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Psychological aspects of multiple sclerosis
Abstract
A significant incidence and prevalence of psychological disorders in multiple sclerosis (MS) has been reported. Their underlying mechanisms and the extent to which they are reactive to psychosocial factors or symptoms of the pathological process itself, remain unclear. Depression is the predominant psychological disturbance with lifetime prevalence around 50% and annual prevalence of 20%. Depression is commoner during relapses, may exacerbate fatigue and cognitive dysfunction and no firm evidence exists of its induction by interferon; instead, treating depression improves adherence to disease-modifying drugs. Anxiety is also frequent, occurs in newly diagnosed patients, and its co-morbidity with depression has been suggested to increase the rate of suicidal ideation. The relationship between stress and MS is an attractive issue because some studies pointed to an association between stressful life-events and MS onset/relapses; however, the evidence supporting this hypothesis is not conclusive so far. Other psychiatric illnesses, as bipolar affective disorder, pathological laughing and crying or psychosis occur less frequently in MS. Therapeutic strategies include psychotherapy, cognitive behavioural therapy, strengthen of coping, and specific medications. The "art" of the MS team in providing the best individualized care is emphasized, aiming to reduce the burden of the disease and improve the patients' quality of life.
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“Anxiety can aggravate disease symptoms, such as fatigue and cognitive complaints, and has a negative influence on one’s work and social life.4”
From EMDR treatment for anxiety in MS patients: A pilot study (2020) · cites this paper as [4]
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Salehpoor, G., Kafi, S. M., Rezaei, S., Hosseininezhad, M., & Salehi, I. (2012) · Zahedan Journal of Research in Medical Sciences · Cited by 7
The challenges of healthcare delivery to people with multiple sclerosis in Iran
Abolhassani, S., Yazdannik, A., Taleghani, F., & Zamani, A. (2015) · Journal of Education and Health Promotion · doi:10.4103/2277-9531.171796 · Cited by 7
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Costa, D. C., Sá, M. J., & Calheiros, J. M. (2011) · Revista de Neurología · doi:10.33588/rn.5308.2011161 · Cited by 6
Self-citationPsychiatric Disorders, Stress, and Their Treatment Among People with Multiple Sclerosis
Mohr, D. C. (2011) · Springer eBooks · doi:10.1007/978-1-4419-0029-6_8 · Cited by 6
Soltani, E., Izadi, S., Sharifi, P., & Poursadeghfard, M. (2022) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.113524 · Cited by 5
Moral Judgment: An Overlooked Deficient Domain in Multiple Sclerosis?
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Metadata
- Authors
- Sá, M. J.
- Venue
- Clinical Neurology and Neurosurgery
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 110
- Issue
- 9
- Pages
- 868-877
- ISSN
- 0303-8467 (ISSN-L)
- OpenAlex
- W2075214874
- Cited by
- 155
- References
- 122
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 9 · 2022: 8 · 2021: 7 · 2020: 4 · 2019: 8 · 2018: 11 · 2017: 11 · 2016: 12 · 2015: 9 · 2014: 10 · 2013: 10 · 2012: 10
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Neurology and Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- multiple sclerosis, depression, anxiety, psychological comorbidity, relapse, fatigue, cognitive impairment, stress, life events, bipolar disorder, psychosomatic symptoms, psychosis, suicidal ideation, psychosocial factors, coping, cognitive behavioral therapy, psychotherapy, quality of life, individualized care
- MeSH terms
- Anxiety, Depression, Humans, Multiple Sclerosis, Psychotic Disorders, Stress, Psychological, Mood Disorders
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