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Psychiatric comorbidities like depression and anxiety are common in multiple sclerosis (MS) patients, increasing with neurological disability. Early assessment and intervention are crucial for managing MS patients

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Multiple sclerosisNeurological disabilityPsychiatric morbidity

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease.
  • Psychiatric comorbidities are frequently observed in MS patients.

Purpose of the Study:

  • To determine the prevalence of psychiatric comorbidities in multiple sclerosis patients.
  • To investigate the association between psychiatric conditions and the degree of neurological disability in MS.

Main Methods:

  • 90 MS patients were assessed for psychiatric symptoms using GHQ-12, MMSE, HADS, Beck Depression Inventory, and AUDIT.
  • Neurological disability was quantified using the Expanded Disability Status Scale (EDSS).
  • Correlations between EDSS scores and psychiatric assessment scores were analyzed.

Main Results:

  • 61% of MS patients experienced significant psychological distress.
  • Depression (38.8%) and anxiety symptoms (27.8%) were the most prevalent psychiatric issues.
  • Alcohol abuse was primarily identified in male patients; cognitive function remained relatively stable in those with mild to moderate disability.

Conclusions:

  • Psychiatric illness is highly prevalent in MS, negatively impacting quality of life.
  • Greater neurological deterioration in MS patients correlated with increased psychiatric disability.
  • Routine psychiatric screening for all MS patients is recommended for timely intervention and improved outcomes.