Depression, pain and quality of life in patients with amyotrophic lateral sclerosis: a cross-sectional study
Open accessAbstract
The complications related to amyotrophic lateral sclerosis (ALS) include pain. A higher risk of depression and a negative effect on quality of life (QoL) might be expected in ALS patients with pain. The aims of this study were to evaluate the prevalence of pain in ALS patients, to compare measures of depression and QoL in patients with and without pain, and to study the influence of depression scores and pain on the QoL of ALS patients with pain. Forty ALS patients were enrolled, and 36 were included in the analysis. Seventy-two percent of patients reported pain. Pain intensity was significantly related to a worsening of QoL (p<.05). This effect was no longer significant after considering depression scores as a covariate. Depression scores significantly decreased QoL (p<.02) and this effect remained significant after considering pain intensity as a covariate (p<.05). Our study suggests that pain is frequent in ALS patients and that depressive symptoms are significantly related to poorer QoL. Clinicians should pay more attention to both pain and depressive symptoms in ALS patients considering their effect on QoL.
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Shorter survival times, poorer quality of life and increased risks of suicide and mortality have been reported in those experiencing psychological distress.
“Although shorter survival times, poorer quality of life and increased risks of suicide and mortality have been reported in those experiencing psychological distress [8–12]”
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- Authors
- Pizzimenti, A.
- Affiliations
- Sapienza University of Rome (IT)
- Corresponding author
- Pizzimenti, A
- Venue
- Functional Neurology
- Publisher
- Edikta s.r.l.
- Published
- 2013
- Volume
- 28
- Issue
- 2
- Pages
- 115-9
- ISSN
- 0393-5264 (ISSN-L)
- PMC
- PMC3812727
- OpenAlex
- W2017534041
- Cited by
- 80
- References
- 3
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 7 · 2022: 9 · 2021: 11 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 4 · 2016: 10 · 2015: 9 · 2014: 2
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Functional Neurology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- CNR Solar (Scientific Open-access Literature Archive and Repository) (Consiglio Nazionale delle Ricerche) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Keywords
- amyotrophic lateral sclerosis, pain, depression, quality of life, pain intensity, depressive symptoms, pain prevalence
- MeSH terms
- Aged, Amyotrophic Lateral Sclerosis, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Pain, Quality of Life
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