Summary:
The aim of research was to draw attention to the presence of depression in patients
suffering from multiple sclerosis (MS). A randomly created set of 42 patients with MS
(11 males and 31 females) with the average EDSS of 3.2 in men and 2.77 in women
underwent psychiatric examinations. The patients’ states were evaluated using psychiatric
assessing scales: Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale
(HAMD), Montgomery-Asperg Depression Rating Scale (MADRS), a psychosomatic
questionnaire SCL-90 and HAD (Hospital Anxiety and Depression Scale) were
completed, cognitive abilities were assessed by means of Wechsler Adult Intelligence
Scale (WAIS-R), neurological deficit with a scale of disability level in MS – Expanded
Disability Status Scale (EDSS). Depression was proved in 33 % of patients, anxiety in
29 %, when generally men’s responses to a chronic disease were more depressive, while
anxiety prevailed in women. The highest value in the scale of depression in men and
anxiety in women was recorded by our examinations in primarily progressive form at
the value of 4.5 of EDSS. After the first attack (a clinically isolated syndrome), anxiety
is experienced with high intensity in both sexes. A slight cognitive deficit was recorded
in 5 out of 12 subjects. If compared with literature giving 40–45 % of depressive
patients, the lower percentage of those in our set is probably caused by a less numerous
set and selection of patients with the lower EDSS due to the availability of psychiatric
investigations. Nevertheless, this percentage is quite high to think about coexistence
of depression in MS and to treat it adequately and in time.
Key words:
depression, etiopathogenesis of depression, cerebrospinal multiple sclerosis
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