The DOI matches its Crossref record; 103 of the 103 references it cites were found in a registry or an index.
Depression in multiple sclerosis
Abstract
Depressive disorders occur in up to 50% of people living with multiple sclerosis (MS). Prevalence estimates are generally 2-3-times higher than those of the general population. Myriad aetiologic factors may contribute to the aetiology of depression in MS including biological mechanisms (e.g. hippocampal microglial activation, lesion burden, regional atrophy), as well as the stressors, threats, and losses that accompany living with an unpredictable and often disabling disease. Some prominent risk factors for depression such as (younger) age, (female) sex, and family history of depression are less consistently associated with depression in MS than they are in the general population. Management of depression in MS has not been well studied, but available data on detection and treatment align with general principles of depression management. While the validity of standard measurement scales has often been questioned, available evidence suggests that standard scales provide valid ratings. Evidence for the effectiveness of depression treatments in MS is limited, but available evidence supports the effectiveness of standard treatment approaches, including both cognitive behavioural therapies and antidepressant medications.
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“patients with autoimmune diseases with elevated TH17 cells often exhibit comorbid depression (Kurd et al., 2010; Patten et al., 2017).”
From Distinct characteristics of hippocampal pathogenic th17 cells in a mouse model of depression (2018) · cites this paper as Patten et al., 2017
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988
The PHQ-9: A New Depression Diagnostic and Severity Measure
Kroenke, K., & Spitzer, R. L. (2002) · Psychiatric Annals · doi:10.3928/0048-5713-20020901-06 · Cited by 5,898 · cited 2×
“…samples from clinical settings or volunteer community samples, a recent national survey conducted in Canada used the Brief Patient Health Questionnaire (Kroenke & Spitzer, 2002; Spitzer, Kroenke, Williams, & Group, 1999), or PHQ-9, in a probability sample representative of the household population.”
MethodEndicott, J. (1978) · Archives of General Psychiatry · doi:10.1001/archpsyc.1978.01770310043002 · Cited by 5,686
Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30622-6 · Cited by 5,403
Kessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · PubMed · Cited by 4,426
The role of inflammation in depression: from evolutionary imperative to modern treatment target
Miller, A. H., & Raison, C. L. (2016) · Nature Reviews Immunology · doi:10.1038/nri.2015.5 · Cited by 3,942 · cited 1×
“Inflammatory changes are implicated in the aetiology of depression generally (Miller & Raison, 2016), providing another set of candidate mechanisms that may link depression to MS (Feinstein et al., 2014).”
BackgroundThe world health organization composite international diagnostic interview short-form (CIDI-SF)
Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. (1998) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.47 · Cited by 2,242
Research works printed but not linked: 7
- First M., 1997, Structured clinical interview for DSM-IV Axis I disorders. Research version, non-patient edition (SCID-I/NP)
- Goldenberg M.M., 2012, p T, 37, 175
- 10.1037//0022-006X.69.6.942 · DOI · Paper page
- 10.1037/0022-006X.68.2.356 · DOI · Paper page
- 10.1037/0278-6133.18.4.383 · DOI
- 10.1191/135245800678827536 · DOI
- Salehpoor G., 2014, Iranian Journal of Nursing and Midwifery Research, 19, 593
Cited by
Sorted by citations
Items 201–262 of 262
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Karcı, M. T., Özyurt, E., Ercan, M. B., Kenar, S. G., Demirdöğen, F., Özenç, B., Beton, Ö. E., Türkmen, N., Şen, M., Açıkgöz, M., et al. (2022) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.1350
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Campese, S., Lyons, J. N., Learmonth, Y. C., Metse, A. P., Kermode, A. G., Marck, C. H., & Karahalios, A. (2024) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2024.105763
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Chapter 22. Neurocognitive Disorders
Merideth, F. L., Vahia, I. V., & Jeste, D. V. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg22
Chapter 2. The Neurological Examination for Neuropsychiatric Assessment
Benjamin, S., & Lauterbach, M. D. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg02
Chapter 25. Somatic Symptom and Related Disorders
Dickerman, A. L., & Muskin, P. R. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg25
Chapter 1. An Internist’s Approach to the Neuropsychiatric Patient
Rencic, J. J., & Salem, D. N. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg01
Chapter 4. Neuroimaging, Electroencephalography, and Lumbar Puncture in Medical Psychiatry
Talmasov, D., & Klein, J. P. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg04
Chapter 6. Cardiovascular Disease
Shapiro, P. A. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg06
Chapter 7. Endocrine Disorders and Their Psychiatric Manifestations
Gagliardi, J. P. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg07
Doghramji, K. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg24
McCarron, R. M., Sheth, S. J., Mesa, C. D., & Parish, M. B. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg23
Chapter 3. The Bedside Cognitive Examination in Medical Psychiatry
Glass, S. P. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg03
Chapter 17. Psychotic Disorders Due to Medical Illnesses
Brown, H. E., Mukerji, S., & Freudenreich, O. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg17
Chapter 10. Gastroenterological Disease in Patients With Psychiatric Disorders
Nadkarni, A., & Silbersweig, D. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg10
