Depression is a predictor for balance in people with multiple sclerosis

Alghwiri, Alia A.; Khalil, Hanan; Al‐Sharman, Alham; El‐Salem, Khalid

doi:10.1016/j.msard.2018.05.013

Cited by 23 publications

(16 citation statements)

References 44 publications

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“…This has been confirmed in research by Janardhan and Bakshi [49]. In the previous studies, depression was confirmed as a significant predictor for balance impairments in individual with MS [50] and significant predictor of low quality of life in all neurological diseases [47, 49, 51]. The participants in our study described depression when all their coping rexources had been exhausted.…”

Section: Discussionsupporting

confidence: 87%

Informing patients with progressive neurological disease of their health status, and their adaptation to the disease

Bužgová

Kozáková

2019

BMC Neurol

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BackgroundProgressive neurological diseases, such as multiple sclerosis, Parkinson’s disease, Huntington’s disease, significantly interfere with patients’ lives, and those of their families. The aim of the research was to establish whether the extent of the information on patients’ health conditions, and the way patients learn this information from doctors affect their adaptation to chronic and progressive diseases.MethodsQualitative methodology was used for a total of 52 participants (patients with progressive neurological diseases, their family members, and health and social workers). Data were collected using individual, in-depth interviews and focus groups. Analysis of data for interpretation, conceptualization, and re-integration was performed by open, axial, and selective coding.ResultsIt was determined that adequate information about patients’ health status, and the use of coping strategies are related to their adaptation to their disease, and consequently, to their quality of life. The participants often considered the extent of the information provided, and the way they were informed to be inadequate. Receiving the diagnosis, the progression of the disease, and the end of life were found to be the most burdensome.ConclusionOur results show that Czech neurologist should develop better communication skills, particularly for informing patients with progressive neurological diseases. Open communication, emotional support, and support in selecting effective coping strategies can help patients adapt more readily to their disease, and improve their quality of life.

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Section: Discussionsupporting

confidence: 87%

Informing patients with progressive neurological disease of their health status, and their adaptation to the disease

Bužgová

Kozáková

2019

BMC Neurol

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“…In this study, balance control during a more challenging task was a significant predictor of depressive symptoms, suggesting that impairment in physical function, such as dynamic balance, can affect mental health. The present results partly corroborate the findings of the study conducted by Alghwiri et al 13 , in which associations between depressive symptoms and balance could also be found. However, in their study, balance was measured by the subjective Activities-Specific Balance Confidence Scale (ABC) and by the Berg Balance Scale (BBS), suggesting that the ability to perform dynamic balance tasks during activities of daily living is affected by the level of depressive symptoms.…”

Section: Discussionsupporting

confidence: 93%

“…Studies investigating associations between physical functions and mental health have been mostly focused on how mental health, evaluated by mood disorders and self-efficacy, could predict walking capacity 10,12 , activities of daily living 11 , self-reported physical activity 5 , and balance 13 . In this study, balance control during a more challenging task was a significant predictor of depressive symptoms, suggesting that impairment in physical function, such as dynamic balance, can affect mental health.…”

Section: Discussionmentioning

confidence: 99%

“…However, function selfefficacy proved to be associated with walking speed (timed 25-foot walk test, T25FW) and endurance (6-minute walk test -6MWT) 12 , suggesting the importance of mental health related to confidence for performing activities of daily living. Furthermore, a study investigating depressive symptoms as predictors of subjective balance control showed that depressive symptoms explained 11-17% of the variance in balance, suggesting that as the symptoms increase, the capacity of performing functional activities that require balance decreases 13 .…”

Section: Introductionmentioning

confidence: 99%

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The impact of physical functions on depressive symptoms in people with multiple sclerosis

Tauil

Ramari

Silva

et al. 2021

Arq. Neuro-Psiquiatr.

