open access

Vol 52, No 6 (2018)
Original research articles
Submitted: 2019-11-05
Accepted: 2019-11-05
Get Citation

Psychiatric comorbidity in multiple sclerosis

S.P. Panda, R.C. Das, Kalpana Srivastava, Ashutosh Ratnam, Neha Sharma
Pubmed: 30274945
·
Neurol Neurochir Pol 2018;52(6):704-709.

open access

Vol 52, No 6 (2018)
Original research articles
Submitted: 2019-11-05
Accepted: 2019-11-05

Abstract

Aim: To study the prevalence of psychiatric comorbidities in patients of multiple sclerosis
and their association to the degree of disability.

Method: Psychiatric symptoms were assessed in 90 patients of multiple sclerosis using GHQ-12, MMSE, HADS, Beck Depression Inventory and AUDIT. Neurological disability was
assessed using Expanded Disability Status Scale. Correlations were determined between EDSS scores and psychiatric scale scores.

Result: 61% of patients had significant psychological distress. Depression was most common (38.8%) which was followed by anxiety symptoms (27.8%). Cognitive functioning was relatively intact in patients with mild to moderate neurological disability. Alcohol abuse
was mostly restricted to male gender.

Conclusion: Psychiatric illness is highly prevalent in patients of multiple sclerosis leading to poor quality of life and significant distress. Psychiatric disability was higher in patients who had greater deterioration in neurological function. All cases of MS should be assessed for psychiatric morbidities as can be alleviated by appropriate intervention.

Abstract

Aim: To study the prevalence of psychiatric comorbidities in patients of multiple sclerosis
and their association to the degree of disability.

Method: Psychiatric symptoms were assessed in 90 patients of multiple sclerosis using GHQ-12, MMSE, HADS, Beck Depression Inventory and AUDIT. Neurological disability was
assessed using Expanded Disability Status Scale. Correlations were determined between EDSS scores and psychiatric scale scores.

Result: 61% of patients had significant psychological distress. Depression was most common (38.8%) which was followed by anxiety symptoms (27.8%). Cognitive functioning was relatively intact in patients with mild to moderate neurological disability. Alcohol abuse
was mostly restricted to male gender.

Conclusion: Psychiatric illness is highly prevalent in patients of multiple sclerosis leading to poor quality of life and significant distress. Psychiatric disability was higher in patients who had greater deterioration in neurological function. All cases of MS should be assessed for psychiatric morbidities as can be alleviated by appropriate intervention.

Get Citation

Keywords

Multiple sclerosis, Psychiatric morbidity, Neurological disability

About this article
Title

Psychiatric comorbidity in multiple sclerosis

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 52, No 6 (2018)

Pages

704-709

Pubmed

30274945

Bibliographic record

Neurol Neurochir Pol 2018;52(6):704-709.

Keywords

Multiple sclerosis
Psychiatric morbidity
Neurological disability

Authors

S.P. Panda
R.C. Das
Kalpana Srivastava
Ashutosh Ratnam
Neha Sharma

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