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Psychiatric symptoms in patients with multiple sclerosis
Gökhan Sarısoy1, Murat Terzi, Kübra Gümüş
1Ondokuz Mayis University School of Medicine Samsun/Turkey. gokhansarisoy@gmail.com
General Hospital Psychiatry
|December 25, 2012
Summary
Multiple sclerosis (MS) patients experience a wide range of psychiatric symptoms beyond depression and anxiety, with increased prevalence correlating to disease severity and disability. These findings highlight the need for broader mental health screening in MS care.
Area of Science:
- Neurology
- Psychiatry
- Clinical Psychology
Background:
- Multiple sclerosis (MS) is a chronic neurological disease.
- Psychiatric symptoms are common in MS, but often under-recognized.
- Existing research primarily focuses on depression, anxiety, and sleep disturbances.
Purpose of the Study:
- To identify a comprehensive spectrum of psychiatric symptoms in MS patients.
- To examine the distribution of these symptoms based on MS type and disability level.
Main Methods:
- 152 participants (76 MS patients, 76 controls) were assessed.
- Standardized psychiatric symptom inventories (e.g., Symptom Checklist-90-R, Beck Depression Inventory) were used.
- Expanded Disability Status Scale (EDSS) measured neurological disability.
Main Results:
- MS patients exhibited higher rates of depression, anxiety, and sleep issues.
- Less commonly studied symptoms like somatization, obsession, and paranoia were also significantly more frequent in MS patients.
- Symptom severity increased with progressive MS types and greater neurological disability.
Conclusions:
- Psychiatric manifestations in MS extend beyond common symptoms like depression and anxiety.
- A broader range of psychiatric symptoms are prevalent in MS patients.
- Disease progression and disability significantly correlate with increased psychiatric symptom burden.
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