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Impact of multiple sclerosis on mental health: A Cross-Sectional Study

Published online by Cambridge University Press:  19 July 2023

S. Chemingui
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
M. Mersni
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
I. Yousfi
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
N. Mechergui
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
D. Brahim
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
G. Bahri
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
H. Ben Said
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
I. Youssef
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
S. Ernez*
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
N. Ladhari
Affiliation:
Department of Occupational Medicine, Charles Nicolle Hospital of Tunis, Tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

When we think of multiple sclerosis (MS), we usually talk about the sensory and motor symptoms of the disease and their impact on the functioning of the individual affected. However, this disability can lead to a wide range of symptoms, including psychological and cognitive manifestations that also have a significant impact on the quality of life of patients

Objectives

To estimate the incidence of psychiatric disorders in patients with MS.

Methods

A cross-sectional descriptive study that interested MS patients referred to the occupational pathology consultation of the Charles Nicolle Hospital, during the period from July 1, 2020, to September 30, 2022. The data collected concerned the characteristics of the disease. The detection of psychiatric disorders was studied through a validated self-questionnaire GHQ-12 (General Health Questionnaire).

Results

The study population consisted of 26 cases. The average age was 38 ± 9 years. A predominance of females was noted in 77% of cases. Eight patients (31%) were smokers. Nine cases (47%) had a relapsing-remitting form and six cases (32%) had a primary progressive form. All patients were on disease-modifying therapy. The average duration of the disease was 6 ± 3 years. The average duration of work during the illness was 4 years [one year-12 years]. The average duration of work stoppage in the last 12 months of activity was 63 days [2-240 days], of which 54% was long-term sick leave. The mean GHQ-12 score was 4.38 [0-10]. Twenty patients (77%) had psychological disorders.

Conclusions

This study shows the high frequency of psychiatric disorders in our MS patients. The role of the neuropsychologist is therefore often crucial in the care of these patients.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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