the study population had evidence of cognitive and/or neuropsychological impairment. Post hoc analysis regarding the cognitive and psychological impairment component of SMSS revealed that the patients who answered “Never” had significantly lower MSNQ scores compared to those who answered “Sometimes” (P=0.016), “Often” (P=0.022), and “Always” (P=0.001). The comparison of the EDSS scores of the patients regarding the sensory-motor impairment component of SMSS showed a non-significant difference. Conclusion The Hauser Ambulation index may be a reliable telephone-based tool for the assessment of physical disability. The MSNQ and the cognitive and psychological impairment component of SMSS can be used for the assessment of cognitive and psychological impairment among patients with MS.

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MRI Spinal Cord Lesions in a Cohort of Multiple Sclerosis Patients in Saskatchewan, Canada

International Journal of MS Care ◽

10.7224/1537-2073.2019-081 ◽

2020 ◽

pp. 0000-0000

Author(s):

Aman Saini ◽

Kevin Bach ◽

Ilia Poliakov ◽

Katherine B. Knox ◽

Michael C. Levin

Keyword(s):

Multiple Sclerosis ◽

Spinal Cord ◽

Cervical Cord ◽

Spinal Cord Lesions ◽

Cross Sectional ◽

Demographic Profiles ◽

Disease Modifying Therapy ◽

Younger Age ◽

Magnetic Resonance Imaging Mri ◽

Multiple Sclerosis Patients

Abstract Background: Spinal cord lesions (SCLs) contribute to disability in multiple sclerosis (MS). There is a lack of data in Saskatchewan concerning SCLs and their association with disability levels in MS patients. The objectives of this study were to: identify clinical-demographic profiles of MS patients with respect to spinal cord magnetic resonance imaging (MRI) involvement; determine frequency of individuals with spinal cord MRI lesion(s) and; explore differences between MS patients with and without SCLs with respect to disability and disease modifying therapy (DMT) status. Methods: A monocentric, cross-sectional, retrospective review of prospectively collected data from 532 research consented patients seen at Saskatoon MS Clinic was performed. Data was collected from a database and electronic medical records. Descriptive statistics and logistic regression were conducted using SPSS. Results: 356 of 532 (66.9%) had SCLs. Of the 356 patients with a SCL, 180 (50.5%) had cervical cord lesions. Median Expanded Disability Status Scale (EDSS), ambulation and pyramidal scores of SCL patients were higher than non-SCL (NSCL) patients. SCL patients with EDSS ≥ 6 were younger than NSCL patients with EDSS ≥ 6 (P = .01). SCL patients were 55% less likely to have been on continuous DMT since diagnosis than NSCL patients (adjusted OR = 0.45, 95% CI = 0.25–0.81, P = .008). Conclusions: Prevalence and association with disability of SCLs in MS patients are comparable to existing literature. MS patients with SCLs have higher levels of disability and attain EDSS ≥6 at a younger age.

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The relationships between depression and life activities and well-being of multiple sclerosis patients

Open Medicine ◽

10.2478/s11536-011-0059-4 ◽

2011 ◽

Vol 6 (5) ◽

pp. 652-661 ◽

Cited By ~ 2

Author(s):

Rytis Leonavičius ◽

Virginija Adomaitienė ◽

Darius Leskauskas

Keyword(s):

Multiple Sclerosis ◽

Family Life ◽

Well Being ◽

Clinical Factors ◽

Professional Activities ◽

Factors Analysis ◽

Prevalence Of Depression ◽

Icd 10 ◽

Reimbursement List ◽

Multiple Sclerosis Patients

AbstractMultiple sclerosis (MS) is one of the most disabling neurodegenerative disorders. Depression is the most frequent psychiatric disorder accompanying MS. Although much attention is given to correlations between depression and MS clinical factors, analysis of correlations between depression and life activities (social, household, professional activities and family life) and the well-being of MS patients’ is insufficient. However, improvement of these functions could positively influence the outcomes of MS treatment. The aim of this study was to evaluate relationships between depression, life activities of MS patients, and their proposals how to improve the well-being. Materials and methods. The study lasted three years with 270 adult MS patients involved in it. ICD-10 criteria were used to diagnose depression. Original questionnaire was used to measure life activities and the well-being of the patients. Results. Prevalence of depression was 20.7% with no difference regarding the gender. Almost 84% of depressed respondents indicated, that MS disturbs their family life, 71.4% recommended to assign more attention to MS in general and 64.3% — to include more medications into reimbursement list. Conclusions. MS patients diagnosed with depression significantly more often than non-depressed indicate that MS disturbs their family life; recommend to assign more attention to MS in general and to include more medications into reimbursement list.

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