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A computer-based screening method for distress in patients with multiple sclerosis: a feasibility study.

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  • 1Department of Psychiatry, VU University Medical Center and GGZinGeest, Amsterdam, Netherlands. r.boeschoten@ggzingeest.nl.

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Summary

Computer-based screening effectively identifies distress in multiple sclerosis (MS) patients, proving feasible and user-friendly. This method helps detect psychological and physical needs, improving patient care and well-being.

Keywords:
anxietycognitive functioningcomputer-baseddepressiondistressfeasibilitymultiple sclerosisscreening

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Area of Science:

  • Neurology
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • High prevalence of anxiety, depression, pain, and cognitive impairment in multiple sclerosis (MS) patients impacts well-being.
  • Undetected distress symptoms necessitate regular screening for timely intervention.
  • Screening can identify patients needing referral to appropriate care and support services.

Purpose of the Study:

  • To pilot a novel computer-based screening tool for psychological and physical distress in 43 MS patients.
  • To assess the feasibility and usability of the digital screening method.
  • To evaluate the efficiency of screening for various distress symptoms.

Main Methods:

  • Utilized a touch screen computer for data collection on feasibility and distress levels.
  • Assessed anxiety, depression, fatigue, physical disability, and cognitive functioning.
  • Retrospectively reviewed referrals to psychosocial care and rehabilitation.

Main Results:

  • High patient acceptance: 88% found the screening meaningful; 93% found it usable.
  • Efficient screening: average completion time under 8 minutes.
  • Significant distress identified: 88% of patients exhibited elevated distress levels, with most receiving referrals.

Conclusions:

  • Computer-based screening is a feasible method for identifying MS-related psychological and physical needs within clinical settings.
  • The tool effectively aids in referring patients requiring psychosocial care and rehabilitation.
  • Further research via randomized controlled trials is recommended to confirm effectiveness, cost-efficiency, and impact on routine care.