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Chapter 16. Neurodevelopmental Disorders
Hauptman, A. J., & Benjamin, S. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg16
Chapter 18. Catatonia in the Medically Ill Patient
Beach, S. R., & Fricchione, G. L. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg18
Chapter 12. Neurological Conditions and Their Psychiatric Manifestations
Fogel, B. S., Baslet, G. C., Safar, L. T., Raynor, G., & Silbersweig, D. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg12
Chapter 20. Anxiety and Related Disorders: Manifestations in the General Medical Setting
Hebert, C. L., Banayan, D. J., Forcén, F. E., Perticone, K., Guttikonda, S., & Pollack, M. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg20
Chapter 13. Cancer: Psychiatric Care of the Oncology Patient
Fernandez-Robles, C. G., & Glass, S. P. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg13
Chapter 19. Mood Disorders Due to Medical Illnesses
Mauer, S., Querques, J., & D, P. S. M. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg19
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Chapter 15. Women’s Mental Health and Reproductive Psychiatry
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Chapter 8. Inflammatory Diseases and Their Psychiatric Manifestations
Gonzalez, R. L., & Nemeroff, C. B. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg08
Chapter 14. Dermatology: Psychiatric Considerations in the Medical Setting
Taylor, K. A., Gordon-Elliott, J. S., & Muskin, P. R. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg14
Chapter 9. Infectious Diseases and Their Psychiatric Manifestations
Freudenreich, O., Donnelly-Boylen, K. M., & Gandhi, R. T. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg09
Chapter 21. Substance Use Disorders in the Medical Setting
Sharma, S., Haddad, S. E., & Suzuki, J. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg21
Chapter 5. Toxicological Exposures and Nutritional Deficiencies in the Psychiatric Patient
Zein, M., Khan, S., Legha, J. K., & Wasserman, L. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg05
Chapter 11. Renal Disease in Patients With Psychiatric Illness
Chan, L., & Bostwick, J. M. (2020) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378869.lg11
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Bruno, A., Dolcetti, E., Annovazzi, P. O. L., Clerico, M., Cocco, E. E., Conte, A., Marfia, G. A., Salvetti, M., Tomassini, V., Clerici, V. T., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1557335
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Multiple sclerosis and dental care
Cloney, N., & Dickens, T. (2025) · Dental Update · doi:10.12968/denu.2025.52.8.556
Cohen, H. R., & Holtzer, R. (2025) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acaf088
Smyth, P. S., Watson, K. E., Hamarneh, Y. N. A., & Tsuyuki, R. T. (2022) · Figshare · doi:10.6084/m9.figshare.20372726
Smyth, P. S., Watson, K. E., & Tsuyuki, R. T. (2021) · Figshare · doi:10.6084/m9.figshare.16960222
Smyth, P. S., Watson, K. E., & Tsuyuki, R. T. (2021) · Figshare · doi:10.6084/m9.figshare.16960219
Smyth, P. S., Watson, K. E., & Tsuyuki, R. T. (2021) · Figshare · doi:10.6084/m9.figshare.16960216
Smyth, P. S., Watson, K. E., & Tsuyuki, R. T. (2021) · Figshare · doi:10.6084/m9.figshare.16960213
Zou, Y., Zhang, J., Sun, F., Xu, Q., Chen, L. L., Luo, X., Wang, T., Zhou, Q., Zhang, S., Xiong, F., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26677358
Headache and multiple sclerosis: comorbid emotional and insomnia disorders
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Machowska-Sempruch, K., Masztalewicz, M., Meller, A., Nowacki, P., & Pawlukowska, W. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm15010065
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Szilárd, Z., Sipeki, I., Tóth, R., Berki, T., & Tóth, L. (2026) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2026.1705531
Dang, P. L., Krug, I., & Kiropoulos, L. A. (2026) · Cognitive Therapy and Research · doi:10.1007/s10608-026-10722-5
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Specht, B., Garbaya, S., Schneider, R., Chavarriaga, R., Khadraoui, D., & Tayeb, Z. (2026) · medRxiv · doi:10.64898/2026.06.23.26356339
Mengesha, A. K., Beyna, A. T., Getachew, D., Limenh, L. W., Tessema, T. A., & Ayele, H. S. (2026) · Annals of Medicine · doi:10.1080/07853890.2026.2700804
de Alcântara, I. J., Baldoni, V., Voruz, P., Allali, G., Lalive, P. H., & Péron, J. (2026) · Journal of Health Psychology · doi:10.1177/13591053261463104
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Abdelhalem, R. A., Dahroug, M. M. M., EL-Hamady, M. M., Abbas, D. G., & Ebrahim, M. A. (2026) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-026-01228-8
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Metadata
- Authors
- Patten, S. B., Marrie, R. A., & Carta, M. G.
- Affiliations
- University of Calgary (CA)
- University of Manitoba (CA)
- University of Cagliari (IT)
- Corresponding author
- Patten, Scott B.
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2017-07-06
- Volume
- 29
- Issue
- 5
- Pages
- 463-472
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2726625509
- Cited by
- 262
- References
- 103
- Citations by year
- 2026: 16 · 2025: 22 · 2024: 34 · 2023: 33 · 2022: 43 · 2021: 34 · 2020: 57 · 2019: 11 · 2018: 7 · 2017: 2
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion, public-domain)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, multiple sclerosis, prevalence, etiology, lesion burden, brain atrophy, stressors, risk factors, depression screening, depression treatment, cognitive behavioral therapy, antidepressants, measurement scales
- MeSH terms
- Adult, Antidepressive Agents, Depression, Female, Humans, Male, Multiple Sclerosis, Brief Psychiatric Rating Scale, Cognitive Behavioral Therapy, Prevalence
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