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Background: Multiple sclerosis (MS) is an immune-mediated disease that affects the central nervous system. The impact of MS transcends physical functions and extends to psychological impairment. Approximately 50% of people with MS develop depressive symptoms during their lifetime and depressive symptoms may predict impairment of physical functions. However, prediction of depressive symptoms based on objective measures of physical functions is still necessary. Objective: To compare physical functions between people with MS presenting depressive symptoms or not and to identify predictors of depressive symptoms using objective measures of physical functions. Methods: Cross-sectional study including 26 people with MS. Anxiety and/or depressive symptoms were assessed by the Beck Depression Inventory-II (BDI-II) and by the Hospital Anxiety and Depression Scale (HADS). Outcomes of physical functions included: the Nnnine-hole Ppeg Ttest (NHPT), knee muscle strength, balance control, the Timed Up and Go Test (TUG), and the 6-minute walk test (6MWT). Perceived exertion was measured using the Borg scale. Results: The frequency of depressive symptoms was 42% in people with MS. Balance control during a more challenging task was impaired in people with MS who presented depressive symptoms. Balance could explain 21-24% of the variance in depressive symptoms. 6MWT and TUG presented a trend of significance explaining 16% of the variance in the BDI-II score. Conclusions: Impairment in physical functions consists in a potential predictor of depressive symptoms in people with MS. Exercise interventions aiming at the improvement of physical functions, together with the treatment of depressive symptoms and conventional medical treatment, are suggested.

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“…Worldwide, about 2.5 million people suffer from multiple sclerosis (MS) (1). Multiple sclerosis (MS) is defined as a neurodegenerative disease involving both psychological and physical impairments (2). Typically, MS sufferers have sleep complaints, symptoms of depression, fatigue, and paresthesia (3–8), reduced physical activity levels (9–13), and cognitive impairments (14–17).…”

Section: Introductionmentioning

confidence: 99%

In Patients With Multiple Sclerosis, Both Objective and Subjective Sleep, Depression, Fatigue, and Paresthesia Improved After 3 Weeks of Regular Exercise

et al. 2019

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Background: Multiple sclerosis (MS) patients suffer from various difficulties including sleep complaints, symptoms of depression and fatigue, paresthesia, and cognitive impairments. There is growing evidence that regular physical activity has a positive effect on both sleep and psychological functioning, though there is limited evidence of this kind for MS patients. The aim of the present study was therefore to investigate the impact on this patient group of a regular exercise program with respect to subjective and objective sleep, depression, paresthesia, fatigue, and cognitive performance. Methods: A total of 46 patients [mean age: 50.74 years; Expanded Disability Status Scale (EDSS): mean: 5.3, 78.4% females] completed this 3-week intervention study. At baseline and 3 weeks later, they answered questionnaires covering sociodemographic information, subjective sleep, depression, fatigue, paresthesia, and subjective physical activity. Objective sleep [sleep electroencephalogram (EEG) recordings] and cognitive performance were also assessed at both time points. Patients participated in a regular exercise activity every weekday for about 60 min. Results: Compared to the baseline, by the end of the study, objective sleep had significantly improved (sleep efficiency, sleep onset latency, and wake time after sleep onset), and symptoms of sleep complaints, depression, fatigue, and paresthesia were significantly reduced. Subjective physical activity (moderate and vigorous) and cognitive performance also increased over the course of the intervention. Conclusions: In patients with MS, participation in regular exercise impacted positively on their objective and subjective sleep, depression, paresthesia, fatigue, and cognitive performance.

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Depression is a predictor for balance in people with multiple sclerosis

Cited by 23 publications

References 44 publications

Informing patients with progressive neurological disease of their health status, and their adaptation to the disease

Informing patients with progressive neurological disease of their health status, and their adaptation to the disease

The impact of physical functions on depressive symptoms in people with multiple sclerosis

In Patients With Multiple Sclerosis, Both Objective and Subjective Sleep, Depression, Fatigue, and Paresthesia Improved After 3 Weeks of Regular Exercise

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