The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients
Objective. To determine the prevalence of suicidal concerns (SC) in a large multiple sclerosis (MS) patient group and to assess the major determinants that are implicated in their occurrence. Methods. A total of 349 patients were included in the study. They completed a survey about their demographic...
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| Language: | English |
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Wiley
2020-01-01
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| Series: | Behavioural Neurology |
| Online Access: | http://dx.doi.org/10.1155/2020/2594702 |
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| author | Andreea Romaniuc Rodica Bălaşa Nicoleta Ştirbu Smaranda Maier Sebastian Andone Zoltan Bajko Laura Bărcuţean Septimiu Voidăzan Anca Moţăţăianu |
| author_facet | Andreea Romaniuc Rodica Bălaşa Nicoleta Ştirbu Smaranda Maier Sebastian Andone Zoltan Bajko Laura Bărcuţean Septimiu Voidăzan Anca Moţăţăianu |
| author_sort | Andreea Romaniuc |
| collection | DOAJ |
| description | Objective. To determine the prevalence of suicidal concerns (SC) in a large multiple sclerosis (MS) patient group and to assess the major determinants that are implicated in their occurrence. Methods. A total of 349 patients were included in the study. They completed a survey about their demographic characteristics, psycho-socio-economic data, and disease-related information. Their disability level was assessed using the Expanded Disability Status Scale (EDSS) based on the neurological examination performed by the same doctor for every patient and the SC were documented with the Beck Depression Inventory-II questionnaire. Results. The study included 112 men and 237 women, with a mean age around 42 years old. Suicidal thoughts were more frequent in men, while suicidal intentions in women. Positive correlations were found between SC and depression, EDSS, total number of relapses, disease duration, and level of education. From the EDSS functional scores, only the pyramidal score and the cerebellar score presented a significant correlation with SC. None of the patients with clinically isolated syndrome had SC. The type of disease-modifying therapy, marital and occupational status, and the presence of children did not influence the presence of SC. Conclusions. The prevalence of SC is higher in patients with MS compared to the general population. Their occurrence is mostly influenced by the disease itself (duration, relapses, acquired disability) and also by depression and lack of education. |
| format | Article |
| id | doaj-art-fc10fdc4140e46bd97efe64d9ee2a04a |
| institution | Kabale University |
| issn | 0953-4180 1875-8584 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Behavioural Neurology |
| spelling | doaj-art-fc10fdc4140e46bd97efe64d9ee2a04a2025-02-03T01:04:41ZengWileyBehavioural Neurology0953-41801875-85842020-01-01202010.1155/2020/25947022594702The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis PatientsAndreea Romaniuc0Rodica Bălaşa1Nicoleta Ştirbu2Smaranda Maier3Sebastian Andone4Zoltan Bajko5Laura Bărcuţean6Septimiu Voidăzan7Anca Moţăţăianu8Neurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaMunicipal Hospital, Sighisoara, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaDepartment of Epidemiology, University of Medicine, Pharmacy, Science and Technology of Targu Mures, RomaniaNeurology Clinic I, Emergency Clinical County Hospital, Targu Mures, RomaniaObjective. To determine the prevalence of suicidal concerns (SC) in a large multiple sclerosis (MS) patient group and to assess the major determinants that are implicated in their occurrence. Methods. A total of 349 patients were included in the study. They completed a survey about their demographic characteristics, psycho-socio-economic data, and disease-related information. Their disability level was assessed using the Expanded Disability Status Scale (EDSS) based on the neurological examination performed by the same doctor for every patient and the SC were documented with the Beck Depression Inventory-II questionnaire. Results. The study included 112 men and 237 women, with a mean age around 42 years old. Suicidal thoughts were more frequent in men, while suicidal intentions in women. Positive correlations were found between SC and depression, EDSS, total number of relapses, disease duration, and level of education. From the EDSS functional scores, only the pyramidal score and the cerebellar score presented a significant correlation with SC. None of the patients with clinically isolated syndrome had SC. The type of disease-modifying therapy, marital and occupational status, and the presence of children did not influence the presence of SC. Conclusions. The prevalence of SC is higher in patients with MS compared to the general population. Their occurrence is mostly influenced by the disease itself (duration, relapses, acquired disability) and also by depression and lack of education.http://dx.doi.org/10.1155/2020/2594702 |
| spellingShingle | Andreea Romaniuc Rodica Bălaşa Nicoleta Ştirbu Smaranda Maier Sebastian Andone Zoltan Bajko Laura Bărcuţean Septimiu Voidăzan Anca Moţăţăianu The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients Behavioural Neurology |
| title | The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients |
| title_full | The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients |
| title_fullStr | The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients |
| title_full_unstemmed | The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients |
| title_short | The Main Determinants for Suicidal Ideation in a Romanian Cohort of Multiple Sclerosis Patients |
| title_sort | main determinants for suicidal ideation in a romanian cohort of multiple sclerosis patients |
| url | http://dx.doi.org/10.1155/2020/2594702 |
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