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Affective Disorder and Functional Status as well as Selected Sociodemographic Characteristics in Patients with Multiple Sclerosis, Parkinson’s Disease and History of Stroke

1
Department of Adapted Physical Activity and Sport, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40–055 Katowice, Poland
2
Department of Neurology, School of Medicine in Katowice, Medical University of Silesia, 40–055 Katowice, Poland
3
Department of Physiotherapy, Chair of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40–055 Katowice, Poland
4
Department of Physiotherapy, School of Health Sciences, University of Dąbrowa Górnicza, 41–300 Dąbrowa Górnicza, Poland
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(3), 117; https://doi.org/10.3390/medicina56030117
Received: 28 January 2020 / Revised: 21 February 2020 / Accepted: 3 March 2020 / Published: 7 March 2020
The main arguments in support of researching anxiety and depression in patients with chronic somatic diseases are the prevalence of affective disorders in the population, somatic conditions as risk factors of affective disorders and the search for effective preventative and therapeutic strategies. The aim of the study was to determine the association between the functional status, selected sociodemographic characteristics and prevalence as well as severity of anxiety and depression in patients with multiple sclerosis (MS), Parkinson’s disease (PD) and history of stroke (S). Material and methods: Eighty participants (44 women and 36 men) with MS (n = 22), PD (n = 31) and history of stroke (n = 27) were enrolled. All participants completed a questionnaire consisting of metrics, the Katz Index of Independence in Activities of Daily Living and the Hospital Anxiety and Depression Scale (HADS). Results: Fifty-five per cent of all participants did not present with anxiety or depression, 20% scored above the diagnostic threshold on the anxiety scale and 26% scored above the diagnostic threshold on the depression scale. Subgroup analysis revealed that anxiety and depression sufferers were 13.64% and 13.64% of MS patients, respectively; 22.58% and 35.48% of PD patients, respectively; and 22.22% and 25.93% of stroke survivors, respectively. There was a significant correlation between depression and independence level in the entire group and between depression and marital status in stroke survivors. Conclusions: Although depression and anxiety are highly prevalent in patients with neurological conditions, the disorder has a very individual nature and is not associated with the patient’s age, duration of a condition or concomitant diseases. Screening for depression and anxiety as a part of comprehensive approach may increase treatment efficacy in neurological patients View Full-Text
Keywords: anxiety; depression; functional status; multiple sclerosis; Parkinson’s disease anxiety; depression; functional status; multiple sclerosis; Parkinson’s disease
MDPI and ACS Style

Knapik, A.; Krzystanek, E.; Szefler–Derela, J.; Siuda, J.; Rottermund, J.; Plinta, R.; Brzęk, A. Affective Disorder and Functional Status as well as Selected Sociodemographic Characteristics in Patients with Multiple Sclerosis, Parkinson’s Disease and History of Stroke. Medicina 2020, 56, 117.

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