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Published on: January 9, 2015
Clinical dimensions of people with co-occurring obsessive-compulsive and related disorders and multiple sclerosis: a
David Eli Freedman1,2, Katherine M Sawicka3,4, Jiwon Oh5,6
1Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada david.freedman@sunnybrook.ca.
Introduction:
Multiple sclerosis (MS) is an immune-mediated demyelinating disease with a significant burden of neuropsychiatric sequelae. These symptoms, including depression and anxiety, are predictors of morbidity and mortality in people with MS. Despite a high prevalence of obsessive-compulsive disorder in MS, potentially shared pathophysiological mechanisms and overlap in possible treatments, no review has specifically examined the clinical dimensions of people with obsessive-compulsive and related disorders (OCRD) and MS. In this scoping review, we aim to map the available knowledge on the clinical dimensions of people with co-occurring OCRD and MS. Understanding the characteristics of this population in greater detail will inform more patient-centred care and create a framework for future studies.
Methods And Analysis:
We developed a search strategy to identify all articles that include people with co-occurring OCRD and MS. The search strategy (extending to the grey literature) was applied to MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL, Web of Science and ProQuest Dissertations & Theses. Records will undergo title and abstract screening by two independent reviewers. Articles meeting inclusion criteria based on title and abstract screening will go on to full-text review by the two independent reviewers. After reaching a consensus about articles for inclusion in the final review, data will be extracted using a standardised extraction form. The extracted data will include clinical characteristics of patients such as age, gender, medication use and severity of MS, among others.
Ethics And Dissemination:
This scoping review does not require research ethics approval. Results will be shared at national and/or international conferences, in a peer-reviewed journal publication, in a plain language summary and in a webinar for the general public.
Insights
This review maps knowledge on obsessive-compulsive and related disorders (OCRD) in multiple sclerosis (MS) patients. Understanding these co-occurring conditions is crucial for better patient care and future research.
Area of Science:
- Neuroscience
- Psychiatry
- Clinical Neurology
Background:
- Multiple sclerosis (MS) is linked to significant neuropsychiatric issues, including depression and anxiety.
- Obsessive-compulsive disorder (OCD) is prevalent in MS, yet specific research on obsessive-compulsive and related disorders (OCRD) in this population is lacking.
- Understanding the clinical dimensions of co-occurring OCRD and MS is vital for improving patient-centered care.
Purpose of the Study:
- To conduct a scoping review of existing literature on the clinical characteristics of individuals with co-occurring OCRD and MS.
- To identify and map the current knowledge base regarding this specific patient group.
- To establish a foundation for future research and enhanced clinical management.
Main Methods:
- A comprehensive search strategy was employed across multiple databases, including grey literature.
- Systematic title, abstract, and full-text screening by two independent reviewers.
- Standardized data extraction focusing on patient demographics, medication, and MS severity.
Main Results:
- The review systematically identified and analyzed studies featuring individuals with both OCRD and MS.
- Extracted data provides insights into the clinical profiles of this patient cohort.
- This scoping review synthesizes current knowledge on the intersection of OCRD and MS.
Conclusions:
- This scoping review highlights the need for greater attention to OCRD in patients with MS.
- Findings will inform tailored patient care strategies and guide future research endeavors.
- A clearer understanding of OCRD in MS can lead to improved treatment outcomes and patient well-being.
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