Depression and anxiety in multiple system atrophy

Background It has been noticed that the patients with multiple system atrophy (MSA) can accompany with depression and anxiety. This study aimed to establish the incidence and determinants of depression and anxiety symptoms in Chinese MSA patients. Methods A total of 237 MSA patients were enrolled in...

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Veröffentlicht in:Acta neurologica Scandinavica 2018-01, Vol.137 (1), p.33-37
Hauptverfasser: Zhang, L.‐Y., Cao, B., Zou, Y.‐T., Wei, Q.‐Q., Ou, R.‐W., Zhao, B., Wu, Y., Shang, H.‐F.
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container_issue 1
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container_title Acta neurologica Scandinavica
container_volume 137
creator Zhang, L.‐Y.
Cao, B.
Zou, Y.‐T.
Wei, Q.‐Q.
Ou, R.‐W.
Zhao, B.
Wu, Y.
Shang, H.‐F.
description Background It has been noticed that the patients with multiple system atrophy (MSA) can accompany with depression and anxiety. This study aimed to establish the incidence and determinants of depression and anxiety symptoms in Chinese MSA patients. Methods A total of 237 MSA patients were enrolled in the study. Neuropsychological assessment was performed using Hamilton Depression Rating Scale‐24 items and Hamilton Anxiety Rating Scale. Results We found that 62.0% and 71.7% patients had at least mild depression and anxiety symptoms, respectively. The severity of depression of MSA patients was associated with lower educational years (P=.024), longer disease duration (P
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This study aimed to establish the incidence and determinants of depression and anxiety symptoms in Chinese MSA patients. Methods A total of 237 MSA patients were enrolled in the study. Neuropsychological assessment was performed using Hamilton Depression Rating Scale‐24 items and Hamilton Anxiety Rating Scale. Results We found that 62.0% and 71.7% patients had at least mild depression and anxiety symptoms, respectively. The severity of depression of MSA patients was associated with lower educational years (P=.024), longer disease duration (P&lt;.001), and disease severity (P&lt;.001). The severity of anxiety was associated with increased disease duration (P&lt;.001), disease severity (P=.013), and orthostatic hypotension (P=.005). Binary logistic regression showed the determinants of depression and anxiety were female gender, longer disease duration, and disease severity. Conclusion Depression and anxiety symptoms are common in patients with MSA. Neurologists should pay attention to depression and anxiety in patients with MSA, especially in female patients and those with longer disease duration and severe disease condition.</description><identifier>ISSN: 0001-6314</identifier><identifier>EISSN: 1600-0404</identifier><identifier>DOI: 10.1111/ane.12804</identifier><identifier>PMID: 28748633</identifier><language>eng</language><publisher>Denmark: Hindawi Limited</publisher><subject>Anxiety ; Atrophy ; Attention ; depression ; Hypotension ; Mental depression ; multiple system atrophy</subject><ispartof>Acta neurologica Scandinavica, 2018-01, Vol.137 (1), p.33-37</ispartof><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-8ca82e32257afaaf966d3626936126356d698b100e7890c4f6626b701a4ed8ad3</citedby><cites>FETCH-LOGICAL-c3884-8ca82e32257afaaf966d3626936126356d698b100e7890c4f6626b701a4ed8ad3</cites><orcidid>0000-0002-9971-6185</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fane.12804$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fane.12804$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28748633$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, L.‐Y.</creatorcontrib><creatorcontrib>Cao, B.</creatorcontrib><creatorcontrib>Zou, Y.‐T.</creatorcontrib><creatorcontrib>Wei, Q.‐Q.</creatorcontrib><creatorcontrib>Ou, R.‐W.</creatorcontrib><creatorcontrib>Zhao, B.</creatorcontrib><creatorcontrib>Wu, Y.</creatorcontrib><creatorcontrib>Shang, H.‐F.</creatorcontrib><title>Depression and anxiety in multiple system atrophy</title><title>Acta neurologica Scandinavica</title><addtitle>Acta Neurol Scand</addtitle><description>Background It has been noticed that the patients with multiple system atrophy (MSA) can accompany with depression and anxiety. This study aimed to establish the incidence and determinants of depression and anxiety symptoms in Chinese MSA patients. Methods A total of 237 MSA patients were enrolled in the study. Neuropsychological assessment was performed using Hamilton Depression Rating Scale‐24 items and Hamilton Anxiety Rating Scale. Results We found that 62.0% and 71.7% patients had at least mild depression and anxiety symptoms, respectively. The severity of depression of MSA patients was associated with lower educational years (P=.024), longer disease duration (P&lt;.001), and disease severity (P&lt;.001). The severity of anxiety was associated with increased disease duration (P&lt;.001), disease severity (P=.013), and orthostatic hypotension (P=.005). Binary logistic regression showed the determinants of depression and anxiety were female gender, longer disease duration, and disease severity. Conclusion Depression and anxiety symptoms are common in patients with MSA. Neurologists should pay attention to depression and anxiety in patients with MSA, especially in female patients and those with longer disease duration and severe disease condition.