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Evaluation of emotional disorders before and during treatment with interferon beta in patients with multiple sclerosis. | LitMetric

AI Article Synopsis

  • The study investigated emotional disorders in relapsing-remitting multiple sclerosis (RRMS) patients undergoing IFN-β treatment over 24 months, focusing on emotional control and related factors like fatigue, irritability, depression, and anxiety.
  • Out of 79 patients recruited, 70 were analyzed, revealing that while emotional control scores remained stable, younger age, male sex, and antidepressant use were linked to higher emotional control issues.
  • Overall, the study suggests that although no significant emotional disorders related to IFN-β were found in these patients, it's important to monitor for potential severe mood disorders and suicidality.

Article Abstract

Background: Domains encompassing emotional disorders in relapsing-remitting MS (RRMS) patients are still unclear.

Methods: We performed a 24-month, multicenter, single-arm, prospective study. RRMS patients started IFN-β treatment at baseline. The primary endpoint was lack of emotional control, measured using the "Echelle d'HumeurDépressive" (EHD) scale three times at baseline and at 10 post-treatment visits. Secondary endpoints were emotional blunting, irritability, fatigue, depression and anxiety. A linear mixed covariance model assessed change from baseline on an intention-to-treat basis, under the assumption of no mood disorder effect (one-sided 97.5% level), in which autoregressive type of autocorrelation was tested.

Results: Out of 79 recruited patients, 70 were analyzed: 80% female; mean (SD) age, 37.0 (11.5) years. Mean (SD) lack of emotional control score at baseline and Month 24 was 12.7 (4.4) and 12.6 (5.5), respectively, versus 10.1 (3.2) in a healthy control population matched for age and sex. Stepwise analysis identified younger age, male sex and antidepressant use as significant predictors of higher lack of emotional control values.

Conclusions: Based on 24 months of prospective follow-up, the results of this study highlights a broad spectrum of emotional disorders in the MS population at the time of disease modifying drugs initiation but no major IFN-β-related emotional disorders (mood dyscontrol, anxiety, depression) were observed. However, sporadic occurrences of severe mood disorders and suicidality cannot be excluded.

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Source
http://dx.doi.org/10.1016/j.jns.2020.116739DOI Listing

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