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Anxiety, emotional processing and depression in people with multiple sclerosis
Marie-Claire Gay1, Catherine Bungener2,3, Sarah Thomas4
1Psychology Department, University of Paris West, Nanterre, France. marieclaire.gay@gmail.com.
Anxiety significantly predicts depression in multiple sclerosis (MS) patients, directly and indirectly, by affecting emotional processing and negative emotions. Early assessment and treatment of anxiety are crucial for managing depression in MS.
Area of Science:
- Neuroscience
- Psychiatry
- Clinical Psychology
Background:
- Multiple sclerosis (MS) frequently co-occurs with anxiety and depression, yet their inter-relationships remain poorly understood.
- Emotional processing is a key domain potentially linking mood disturbances in MS.
- Understanding these links is vital for comprehensive patient care.
Purpose of the Study:
- To investigate the complex relationships between mood, emotional processing, and coping strategies in individuals with MS.
- To determine how anxiety influences emotional processing, emotional balance, coping, and depression in the MS population.
Main Methods:
- A cross-sectional study involving 189 individuals diagnosed with MS.
- Utilized a battery of validated questionnaires assessing anxiety/depression (HADS), emotional processing (EPS-25), emotionality (EPN-31), alexithymia, and coping (CHIP-Neuro).
- Employed path analysis to explore inter-relationships between measured domains.
Main Results:
- Anxiety was identified as a significant predictor of depression, explaining 48% of its variance, acting both directly and indirectly.
- Indirect effects of anxiety on depression were mediated by "Unregulated Emotion" (EPS-25 subscale) and negative emotionality (EPN-31).
- Gender and functional status (EDSS) had minor roles; non-depressed MS patients reported high negative and low positive emotions.
Conclusions:
- Anxiety acts as a vulnerability factor for depression in MS through direct and indirect pathways.
- Systematic assessment and treatment of anxiety symptoms are recommended to mitigate depression risk in individuals with MS.
- Targeting anxiety may improve emotional regulation and reduce depressive symptoms in this population.
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