Background: Anxiety and depressive disorders affect Multiple Sclerosis (MS) patients since the early stages of the disease. Although the presence of these symptoms is widely recognized, the beginning and the psychological mechanisms at the basis of these disorders have rarely been examined in detail. This observational study aims to assess the presence of emotional distress in the early stages of the disease in patients with relapsing-remitting MS (MS-RR) and to check similarities and dissimilarities with a shared conceptual framework: the “curve of change” of the Kübler-Ross model. Thirtysix RR-MS patients were examined at 1 and 24 months after the diagnosis, and they were asked to answer to the questionnaire “State-Trait Anxiety Inventory (STAI X-1 and X-2) for the evaluation of anxiety, Beck Depression Inventory 2nd Edition (BDI-II)”, for the assessment of depressive symptoms. Results: STAI X-1 scores were significantly higher than the BDI II during the first 6 months, while the mean BDI II resulted higher from the 18th to the 22th month, especially on the cognitive domain. Conclusions: The study showed that psychological symptoms follow a clearly time course in newly diagnosed patients. During the first six months we found high levels of anxiety with a decrease until the first year of MS disclosure. From the first year on depressive symptoms begin to increase with a significant involvement of the cognitive domain. During the 20th month the depressive symptomatology reaches its highest level. The time course of the anxiety and depression symptoms in RR-MS patients is in accordance with the Kübler-Ross model.

The application of Kubler-Ross model in Newly Diagnosed Patients with Relapsing-Remitting Multiple Sclerosis / Maniscalco, G. T.; Ziello, A. R.; Panetta, V.; Guarcello, G.; &, ; Improta, G.. - In: ARCHIVES OF DEPRESSION AND ANXIETY. - ISSN 2455-5460. - (2019).

The application of Kubler-Ross model in Newly Diagnosed Patients with Relapsing-Remitting Multiple Sclerosis

Improta, G.
2019

Abstract

Background: Anxiety and depressive disorders affect Multiple Sclerosis (MS) patients since the early stages of the disease. Although the presence of these symptoms is widely recognized, the beginning and the psychological mechanisms at the basis of these disorders have rarely been examined in detail. This observational study aims to assess the presence of emotional distress in the early stages of the disease in patients with relapsing-remitting MS (MS-RR) and to check similarities and dissimilarities with a shared conceptual framework: the “curve of change” of the Kübler-Ross model. Thirtysix RR-MS patients were examined at 1 and 24 months after the diagnosis, and they were asked to answer to the questionnaire “State-Trait Anxiety Inventory (STAI X-1 and X-2) for the evaluation of anxiety, Beck Depression Inventory 2nd Edition (BDI-II)”, for the assessment of depressive symptoms. Results: STAI X-1 scores were significantly higher than the BDI II during the first 6 months, while the mean BDI II resulted higher from the 18th to the 22th month, especially on the cognitive domain. Conclusions: The study showed that psychological symptoms follow a clearly time course in newly diagnosed patients. During the first six months we found high levels of anxiety with a decrease until the first year of MS disclosure. From the first year on depressive symptoms begin to increase with a significant involvement of the cognitive domain. During the 20th month the depressive symptomatology reaches its highest level. The time course of the anxiety and depression symptoms in RR-MS patients is in accordance with the Kübler-Ross model.
2019
The application of Kubler-Ross model in Newly Diagnosed Patients with Relapsing-Remitting Multiple Sclerosis / Maniscalco, G. T.; Ziello, A. R.; Panetta, V.; Guarcello, G.; &, ; Improta, G.. - In: ARCHIVES OF DEPRESSION AND ANXIETY. - ISSN 2455-5460. - (2019).
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/793826
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