Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Perceived Need for Mental Health Care in MS

Mult Scler Relat Disord; ePub 2018 Jul 29; Orr, et al

One-third of people with multiple sclerosis (MS) identified a need for mental health care, a recent study found. Symptoms of anxiety and depression, but not current diagnosed mental health disorders, were the predominant factors associated with a reported need for care. Participants with MS (n=251; mostly women, Caucasian, with post-secondary education, with a mean [SD] age at enrollment of 50.9 [12.9] years) completed the Hospital Anxiety and Depression Scale [HADS] to assess severity of depression and anxiety symptoms, and reported whether they perceived a need for mental health care, in the context of a larger study examining the burden of psychiatric disorders in immune-mediated inflammatory disease. Participants were also evaluated using the Structured Clinical Interview for DSM-IV-TR (SCID) to diagnose depression or anxiety disorders. Researchers found:

  • Nearly one-quarter of participants had a current SCID diagnosis of depression or anxiety (n=57, 22.7%).
  • Overall, 31.8% (n=80) of participants reported a need for mental health care.
  • Those identifying need for mental health care also had an earlier age of MS symptom onset.

Orr J, Bernstein CN, Graff LA, et al. Factors associated with perceived need for mental health care in multiple sclerosis. [Published online ahead of print July 29, 2018]. Mult Scler Relat Disord. doi:10.1016/j.msard.2018.07.043.

This Week's Must Reads

Midlife Risk Factors Linked to Late-Onset Epilepsy, JAMA Neurology; ePub 2018 Jul 23; Johnson, et al

Nearly 1 Million Adults ≥55 Years Have Epilepsy, Epilepsy Behav; ePub 2018 Aug 2; Sapkota, et al

Incidental Findings Common in Stroke Patients, J Stroke Cerebrovasc Dis; ePub 2018 Aug 2; Doyle, et al

Spatial Heterogeneity of White Matter Lesions , Neurology; ePub 2018 Aug 3; Habes, et al

Poor Sleep Linked to Slow Recovery from TBI, Sleep; ePub 2018 Jul 24; Kalmbach, Conroy, et al

Must Reads in Multiple Sclerosis

Perceived Stress and Sleep Quality in Those with MS, Mult Scler Relat Disord; ePub 2018 Jul 26; Lamis, et al

Perceived Need for Mental Health Care in MS, Mult Scler Relat Disord; ePub 2018 Jul 29; Orr, et al

Cerebellum and Cognition Assessed in Progressive MS, J Neurology; ePub 2018 Jul 28; Cocozza, et al

Major Neck Vessels Compromised in Patients with MS, Am J Neuroradiol; ePub 2018 Jul 26; Pelizzari, et al

Cognitive Impairment, Dysarthria in Multiple Sclerosis, Am J Speech Lang Pathol; ePub 2018 Jul 26; Feenaughty, et al