دانلود رایگان مقاله انگلیسی افسردگی، پیش بینی کننده تعادل در افراد مبتلا به مولتیپل اسکلروزیس - الزویر 2018

Abstract

Background: Balance impairments are common and multifactorial among people with Multiple Sclerosis (MS). Depression is the most common psychological disorder in MS population and is strongly correlated with MS disease. Depression might be one of the factors that contribute to balance deficits in this population. However, the relationship between depression and balance impairments has not been explored in people with MS. Objective: To investigate the association between depression and balance impairments in people with MS. Methods: Cross sectional design was used in patients with MS. The Activitiesspecific Balance Confidence scale (ABC) and Berg Balance Scale (BBS) was used to assess balance. Beck Depression Inventory (BDI-II) was used to quantify depression and Kurtizki Expanded Disability Status Scale (EDSS) was utilized for the evaluation of MS disability severity. Pearson correlation coefficient was used to examine the association between depression and balance measurements. Multiple linear stepwise regressions were also conducted to find out if depression is a potential predictor for balance deficits. Results: Seventy-five individuals with MS (Female=69%) with a mean age (SD) of 38.8 (10) and a mean (SD) EDSS score of 3.0 (1.4) were recruited in this study. Depression was present in 53% of the patients. Depression was significantly correlated with balance measurements and EDSS. However, multiple linear stepwise regressions found that only depression and age significantly predict balance. Conclusion: Depression and balance were found frequent and associated in people with MS. Importantly depression was a significant predictor for balance impairments in individuals with MS. Balance rehabilitation may be hindered by depression. Therefore, depression should be evaluated and treated properly in individuals with MS.

Conclusion

Balance impairments and depression symptoms were found to be frequent and associated in people with MS. It is essential to understand that balance rehabilitation may be hindered by depression. Therefore, regular assessment of depression by rehabilitation specialist is essential and addressing both balance impairments along with depression symptoms in intervention programs for people with MS may ensure better outcomes. Our study also confirms that the understanding of health-care professionals to a patient’s level of depression, they can predict the patient’s risk of falling, therefore, enabling them to create effective and tailored treatment plan.