Contributions
Abstract: EP1399
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Clinical assessment tools
Disability due to multiple sclerosis (MS) may influence the patients´ psychosocial condition. The aim of the study was to assess social functioning of MS patients with regard to the disease-related variables.
The study comprised 200 MS patients (140 females, 60 males, aged 24-69 years), followed-up at the Department of Neurology.
The data on MS course, current treatment and degree of disability (Expanded Disability Status Scale - EDSS) were obtained from medical records. The World Health Organization Disability Assessment Schedule (WHODAS) was used to assess disability impact upon social functioning; Beck Depression Inventory (BDI) - to evaluate depression. Self-administered questionnaire on demographics, major complaints and patients´ perception of treatment was also applied. The results were statistically analyzed using general linear models.
Mean MS duration was 10.1 years, mean EDSS score - 3.15, 174 patients received disease-modifying treatment. Total WHODAS results for 32.8% of patients were between 75 and 90 ‰ and for 27.4% above 90 ‰ compared to the population norms. 34.8% of respondents had highest scores in "participation in society", 13.4% -"understanding and communicating" and 3.9% - "getting along with people" categories of WHODAS. According to BDI, 14.4% of patients had mild depression and 17.3% - moderate to severe one. Mobility problems, fatigue and visual deficit were most frequently reported as major complaints (39.8%, 23.9% and 17.4%, respectively).
Total or partial results of WHODAS did not show significant relationships with age, gender, MS duration, EDSS or treatment.
Total WHODAS result correlated significantly with BDI score (p< 0.001; β 0.73) and mobility problems as the major complaint (p< 0.001; β 0.25). WHODAS score in "participation in society" correlated with BDI score (p< 0.001, β 0.65) and mobility problems or headache and vertigo as major complaints (p< 0.001, β 0.26; p=0.02, β 0.13, respectively). WHODAS score in "understanding and communicating" correlated with BDI score (p< 0.001, β 0.56) and visual deficit and fatigue as major complaints (p=0.006, β 0.16, p=0.017, β 0.14, respectively)
The impact of MS substantially affects the patients´ social functioning, which is associated with increased risk for depression. Specific symptoms of neurological deficit influence social functioning more than general disease-related variables. These aspects deserve attention during individualized follow-up of the MS patients.
Disclosure: Anna Pokryszko-Dragan : nothing to disclose
Karol Marschollek: nothing to disclose
Aleksandra Chojko: nothing to disclose
Magdalena Karasek: nothing to disclose
Adam Kardyś: nothing to disclose
Paweł Marschollek: nothing to disclose
Ewa Gruszka: nothing to disclose
Marta Nowakowska-Kotas: nothing to disclose
Sławomir Budrewicz: nothing to disclose
Abstract: EP1399
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Clinical assessment tools
Disability due to multiple sclerosis (MS) may influence the patients´ psychosocial condition. The aim of the study was to assess social functioning of MS patients with regard to the disease-related variables.
The study comprised 200 MS patients (140 females, 60 males, aged 24-69 years), followed-up at the Department of Neurology.
The data on MS course, current treatment and degree of disability (Expanded Disability Status Scale - EDSS) were obtained from medical records. The World Health Organization Disability Assessment Schedule (WHODAS) was used to assess disability impact upon social functioning; Beck Depression Inventory (BDI) - to evaluate depression. Self-administered questionnaire on demographics, major complaints and patients´ perception of treatment was also applied. The results were statistically analyzed using general linear models.
Mean MS duration was 10.1 years, mean EDSS score - 3.15, 174 patients received disease-modifying treatment. Total WHODAS results for 32.8% of patients were between 75 and 90 ‰ and for 27.4% above 90 ‰ compared to the population norms. 34.8% of respondents had highest scores in "participation in society", 13.4% -"understanding and communicating" and 3.9% - "getting along with people" categories of WHODAS. According to BDI, 14.4% of patients had mild depression and 17.3% - moderate to severe one. Mobility problems, fatigue and visual deficit were most frequently reported as major complaints (39.8%, 23.9% and 17.4%, respectively).
Total or partial results of WHODAS did not show significant relationships with age, gender, MS duration, EDSS or treatment.
Total WHODAS result correlated significantly with BDI score (p< 0.001; β 0.73) and mobility problems as the major complaint (p< 0.001; β 0.25). WHODAS score in "participation in society" correlated with BDI score (p< 0.001, β 0.65) and mobility problems or headache and vertigo as major complaints (p< 0.001, β 0.26; p=0.02, β 0.13, respectively). WHODAS score in "understanding and communicating" correlated with BDI score (p< 0.001, β 0.56) and visual deficit and fatigue as major complaints (p=0.006, β 0.16, p=0.017, β 0.14, respectively)
The impact of MS substantially affects the patients´ social functioning, which is associated with increased risk for depression. Specific symptoms of neurological deficit influence social functioning more than general disease-related variables. These aspects deserve attention during individualized follow-up of the MS patients.
Disclosure: Anna Pokryszko-Dragan : nothing to disclose
Karol Marschollek: nothing to disclose
Aleksandra Chojko: nothing to disclose
Magdalena Karasek: nothing to disclose
Adam Kardyś: nothing to disclose
Paweł Marschollek: nothing to disclose
Ewa Gruszka: nothing to disclose
Marta Nowakowska-Kotas: nothing to disclose
Sławomir Budrewicz: nothing to disclose