Suicidal ideation, anxiety, and depression in patients with multiple sclerosis

Arq Neuropsiquiatr. 2018 May;76(5):296-301. doi: 10.1590/0004-282X20180036.

Abstract

Introduction: Psychiatric disorders frequently occur in patients with multiple sclerosis (MS); however, limited reports are available on these comorbidities. We aimed to investigate the relationships among MS, anxiety, depression, and suicidal ideation.

Methods: One hundred and thirty two patients with relapsing-remitting MS were evaluated using the Expanded Disability Status Scale, Beck Depression Inventory-II (BDI-II), Beck Scale for Suicide Ideation (BSI), and Hospital Anxiety and Depression Scale.

Results: A hierarchical regression analysis was performed to evaluate the variables. The regression equation significantly predicted the BSI score (R2 = 0.306; adjusted R2 = 0.273; F (9, 125) = 9.18; p < 0.0005), and the BDI-II score was the only variable that contributed significantly to this model (p < 0.0005).

Conclusions: A high prevalence of depression and anxiety, and a higher rate of suicidal ideation were identified in MS patients compared to the general population. The presence of depressive symptoms appeared to have a direct influence on the risk of suicide.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anxiety / etiology*
  • Anxiety / psychology
  • Depression / etiology*
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / complications*
  • Multiple Sclerosis, Relapsing-Remitting / psychology
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Socioeconomic Factors
  • Suicidal Ideation*
  • Young Adult