Quality of sleep and fatigue in patients with the relapsing-remitting multiple sclerosis during the coronavirus disease-2019 pandemic

Stojanov, Aleksandar; Vojinović, Slobodan; Stojanov, Jelena; Malobabić, Marina; Stević, Miloš; Milošević, Vuk; Stanojević, Goran

doi:10.1016/j.clineuro.2021.106640

Cited by 9 publications

(20 citation statements)

References 29 publications

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“…Further, disruption in treatment and practice in this population caused excess worry during the COVID-19 pandemic (Mateen et al, 2020 ). Sleep disturbances and increased fatigue was also reported among PwMS ( Stojanov et al, 2021 ).…”

Section: Introductionmentioning

confidence: 83%

Social support predicts sleep quality in people with multiple sclerosis during the COVID-19 pandemic

Harris

Zaeske

Ludwig

et al. 2022

Multiple Sclerosis and Related Disorders

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Section: Introductionmentioning

confidence: 83%

Social support predicts sleep quality in people with multiple sclerosis during the COVID-19 pandemic

Harris

Zaeske

Ludwig

et al. 2022

Multiple Sclerosis and Related Disorders

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“…Otežano radno funkcionisanje, povećana zavisnost od drugih ili socijalna izolacija mogu dovesti do promena u psihičkom stanju, pa se uz telesne simptome, strah i brigu osobe nose i sa osećajem bespomoćnosti, sniženim samopoštovanjem ili pak depresijom, uz negativan uticaj na kvalitet života [2][3][4] . Danas su hronične bolesti među glavnim problemima svetskog zdravstvenog sistema, jer broj obolelih raste, a i uzrasna granica pacijenata koji obolevaju je sve niža.…”

Section: Uvodunclassified

“…U početnim fazama bolesti uočljive su subjektivne smetnje senzibiliteta, gubitak snage u jednom ili više ekstremiteta, duple slike, poremećaj ravnoteže i vrtoglavice, smetnje kontrole mikcije i defekacije. Mogući su i poremećaji koordinacije pokreta, tremor, poremećaj govora, ukočenost mišića, ali i mentalni poremećaji, naročito depresivna simptomatologija, anksioznost i poremećaji spavanja 3,4 .…”

Section: Multipla Sklerozaunclassified

“…MS može imati benigni ili maligni tok, a u zavisnosti od toka se psihijatrijski komorbiditet i sam kvalitet života razlikuju. Kvalitet života se, s obzirom na stepen onesposobljenosti i faze u kojoj se oboleli nalazi, razlikuje od pojedinca do pojedinca 3,4 .…”

Section: Multipla Sklerozaunclassified

“…Do pogoršanja kvaliteta života kod osoba sa MS najčešće dovode fizička onesposobljenost, umor, bol i seksualna disfunkcija koje se javljaju sa progresijom bolesti 14 . Pored ovih faktora nezaobilazne su i promene u psihičkom statusu, naročito pojava depresije 3,4 . Zato se MS naziva "bolešću sa hiljadu lica", jer je kod svakog pacijenta drugačijeg toka, simptomatologije i različito utiče na kvalitet života.…”

Section: Kvalitet žIvotaunclassified

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Depression as a determinant of quality of life in patients with multiple sclerosis

Stojanov¹,

Stojanov²

2022

Galenika Med J

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Multiple sclerosis (MS) is a chronic autoimmune inflammatory disease of the central nervous system (CNS), which mainly affects women and young adults in their most productive years of life. Given to fact that the disease is unpredictable and has uncertain outcomes, the grater are physical and emotional efforts that an individual has to take, and that inevitably causes additional exhaustion. Assessment of disease severity based only on an objective clinical finding is not enough, because it does not give insight into the subjective experience of disease symptoms and difficulties with which these patients meet in everyday life life. Most MS sufferers most likely will experience a wide range of physical, psychological and social problems. Physical disability, fatigue, motor incapacity and sexual dysfunctions that occur with the progression of the disease, most often lead to the deterioration of the quality of life in people with MS. In addition to these factors, changes in psychological status are inevitable. Depression is the most common psychiatric comorbidity of MS that worsens the health condition of the patient. Studies on psychiatric comorbidities and ways of coping with MS generally highlight the connection between depression and alexithymia in MS. Prevalence alexithymia in MS patients goes up to 50%, it is associated with anxiety and significantly contributes to the severity and severity of depression. When it comes to the therapy of depression in MS of cognitive-behavioral psychotherapy (CBT) is recommended as the first line of treatment, but also the application of pharmacotherapy i.e. administration of sertraline and escitalopram with short-term use of alprazolam, and more recently, more and more studies are investigating neuroprotective effect of antidepressants, and recommend the use of fluoxetine. Directing preventive measures to improving social activities and prevention institutionalization ie. combining medical rehabilitation, psychosocial help and social support prevent that the disease from becoming a disability leading to complete isolation. It is also necessary to direct resources to adequate treatment of depression as determining factor of quality of life, mental health and prognostic factor of the clinical picture and course of MS.

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The impact of the COVID-19 pandemic on behavioral and psychological features of vulnerable groups: Patients with multiple sclerosis and their quality of life

Yeni

2024

Linking Neuroscience and Behavior in COVID-19

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Quality of sleep and fatigue in patients with the relapsing-remitting multiple sclerosis during the coronavirus disease-2019 pandemic

Cited by 9 publications

References 29 publications

Social support predicts sleep quality in people with multiple sclerosis during the COVID-19 pandemic

Social support predicts sleep quality in people with multiple sclerosis during the COVID-19 pandemic

Depression as a determinant of quality of life in patients with multiple sclerosis

The impact of the COVID-19 pandemic on behavioral and psychological features of vulnerable groups: Patients with multiple sclerosis and their quality of life

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