Risk of depression after Parkinson’s disease, stroke, multiple sclerosis, and migraine in an Iranian population and assess psychometric characteristics of three prevalent depression questionnaires

IF 2 Q3 NEUROSCIENCES
Mehri Salari , Hossein Pakdaman , Masoud Etemadifar , Fatemeh HojjatiPour , Maede Khalkhali , Nima Mirjamali , Arash Hossein Abadi Farahani
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引用次数: 0

Abstract

Objective

We aim to evaluate the prevalence of depression in disorders including multiple sclerosis (MS), Parkinson's disease (PD), migraine, and stroke. Also, we detect risk factors for depression occurrence within each disorder. Moreover, we compare the risk factors in these four common neurologic disorders. In advance, we assess the three surveys in order to better comprehend their distinctions.

Background

Depression is a globally prevalent Psychologic disorder and common co-morbidity in neurological diseases. However, it is mostly underdiagnosed in chronic patients and causes numerous adverse effects.

Methods

We used the database of neurology specialty clinics in a hospital in Tehran, the largest city of Iran. Five hundred nineteen patients, including 105 PD patients, 101 patients with stroke, 213 cases with MS, and 100 Migraine patients, were assessed. They were asked about their chief characteristics and disease-specific variables that may cause depression. Moreover, depression criteria were measured with three internationally used scales to study their variances.

Results

Overall, the prevalence of depression in PD, stroke, MS, and migraine, according to the BDI-II scale, were 43.8%, 38.6%, 45.1%, 37.6%, and according to HDRS scale, were 56.2%, 51.5%, 39.4%, and 43.6% respectively. Finally, according to DSM-XC the depression prevalence were 64.8%, 34.7%, 36.2%, and 67.3% respectively. Possible risk factors of depression were lower educational level, disease severity, socioeconomic level, marital or employment status, female gender, higher age, and consumption of some specific drugs.

Conclusion

Depression is a widespread disorder in chronic neurologic conditions. Our data suggests the odds of depression in neurologic disorders depend on the characteristics of the patient and the features of the disease.

伊朗人患帕金森病、中风、多发性硬化症和偏头痛后抑郁的风险,以及评估三种流行抑郁问卷的心理测量特征
目的我们旨在评估抑郁症在多发性硬化症(MS)、帕金森病(PD)、偏头痛和中风等疾病中的患病率。同时,我们还检测了每种疾病中抑郁症发生的风险因素。此外,我们还对这四种常见神经系统疾病的风险因素进行了比较。背景抑郁症是一种全球流行的心理疾病,也是神经系统疾病中常见的共病。方法我们使用了伊朗最大城市德黑兰一家医院神经病学专科门诊的数据库。我们对 519 名患者进行了评估,其中包括 105 名帕金森病患者、101 名中风患者、213 名多发性硬化症患者和 100 名偏头痛患者。研究人员询问了他们的主要特征以及可能导致抑郁的疾病特异性变量。结果总体而言,根据 BDI-II 量表,帕金森病、脑卒中、多发性硬化症和偏头痛患者的抑郁患病率分别为 43.8%、38.6%、45.1% 和 37.6%;根据 HDRS 量表,帕金森病、脑卒中、多发性硬化症和偏头痛患者的抑郁患病率分别为 56.2%、51.5%、39.4% 和 43.6%。最后,根据 DSM-XC,抑郁症患病率分别为 64.8%、34.7%、36.2% 和 67.3%。抑郁症的可能风险因素包括教育水平较低、疾病严重程度、社会经济水平、婚姻或就业状况、女性性别、年龄较大以及服用某些特定药物。我们的数据表明,神经系统疾病患者患抑郁症的几率取决于患者的特征和疾病的特点。
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来源期刊
IBRO Neuroscience Reports
IBRO Neuroscience Reports Neuroscience-Neuroscience (all)
CiteScore
2.80
自引率
0.00%
发文量
99
审稿时长
14 weeks
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