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Associations of demographic and clinical factors with depression over 2.5-years in an international prospective cohort of people living with MS
Citation
Simpson Jr, S and Taylor, KL and Jelinek, GA and De Livera, AM and Brown, CR and O'Kearney, E and Neate, SL and Bevens, W and Weiland, TJ, Associations of demographic and clinical factors with depression over 2.5-years in an international prospective cohort of people living with MS, Multiple Sclerosis and Related Disorders, 30 pp. 165-175. ISSN 2211-0348 (2019) [Refereed Article]
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DOI: doi:10.1016/j.msard.2019.02.014
Abstract
Objectives: We examined the relationship of demographic and clinical factors with positive depression-screen and change in depression over 2.5 years in people with MS.
Methods: Positive depression-screen assessed by Patient Health Questionnaire (PHQ)-2 and PHQ-9. Associations of demographic and clinical factors with depression-screen and change thereof assessed using multivariable regression models, adjusted for age, sex, disability, fatigue, antidepressant use, and baseline PHQ-2, as appropriate.
Results: Overweight/obese BMI, comorbidity number, fatigue, and disability were associated with positive depression-screen, while married/partnered state, being employed, higher perceived socioeconomic status, and greater education were inversely associated with depression-screen. After adjustment, only marital status, socioeconomic status, antidepressant medication use, and fatigue were associated with risk of newly positive depression-screen. MS type, relapse number and immunomodulatory medication use were not associated with depression-screen after controlling for disability and fatigue.
Conclusion: In a large prospective cohort study of depression in people with MS, we substantiated several potential determinants of a positive depression-screen and depression trajectory, particularly fatigue. Given that fatigue is the most common and most significant clinical symptom for people with MS, efforts to reduce fatigue may have follow-on benefits for reducing depression.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | clinical, demographic, depression, epidemiology, multiple sclerosis |
| Research Division: | Medical and Health Sciences |
| Research Group: | Neurosciences |
| Research Field: | Central Nervous System |
| Objective Division: | Health |
| Objective Group: | Clinical Health (Organs, Diseases and Abnormal Conditions) |
| Objective Field: | Nervous System and Disorders |
| UTAS Author: | Simpson Jr, S (Dr Steve Simpson JR) |
| ID Code: | 132994 |
| Year Published: | 2019 |
| Deposited By: | Menzies Institute for Medical Research |
| Deposited On: | 2019-05-30 |
| Last Modified: | 2019-05-30 |
| Downloads: | 0 |
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