Cited by 124Multiple Sclerosis Research StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCancer survivorship and care

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Anxiety and depression in multiple sclerosis patients around diagnosis

Giordano, Andrea, Granella, Franco, Lugaresi, Alessandra, Martinelli, Vittorio, Trojano, Maria, Confalonieri, Paolo, Radice, Davide, Solari, Alessandra·2011·Journal of the Neurological Sciences

DOI 10.1016/j.jns.2011.05.008

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Abstract

Objectives To prospectively identify anxiety and depressive symptoms, and their predictors, during the multiple sclerosis (MS) peridiagnostic period.Methods The Hospital Anxiety and Depression Scale (HADS) was administered during diagnostic workup (baseline), and one and six months after diagnosis disclosure, to SIMS-Trial participants (ISRCTN81072971).Results Of 197 screened patients, 120 (61%) were diagnosed with MS. At baseline, median HADS anxiety (HADS-A) score was 7.0 (interquartile range [IQR] 5.0-9.5), ≥8 (anxiety cut-off) in 43% (95% confidence interval [CI] 34%-52%). Median HADS depression (HADS-D) was 3.0 (IQR 1.0-5.0), ≥8 (depression cut-off) in 11% (95% CI 5%-16%). Independent predictors of anxiety were female sex (odds ratio [OR] 2.8, 95% CI 1.1-7.2) and HADS-D score (OR 20.8, 95% CI 2.5-175.5). The only predictor of depressive symptoms was HADS-A score (OR 20.0, 95% CI 2.8-260.9). Anxiety symptoms had decreased slightly but significantly (p<0.001) at six months. Depressive symptoms remained low.Conclusions Anxiety was prominent in the period surrounding MS diagnosis disclosure, particularly in women. A slight but significant reduction occurred six months after diagnosis disclosure. Depressive symptoms were less common and stable over time. In addition to sex, depressive symptoms were the only variable independently associated with anxiety.

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Authors: Giordano, A., Granella, F., Lugaresi, A., Martinelli, V., Trojano, M., Confalonieri, P., Radice, D., & Solari, A.
Affiliations: Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
University of Parma (IT)
University of Chieti-Pescara (IT)
IRCCS Ospedale San Raffaele (IT)
European Institute of Oncology (IT)
Corresponding author: Solari, Alessandra
ORCID: Giordano, Andrea
Lugaresi, Alessandra
Confalonieri, Paolo
Solari, Alessandra
Venue: Journal of the Neurological Sciences
Publisher: Elsevier BV
Published: 2011-08
Volume: 307
Issue: 1-2
Pages: 86-91
ISSN: 0022-510X (ISSN-L)
DOI: 10.1016/j.jns.2011.05.008
OpenAlex: W1998970209
Cited by: 123
References: 41
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 15 · 2020: 12 · 2019: 13 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 12 · 2014: 8 · 2013: 10 · 2012: 3
FWCI: 4.73
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the Neurological Sciences (publishedVersion)
PubMed (publishedVersion)
Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
CINECA IRIS Institutional Research Information System (University of Bari Aldo Moro) (submittedVersion)
Funders: Fondazione Italiana Sclerosi Multipla (2007/R/19)
Topics: Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: multiple sclerosis, anxiety, depressive symptoms, diagnosis disclosure, sex differences, predictors of anxiety, Hospital Anxiety and Depression Scale
MeSH terms: Adult, Anxiety, Anxiety Disorders, Depression, Depressive Disorder, Diagnostic Techniques, Neurological, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Prospective Studies, Comorbidity

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Anxiety and depression in multiple sclerosis patients around diagnosis

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