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Psychiatric aspects of multiple sclerosis.

M A Arias Bal1, J L Vázquez-Barquero, C Peña

  • 1Department of Psychiatry, University Hospital Valdecilla Medical School, University of Cantabria, Santander, Spain.

Acta Psychiatrica Scandinavica
|April 1, 1991
PubMed
Summary

This study found that over half of multiple sclerosis patients experience psychopathology, with depression affecting 22%. Neuropsychological deterioration was also common, highlighting the need for integrated mental health care in multiple sclerosis (MS) management.

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Area of Science:

  • Neurology
  • Psychiatry
  • Neuropsychology

Background:

  • Multiple sclerosis (MS) is a chronic neurological disorder.
  • Psychiatric and cognitive impairments are frequently observed in MS patients.
  • Comprehensive assessment of psychopathology and neuropsychological function is crucial for MS patient care.

Purpose of the Study:

  • To determine the prevalence of psychopathology and neuropsychological deterioration in patients with definite multiple sclerosis.
  • To investigate the association between psychopathology and patient characteristics.

Main Methods:

  • A consecutive sample of 50 definite multiple sclerosis patients was assessed.
  • Psychopathology was evaluated using the Clinical Interview Schedule (CIS) and other instruments.

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  • Neuropsychological function was assessed using the Benton Visual Retention Test.

    • Main Results:

    • A global prevalence of psychopathology of 54% was observed.
    • Depression was present in 22% of the sample.
    • 46% of patients showed signs of neuropsychological deterioration on the Benton Visual Retention Test.
    • Associations between psychopathology and social/neurological characteristics were of low significance.

    Conclusions:

    • Psychopathology and neuropsychological deterioration are highly prevalent in multiple sclerosis.
    • These findings underscore the importance of routine screening for mental health and cognitive issues in MS care.
    • Further research is needed to explore the factors influencing psychopathology in MS.