Factors associated with depressive mood at the onset of multiple sclerosis - an analysis of 781 patients of the German NationMS cohort.

CIS MRI MS clinically isolated syndrome cohort study depression neuropsychological symptoms relapse sex smoking vitamin D

Journal

Therapeutic advances in neurological disorders
ISSN: 1756-2856
Titre abrégé: Ther Adv Neurol Disord
Pays: England
ID NLM: 101480242

Informations de publication

Date de publication:
2023
Historique:
received: 11 05 2023
accepted: 07 08 2023
medline: 11 9 2023
pubmed: 11 9 2023
entrez: 11 9 2023
Statut: epublish

Résumé

Depression has a major impact on the disease burden of multiple sclerosis (MS). Analyses of overlapping MS and depression risk factors [smoking, vitamin D (25-OH-VD) and Epstein-Barr virus (EBV) infection] and sex, age, disease characteristics and neuroimaging features associated with depressive symptoms in early MS are scarce. To assess an association of MS risk factors with depressive symptoms within the German NationMS cohort. Cross-sectional analysis within a multicenter observational study. Baseline data of Mean age was 34.3 years (95% confidence interval: 33.6-35.0). The female-to-male ratio was 2.3:1. At least minimal depressive symptoms (BDI-II > 8) were present in Depressive symptoms need to be assessed in early MS. Patients during relapse seem especially vulnerable to depressive symptoms. Contributing factors such as fatigue, vitamin D deficiency and smoking, could specifically be targeted in future interventions and should be investigated in prospective studies.

Sections du résumé

Background UNASSIGNED
Depression has a major impact on the disease burden of multiple sclerosis (MS). Analyses of overlapping MS and depression risk factors [smoking, vitamin D (25-OH-VD) and Epstein-Barr virus (EBV) infection] and sex, age, disease characteristics and neuroimaging features associated with depressive symptoms in early MS are scarce.
Objectives UNASSIGNED
To assess an association of MS risk factors with depressive symptoms within the German NationMS cohort.
Design UNASSIGNED
Cross-sectional analysis within a multicenter observational study.
Methods UNASSIGNED
Baseline data of
Results UNASSIGNED
Mean age was 34.3 years (95% confidence interval: 33.6-35.0). The female-to-male ratio was 2.3:1. At least minimal depressive symptoms (BDI-II > 8) were present in
Conclusion UNASSIGNED
Depressive symptoms need to be assessed in early MS. Patients during relapse seem especially vulnerable to depressive symptoms. Contributing factors such as fatigue, vitamin D deficiency and smoking, could specifically be targeted in future interventions and should be investigated in prospective studies.

Identifiants

pubmed: 37692259
doi: 10.1177/17562864231197309
pii: 10.1177_17562864231197309
pmc: PMC10492471
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17562864231197309

Informations de copyright

© The Author(s), 2023.

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Auteurs

Anke Salmen (A)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Gudrunstrasse 56, 44791 Bochum, Germany.
Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Robert Hoepner (R)

Department of Neurology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.

Vinzenz Fleischer (V)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Milena Heldt (M)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Barbara Gisevius (B)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Jeremias Motte (J)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Klemens Ruprecht (K)

Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Experimental and Clinical Research Center and NeuroCure Clinical Research Center, MaxDelbrueck Center for Molecular Medicine and Charité Universitätsmedizin Berlin, Berlin, Germany.

Ruth Schneider (R)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.
Institute for Neuroradiology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Anna Lena Fisse (AL)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Thomas Grüter (T)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Carsten Lukas (C)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.
Institute for Neuroradiology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Achim Berthele (A)

Department of Neurology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.

Katrin Giglhuber (K)

Department of Neurology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.

Martina Flaskamp (M)

Department of Neurology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.

Mark Mühlau (M)

Department of Neurology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.

Jan Kirschke (J)

Department of Neuroradiology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.

Stefan Bittner (S)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Sergiu Groppa (S)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Felix Lüssi (F)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Antonios Bayas (A)

Department of Neurology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.

Sven Meuth (S)

Department of Neurology, Medical Faculty, Heinrich-Heine University Düsseldorf, Germany.

Cristoph Heesen (C)

Department of Neurology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Corinna Trebst (C)

Department of Neurology, Hannover Medical School, Hannover, Germany.

Brigitte Wildemann (B)

Molecular Neuroimmunology Group, Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Florian Then Bergh (F)

Department of Neurology, University of Leipzig, Leipzig, Germany.

Gisela Antony (G)

Central Information Office German Competence Network of Multiple Sclerosis, Philipps University Marburg, Marburg, Germany.

Tania Kümpfel (T)

Institute of Clinical Neuroimmunology, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany.

Friedemann Paul (F)

Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Experimental and Clinical Research Center and NeuroCure Clinical Research Center, MaxDelbrueck Center for Molecular Medicine and Charité Universitätsmedizin Berlin, Berlin, Germany.

Sandra Nischwitz (S)

Max Planck Institute of Psychiatry, Munich, Germany.

Hayrettin Tumani (H)

Department of Neurology, University of Ulm, Ulm, Germany.

Uwe Zettl (U)

Department of Neurology, Neuroimmunological Section, University of Rostock, Rostock, Germany.

Bernhard Hemmer (B)

Department of Neurology, Klinikum rechtsDer Isar, Technical University of Munich, Munich, Germany.
Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.

Heinz Wiendl (H)

Department of Neurology with Institute of Translational Neurology, Medical Faculty, University Hospital, Münster, Germany.

Frauke Zipp (F)

Department of Neurology, Focus Program Translational Neuroscience (FTN) and Immunotherapy (FZI), Rhine-Main Neuroscience Network (rmn), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Ralf Gold (R)

Department of Neurology, St. Josef-Hospital Bochum, Ruhr-University Bochum, Bochum, Germany.

Classifications MeSH