Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis
Hopelessness; Relapsing-remitting multiple sclerosis; Suicide
| Autores: | , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/9882 |
| Acceso en línea: | https://hdl.handle.net/11351/9882 |
| Access Level: | acceso abierto |
| Palabra clave: | Esclerosi múltiple Tests psicològics Afecte (Psicologia) DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple Sclerosis PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Affect 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 PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresión PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afecto |
| id |
ES_ef981f2a6197cbfe4dbd56407d99c0ae |
|---|---|
| oai_identifier_str |
oai:scientiasalut.gencat.cat:11351/9882 |
| network_acronym_str |
ES |
| network_name_str |
España |
| repository_id_str |
|
| dc.title.none.fl_str_mv |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| title |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| spellingShingle |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis Sainz de la Maza, Susana Esclerosi múltiple Tests psicològics Afecte (Psicologia) DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple Sclerosis PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Affect 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 PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresión PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afecto |
| title_short |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| title_full |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| title_fullStr |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| title_full_unstemmed |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| title_sort |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple Sclerosis |
| dc.creator.none.fl_str_mv |
Sainz de la Maza, Susana Maurino, Jorge Castillo-Trivino, Tamara Borges Guerra, Mónica Sebastián Torres, Berta Sotoca, Javier |
| author |
Sainz de la Maza, Susana |
| author_facet |
Sainz de la Maza, Susana Maurino, Jorge Castillo-Trivino, Tamara Borges Guerra, Mónica Sebastián Torres, Berta Sotoca, Javier |
| author_role |
author |
| author2 |
Maurino, Jorge Castillo-Trivino, Tamara Borges Guerra, Mónica Sebastián Torres, Berta Sotoca, Javier |
| author2_role |
author author author author author |
| dc.contributor.none.fl_str_mv |
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 |
| dc.subject.none.fl_str_mv |
Esclerosi múltiple Tests psicològics Afecte (Psicologia) DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple Sclerosis PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Affect 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 PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresión PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afecto |
| topic |
Esclerosi múltiple Tests psicològics Afecte (Psicologia) DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple Sclerosis PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological Tests PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::Affect 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 PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresión PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afecto |
| description |
Hopelessness; Relapsing-remitting multiple sclerosis; Suicide |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2023 2023 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/9882 |
| url |
https://hdl.handle.net/11351/9882 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Patient Preference and Adherence;17 https://doi.org/10.2147/PPA.S411069 |
| dc.rights.none.fl_str_mv |
Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Dove Medical Press |
| publisher.none.fl_str_mv |
Dove Medical Press |
| dc.source.none.fl_str_mv |
Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
| instname_str |
Departament de Salut de la Generalitat de Catalunya (DS) |
| reponame_str |
Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| collection |
Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1869423878051201024 |
| spelling |
Hopelessness in Patients with Early-Stage Relapsing-Remitting Multiple SclerosisSainz de la Maza, SusanaMaurino, JorgeCastillo-Trivino, TamaraBorges Guerra, MónicaSebastián Torres, BertaSotoca, JavierEsclerosi múltipleTests psicològicsAfecte (Psicologia)DISEASES::Nervous System Diseases::Autoimmune Diseases of the Nervous System::Demyelinating Autoimmune Diseases, CNS::Multiple SclerosisPSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychological TestsPSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::DepressionPSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Emotions::AffectENFERMEDADES::enfermedades del sistema nervioso::enfermedades autoinmunitarias del sistema nervioso::enfermedades autoinmunes desmielinizantes del SNC::esclerosis múltiplePSIQUIATRÍA Y PSICOLOGÍA::disciplinas y actividades conductuales::pruebas psicológicasPSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::depresiónPSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::emociones::afectoHopelessness; Relapsing-remitting multiple sclerosis; SuicideDesesperanza; Esclerosis múltiple recurrente-remitente; SuicidioDesesperança; Esclerosi múltiple recurrent-remitent; SuïcidiBackground: 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. Methods: 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. Results: 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=< 0.001), a threatening illness perception (p=0.001), and psychological and cognitive barriers to workplace performance (p=0.029) in the multivariate analysis after adjustment for confounders. Conclusion: Hopelessness was a common phenomenon in early-stage RRMS, even in a population with low physical disability. Identifying factors associated with hopelessness may be critical for implementing preventive strategies helping patients to adapt to the new situation and cope with the disease in the long term.This study was funded by Roche Medical Department, Spain (ML42064).Dove Medical PressInstitut 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, SpainVall d'Hebron Barcelona Hospital Campus202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/9882Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésPatient Preference and Adherence;17https://doi.org/10.2147/PPA.S411069Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/98822026-06-12T09:38:37Z |
| score |
15,812429 |