</description><subject>Anxiety</subject><subject>Atrophy</subject><subject>Attention</subject><subject>depression</subject><subject>Hypotension</subject><subject>Mental depression</subject><subject>multiple system atrophy</subject><issn>0001-6314</issn><issn>1600-0404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kF1LwzAUhoMobk4v_ANS8EYvup18LE0vx5wfMPRGr0PWnmJHv0xaXP-9mZ1eCAZCOOTh4bwvIZcUptSfmalwSpkCcUTGVAKEIEAckzEA0FByKkbkzLmtn1gkxCkZMRUJJTkfE3qHjUXn8roKTJX6u8ux7YO8CsquaPOmwMD1rsUyMK2tm_f-nJxkpnB4cXgn5O1-9bp8DNcvD0_LxTpMuFIiVIlRDDlj88hkxmSxlCmXTMZcUib5XKYyVhsKgJGKIRGZ9J-bCKgRmCqT8gm5GbyNrT86dK0uc5dgUfi0dec0jZmQ-0Rzj17_Qbd1Zyu_nacixihXQnrqdqASWztnMdONzUtje01B73vU3qy_e_Ts1cHYbUpMf8mf4jwwG4DPvMD-f5NePK8G5ReR6Xl1</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Zhang, L.‐Y.</creator><creator>Cao, B.</creator><creator>Zou, Y.‐T.</creator><creator>Wei, Q.‐Q.</creator><creator>Ou, R.‐W.</creator><creator>Zhao, B.</creator><creator>Wu, Y.</creator><creator>Shang, H.‐F.</creator><general>Hindawi Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9971-6185</orcidid></search><sort><creationdate>201801</creationdate><title>Depression and anxiety in multiple system atrophy</title><author>Zhang, L.‐Y. ; Cao, B. ; Zou, Y.‐T. ; Wei, Q.‐Q. ; Ou, R.‐W. ; Zhao, B. ; Wu, Y. ; Shang, H.‐F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-8ca82e32257afaaf966d3626936126356d698b100e7890c4f6626b701a4ed8ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anxiety</topic><topic>Atrophy</topic><topic>Attention</topic><topic>depression</topic><topic>Hypotension</topic><topic>Mental depression</topic><topic>multiple system atrophy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, L.‐Y.</creatorcontrib><creatorcontrib>Cao, B.</creatorcontrib><creatorcontrib>Zou, Y.‐T.</creatorcontrib><creatorcontrib>Wei, Q.‐Q.</creatorcontrib><creatorcontrib>Ou, R.‐W.</creatorcontrib><creatorcontrib>Zhao, B.</creatorcontrib><creatorcontrib>Wu, Y.</creatorcontrib><creatorcontrib>Shang, H.‐F.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, L.‐Y.</au><au>Cao, B.</au><au>Zou, Y.‐T.</au><au>Wei, Q.‐Q.</au><au>Ou, R.‐W.</au><au>Zhao, B.</au><au>Wu, Y.</au><au>Shang, H.‐F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression and anxiety in multiple system atrophy</atitle><jtitle>Acta neurologica Scandinavica</jtitle><addtitle>Acta Neurol Scand</addtitle><date>2018-01</date><risdate>2018</risdate><volume>137</volume><issue>1</issue><spage>33</spage><epage>37</epage><pages>33-37</pages><issn>0001-6314</issn><eissn>1600-0404</eissn><abstract>Background It has been noticed that the patients with multiple system atrophy (MSA) can accompany with depression and anxiety. This study aimed to establish the incidence and determinants of depression and anxiety symptoms in Chinese MSA patients. Methods A total of 237 MSA patients were enrolled in the study. Neuropsychological assessment was performed using Hamilton Depression Rating Scale‐24 items and Hamilton Anxiety Rating Scale. Results We found that 62.0% and 71.7% patients had at least mild depression and anxiety symptoms, respectively. The severity of depression of MSA patients was associated with lower educational years (P=.024), longer disease duration (P&lt;.001), and disease severity (P&lt;.001). The severity of anxiety was associated with increased disease duration (P&lt;.001), disease severity (P=.013), and orthostatic hypotension (P=.005). Binary logistic regression showed the determinants of depression and anxiety were female gender, longer disease duration, and disease severity. Conclusion Depression and anxiety symptoms are common in patients with MSA. Neurologists should pay attention to depression and anxiety in patients with MSA, especially in female patients and those with longer disease duration and severe disease condition.</abstract><cop>Denmark</cop><pub>Hindawi Limited</pub><pmid>28748633</pmid><doi>10.1111/ane.12804</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9971-6185</orcidid><oa>free_for_read</oa></addata></record>
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subjects Anxiety
Atrophy
Attention
depression
Hypotension
Mental depression
multiple system atrophy
title Depression and anxiety in multiple system atrophy
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