Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis

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Title: Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis
Authors: Susana Sainz de la Maza, Jorge Maurino, Tamara Castillo-Triviño, Mónica Borges, Berta Sebastián Torres, Javier Sotoca, Ana María Alonso Torres, Ana B Caminero, Laura Borrega, José L Sánchez-Menoyo, Francisco J Barrero-Hernández, Carmen Calles, Luis Brieva, María Rosario Blasco, Julio Dotor García-Soto, Ana Rodríguez-Regal, Laura Navarro-Cantó, Eduardo Agüera-Morales, Moisés Garcés, Olga Carmona, Laura Gabaldón-Torres, Lucía Forero, Mariona Hervás, Rocío Gómez-Ballesteros
Contributors: Institut Català de la Salut, [Sainz de la Maza S] Department of Neurology, Hospital Universitario Ramón y Cajal, Madrid, Spain. [Maurino J] Medical Department, Roche Farma, Madrid, Spain. [Castillo-Triviño T] Department of Neurology, Hospital Universitario Donostia, San Sebastián, Spain. [Borges M] Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain. [Sebastián Torres B] Department of Neurology, Hospital Universitario Miguel Servet, Zaragoza, Spain. [Sotoca J] Servei de Neurologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona
Source: Patient Prefer Adherence
Scientia
Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname
Digibug. Repositorio Institucional de la Universidad de Granada
Universidad de Granada (UGR)
Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid
Consejería de Sanidad de la Comunidad de Madrid
Docusalut
Conselleria de Salut i Consum del Govern de les Illes Balears
Zaguán. Repositorio Digital de la Universidad de Zaragoza
Universidad de Zaragoza
Patient Preference and Adherence, Vol Volume 17, Pp 1431-1439 (2023)
Publisher Information: Informa UK Limited, 2023.
Publication Year: 2023
Subject Terms: Workplace difficulties, Medicine (General), Esclerosis Múltiple Recurrente-Remitente, PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests, Esclerosi múltiple, relapsing-remitting multiple sclerosis, DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple Sclerosis, Lugar de Trabajo, PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresión, Multiple Sclerosis, Relapsing-Remitting, R5-920, depressive symptoms, hopelessness, Suicidio, PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afecto, Workplace, Afecte (Psicologia), PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Affect, suicide, Original Research, Depressive Disorder, Depressive symptoms, workplace difficulties, Tests psicològics, 3. Good health, Suicide, Patient Preference and Adherence, ENFERMEDADES::enfermedades del sistema nervioso::enfermedades autoinmunitarias del sistema nervioso::enfermedades autoinmunes desmielinizantes del SNC::esclerosis múltiple, PSIQUIATRÍA Y PSICOLOGÍA::disciplinas y actividades conductuales::pruebas psicológicas, Hopelessness, Relapsing-remitting multiple sclerosis, PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression, Trastorno Depresivo
Description: Hopelessness is a risk factor for depression and suicide. There is little information on this phenomenon among patients with relapsing-remitting multiple sclerosis (RRMS), one of the most common causes of disability and loss of autonomy in young adults. The aim of this study was to assess state hopelessness and its associated factors in early-stage RRMS.A multicenter, non-interventional study was conducted. Adult patients with a diagnosis of RRMS, a disease duration ≤ 3 years, and an Expanded Disability Status Scale (EDSS) score of 0-5.5 were included. The State-Trait Hopelessness Scale (STHS) was used to measure patients´ hopelessness. A battery of patient-reported and clinician-rated measurements was used to assess clinical status. A multivariate logistic regression analysis was conducted to determine the association between patients' characteristics and state hopelessness.A total of 189 patients were included. Mean age (standard deviation-SD) was 36.1 (9.4) years and 71.4% were female. Median disease duration (interquartile range-IQR) was 1.4 (0.7, 2.1) years. Symptom severity and disability were low with a median EDSS (IQR) score of 1.0 (0, 2.0). A proportion of 65.6% (n=124) of patients reported moderate-to-severe hopelessness. Hopelessness was associated with older age (p=0.035), depressive symptoms (p=
Document Type: Article
Other literature type
File Description: application/pdf; text/html
Language: English
ISSN: 1177-889X
DOI: 10.2147/ppa.s411069
Access URL: https://pubmed.ncbi.nlm.nih.gov/37337517
https://hdl.handle.net/11351/9882
https://hdl.handle.net/20.500.12530/109730
https://hdl.handle.net/20.500.12530/117755
https://hdl.handle.net/20.500.13003/21362
http://zaguan.unizar.es/record/131811
https://hdl.handle.net/20.500.12530/93921
https://doaj.org/article/b0ad8b55bdea4a38ac4467bab01ae68d
https://www.dovepress.com/hopelessness-in-patients-with-early-stage-relapsing-remitting-multiple-peer-reviewed-fulltext-article-PPA
https://hdl.handle.net/20.500.13003/25435
https://hdl.handle.net/10481/92906
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URL: http://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at http://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (http://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (http://www.dovepress.com/terms.php).
Accession Number: edsair.doi.dedup.....bedf4f79e5578bb9f46f798271c29e7b
Database: OpenAIRE
Description
Abstract:Hopelessness is a risk factor for depression and suicide. There is little information on this phenomenon among patients with relapsing-remitting multiple sclerosis (RRMS), one of the most common causes of disability and loss of autonomy in young adults. The aim of this study was to assess state hopelessness and its associated factors in early-stage RRMS.A multicenter, non-interventional study was conducted. Adult patients with a diagnosis of RRMS, a disease duration ≤ 3 years, and an Expanded Disability Status Scale (EDSS) score of 0-5.5 were included. The State-Trait Hopelessness Scale (STHS) was used to measure patients´ hopelessness. A battery of patient-reported and clinician-rated measurements was used to assess clinical status. A multivariate logistic regression analysis was conducted to determine the association between patients' characteristics and state hopelessness.A total of 189 patients were included. Mean age (standard deviation-SD) was 36.1 (9.4) years and 71.4% were female. Median disease duration (interquartile range-IQR) was 1.4 (0.7, 2.1) years. Symptom severity and disability were low with a median EDSS (IQR) score of 1.0 (0, 2.0). A proportion of 65.6% (n=124) of patients reported moderate-to-severe hopelessness. Hopelessness was associated with older age (p=0.035), depressive symptoms (p=
ISSN:1177889X
DOI:10.2147/ppa.s411069