Prevalence of psychiatric disorders in multiple sclerosis patients: A cross-sectional study

Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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JR_AJNPP-9-2_006

تاریخ نمایه سازی: 1 مرداد 1401

Abstract:

Introduction and Objective: The incidence risk of psychiatric disorders is higher in patients with multiple sclerosis (MS) than in the general population. This cross-sectional study aimed to evaluate the frequency of psychiatric disorders in patients with MS referring to Sina Hospital in Hamadan, western Iran, from ۲۰۱۶ to ۲۰۱۹. Materials and Methods: This cross-sectional study was performed on ۹۵ patients with MS referring to Sina Hospital in Hamadan, ۲۰۱۶-۲۰۱۹. Demographic information, illness duration, and psychiatric disorders were collected using the Symptom Checklist-۹۰-Revised (SCL-۹۰-R) questionnaire in ۲۰۱۶-۲۰۱۷. Data were analyzed in SPSS software (version ۱۶) using the Chi-square test and Spearman correlation coefficient. Results: The most common psychiatric disorders in these patients were found to be depression in ۳۶ (۳۹.۱%) cases, phobic anxiety in ۳۳ (۳۴.۷%) subjects, and somatization in ۳۳ (۳۴.۷%) patients. The least prevalence rates of the disorders were reported for psychoticism in ۱۷ (۱۷.۹%) cases and paranoid ideations in ۱۸ (۱۸.۹%) cases. In all psychiatric disorders, except obsessive-compulsive disorder, the frequency of psychiatric disorders was higher in women than in men (۲۷.۱% vs. ۱۳.۸%), and the only significant difference between the two groups was observed in the anxiety dimension (P=۰.۰۰۲). There was a significant positive correlation between the mean scores of the global severity index and the Expanded Disability Status Scale (r=۰.۴۱, P =۰.۰۰۱). Conclusion: The findings of this study showed that in patients with MS, depression, somatization, and phobic anxiety were the most common psychiatric disorders that were associated with increased severity of the disability.

Authors

Amir Keshavarzi

Assistant Professor of Psychiatry, Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

Fahimeh Salimi

General Practitioner, Hamadan University of Medical Sciences, Hamadan, Iran

Mehrdokht Mazdeh

Department of Neurology, Hamadan University of Medical Sciences, Hamadan, Iran

Azar Pirdehghan

Department of Social Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

Mohammad Ahmadpanah

Professor of Clinical Psychology and Cognitive Sciences, Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

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