The improvement of quality of life of patients with multiple sclerosis over 15-year period

Boyko, Olga; Tatarinova, M. Yu.; Popova, E. V.; Гусева, М Е; Boyко, Alexey; Гусев, Е И

doi:10.17116/jnevro201811808223

Cited by 10 publications

(1 citation statement)

References 24 publications

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“…Мышление пациентов сужается, что обусловлено парализующим воздействием страха, тревоги и дисфункционального беспокойства относительно своего здоровья. При этом многие исследователи отмечают, что качество жизни пациентов существенно снижается на самых ранних стадиях развития заболевания, даже до развития стойких инвалидизирующих нарушений [2]. В связи с травматичностью переживаний формируется стремление к избеганию того, что напоминает о случившемся, пациенты могут изолироваться, перестать разговаривать на тему своего заболевания, блокировать мысли о психотравмирующих переживаниях, вытеснять болезненные события, связанные с процедурами диагностики или лечения, и переживания из памяти, что приводит к фиксации и блокировке негативных эмоциональных переживаний.…”

Section: Discussionunclassified

Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis

Andreeva¹,

Караваева²

2020

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The fourth edition of the Diagnostic and Statistical Manual on Mental Disorders (DSM-IV) recognizes the existence of a disease as a potential life-threatening stressor capable of causing post-traumatic stress disorder (PTSD). This research is one of the first works dedicated to the study of PTSD in patients diagnosed with «multiple sclerosis» (RS). A total of 724 complete sample patients were screened for outpatient treatment at the «City MS Center» in Saint Petersburg. According to the results of the screening survey and the expert clinical interview for the verification of the diagnosis of PTSD, the clinic—psychopathological signs sufficient for the diagnosis of PTSD have been identified in 61 patients, which is 8.4% of the total number of screened patients. The presence of PTSD is confirmed by high indices of sub-scales «avoidance», «intrusion», «physiological excitability» on the WOVTS scale, as well as higher indicators of dissociation level compared to control group. The lack of correlation between PTSD and the duration of RS, the degree of disability of patients, as well as socio-demographic data was found. Thus, the development of PTSD is more related to the premorbid personality characteristics than to the characteristics of the disease. These findings suggest that RS may have PTSD-type reactions. Further studies of the psychological characteristics of this group of patients are needed to identify the targets for psychotherapy.

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Section: Discussionunclassified

Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis

Andreeva¹,

Караваева²

2020

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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Art therapy possibilities in the complex treatment of patients with multiple sclerosis

Гусева

Matvievskaya

Boyко

2021

RJTAO

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Objective: to study the effectiveness of art therapy methods in the complex treatment of neuropsychological disorders and quality of life improvement in patients with relapsing-remitting and secondary-progressive multiple sclerosis (MS).Patients and methods. A group of 42 patients (5 men and 37 women, mean age 32.9 years, mean EDSS severity 3.8 points) with MS underwent outpatient continuous active art therapy cycle. The mean group training cycle duration was six months. The comparison group included 15 age- and sex-adjusted individuals without neurological disorders. Tests on various drawing topics were carried out before and after a three-month therapy course. We used Hospital Anxiety and Depression Scale (HADS) to assess the severity of anxiety and depression and the SF-36 scale to evaluate the quality of life (QoL).Results and discussion. Before the art therapy start, light blue, yellow, pink, blue, and green colors prevailed in the drawings. There was no predominance of any color depending on MS severity or course. The green color predominated in this test in the control group, and the light blue color was significantly less represented. The art therapy course did not lead to a significant change in the severity of MS according to the Expanded Disability Status Scale (EDSS). After the art therapy course, the color scheme of the drawings was mainly represented by red, light blue, green, yellow, and blue colors. In addition, a red-orange color appeared in the drawings, which was completely absent before the course. Positive trends were noted according to HADS: a decrease in anxiety by 23% and depression by 19%. The physical component of QoL assessed by the SF-36 scale did not change substantially, but the psychological component significantly improved by 11%.Conclusion. The predominance of light blue color observed in MS is associated with damage to the nervous and musculoskeletal systems, and blue color – with psychological problems and depression. However, after a course of art therapy for MS, red, red-orange, yellow, and green colors representation increased significantly, which indicates an increase in positive attitude, a decrease in the level of depression, and an improvement in QoL.

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Changes in the quality of life in patients with multiple sclerosis treated with ocrelizumab

Boyko

Choroshilova²,

Петров³

et al. 2019

Z. nevrol. psikhiatr. im. S.S. Korsakova

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The improvement of quality of life of patients with multiple sclerosis over 15-year period

Abstract: In this article, the authors compared the results of the studies on quality of life (SF-36 questionnaire) of large groups of patients with multiple sclerosis conducted in 2000-2003 and 2012-2016 years.

Cited by 10 publications

References 24 publications

Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis

Identification and characteristics of post-traumatic stress disorder in patients with multiple sclerosis

Art therapy possibilities in the complex treatment of patients with multiple sclerosis

Changes in the quality of life in patients with multiple sclerosis treated with ocrelizumab

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