The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Prediction of anxiety and distress following diagnosis of multiple sclerosis: a two-year longitudinal study
Abstract
Objective: To investigate the course of anxiety, depression and disease-related distress of patients with multiple sclerosis (MS) and their partners in the first years after diagnosis. Methods: The Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale (IES) were completed at baseline, six-month, one-and two-year follow-up in 101 recently diagnosed patients and 78 partners. The Expanded Disability Status Scale (EDSS) was assessed annually. Results: Mean time since diagnosis at baseline was 7.8 (SD 6.5) months. Mean anxiety scores of patients and partners did not change during the two years of follow-up and remained higher than that observed in the general population at all assessments (P <0.05). The high levels of disease-related distress at baseline were lower at follow-up. Of the patients and partners with high anxiety scores at baseline (HADS anxiety ≥8), 69% also had high scores at any time during follow-up, compared to 26% in those with low baseline anxiety scores. For severe distress at follow-up, these percentages were 41 and 14%. The sensitivity and specificity of baseline anxiety screening for the prediction of high anxiety or distress scores at follow-up were 55 and 85%. Conclusion: MS patients and their partners continued to have high levels of anxiety and distress in the first years after diagnosis. Screening for anxiety after diagnosis can be used to predict levels of anxiety and distress during two-year follow-up.
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In the citing paper
“A high level of anxiety at diagnosis remains and even worsens in the following years if unnoticed or untreated.5”
From EMDR treatment for anxiety in MS patients: A pilot study (2020) · cites this paper as [5]
In the citing paper
“Depression and anxiety have been found to be common in individuals with MS and have been reported to be at clinically high levels especially in the early stages of the illness [2–4].”
In the citing paper
“Two studies suggest that up to 36% of MS patients continue to have high levels of depressive and anxiety symptoms in the first years after diagnosis [3, 11].”
Citations
Cites
The Hospital Anxiety and Depression Scale
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Impact of Event Scale: A Measure of Subjective Stress
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New diagnostic criteria for multiple sclerosis: Guidelines for research protocols
Poser, C. M., Paty, D. W., Scheinberg, L., McDonald, W. I., Davis, F. A., Ebers, G. C., Johnson, K. P., Sibley, W. A., Silberberg, D. H., & Tourtellotte, W. W. (1983) · Annals of Neurology · doi:10.1002/ana.410130302 · Cited by 7,384
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Mood Disorder and Multiple Sclerosis
Joffe, R. T., Lippert, G. P., Gray, T. A., Sawa, G. M., & Horvath, Z. (1987) · Archives of Neurology · doi:10.1001/archneur.1987.00520160018007 · Cited by 387
Horowitz’s Impact of Event Scale Evaluation of 20 Years of Use
Sundin, E., & Horowitz, M. J. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000084835.46074.f0 · Cited by 308
The social impact of multiple sclerosis - a study of 305 patients and their relatives
Hakim, E. A., Bakheit, A. M. O., Bryant, T. N., Roberts, M. W. H., McIntosh‐Michaelis, S. A., Spackman, A., Martin, J. P., & McLellan, D. L. (2000) · Disability and Rehabilitation · doi:10.1080/096382800296755 · Cited by 304
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Items 101–108 of 108
Nowaczyk, N., & Cierpiałkowska, L. (2017) · Polish Psychological Bulletin · doi:10.1515/ppb-2017-0041
Anhoque, C. F. (2012) · Americanae (AECID Library)
Anxiety and social activities in multiple sclerosis patients
Rytis, L. (2013)
Giovannetti, A. M., Pöttgen, J., & Pakenham, K. I. (2025) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197525456.013.0015
Kaiser, M. (2015) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-4912
Depression, Fatigue, Declines in Cognitive Function and Uncertainty in Women with Multiple Sclerosis
Gray, C. L. (2014) · UA Campus Repository (The University of Arizona)
Aloni, R., Peretz, O., & Koren, M. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121458
Abelovska, A., Malinová, R., Suchá, L., Novotna, K., Friedová, L., Havrdová, E., & Motýl, J. (2026) · Neurological Sciences · doi:10.1007/s10072-026-09130-0
Metadata
- Authors
- Janssens, A. C., Buljevac, D., van Doorn, P. A., van der Meché, F. G., Polman, C. H., Passchier, J., & Hintzen, R. Q.
- Affiliations
- Department of Public Health, PO Box 2040, 3000 CA, Department of Neurology, Department of Medical Psychology and Psychotherapy, Erasmus MC, Rotterdam, the Netherlands,
- Erasmus MC (NL)
- Department of Neurology, Erasmus MC, Rotterdam, the Netherlands
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- Multiple Sclerosis Journal
- Publisher
- SAGE Publications
- Published
- 2006-11
- Volume
- 12
- Issue
- 6
- Pages
- 794-801
- ISSN
- 1352-4585 (ISSN-L)
- 1477-0970
- OpenAlex
- W2162191903
- Cited by
- 107
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 7 · 2014: 11 · 2013: 7 · 2012: 8
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Multiple Sclerosis Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vrije Universiteit Amsterdam
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- multiple sclerosis, anxiety, depression, partners of patients, anxiety screening, longitudinal course, disability progression, psychosocial impact
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Affective Symptoms, Anxiety, Depression, Disability Evaluation, Family Health, Female, Follow-Up Studies, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Multiple Sclerosis, Predictive Value of Tests, Prospective Studies, Sensitivity and Specificity, Comorbidity, Spouses
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