Assessment and Treatment of Psychiatric Distress, Sexual Dysfunction, Sleep Disturbances, and Pain in Multiple Sclerosis

Gromisch, Elizabeth S.; Schairer, Laura C.; Pasternak, Eliana; Kim, Stella H.; Foley, Frederick W.

doi:10.7224/1537-2073.2016-007

Cited by 20 publications

(17 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, including subjective concerns correctly reflected the practice of MS clinic staff in determining which patients might warrant attention and reflects the widespread practice of not using validated measures. 24,33 Regardless, this approach produced far fewer concerns than expected in the literature, which supports the observation that concerns are being underidentified in routine care. Rates of cognitive, mental health, and psychosocial concerns may have been greater with a longer review period.…”

Section: Discussionsupporting

confidence: 68%

“…45 Interdisciplinary MS care centers are more likely to use validated screening measures and offer treatment for psychological concerns. 24…”

Section: Discussionmentioning

confidence: 99%

“…15,19,20 Identifying mental health issues is complicated given overlap with MS symptoms, 21 23 ). Nonetheless, these measures are not always used, 24 and mental health issues remain undertreated. 25,26 Psychosocial challenges (eg, unemployment, interpersonal difficulties) develop because of physical, cognitive, or mental health symptoms.…”

Section: Methodsmentioning

confidence: 99%

“…In a survey of CMSC member health professionals, 93% reported routinely assessing for depression, and half reported offering treatment. 24 Most surveyed members reported asking a general question about depression, and 38% reported using a validated measure. Less than 4% of invitees completed this survey, so these numbers do not reflect the typical MS center.…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

Walker¹,

Gardner²,

Freedman³

et al. 2019

International Journal of MS Care

View full text Add to dashboard Cite

Background: People with multiple sclerosis (MS) are at increased risk for cognitive impairment, mental health concerns, and psychosocial issues, which can negatively affect disease outcomes and quality of life. Current MS care guidelines recommend integrated interdisciplinary services to address these concerns; however, issues can be overlooked during routine care. To date, there is inadequate research on how often these issues are identified and addressed during routine MS care. Methods: One hundred medical records were randomly selected and reviewed (55 relapsing-remitting MS, 17 secondary progressive MS, 8 primary progressive MS, and 20 other or subtype not indicated). All visits to, and contacts with (ie, telephone, e-mail), an MS clinic over 1 year were included in the analysis to determine the proportion of patients presenting with cognitive, mental health, and psychosocial concerns and the proportion of patients offered associated services. Results: Of the 25 patients with at least one identified concern, treatment recommendations occurred for 13 (52%). Rates of identification of cognitive, mental health, and psychosocial concerns in standard clinical practice were significantly lower than the identified prevalence in epidemiologic studies. Demographic factors had no bearing on who was offered treatment. Patients with concerns access MS clinic services more often than those without. Conclusions: Discrepancies between reported and expected frequencies may be due to overreliance on patient self-disclosure and concerns by the health care team that inadequate resources are available to address issues. An interdisciplinary team model may help address these issues.

show abstract

Section: Discussionsupporting

confidence: 68%

“…45 Interdisciplinary MS care centers are more likely to use validated screening measures and offer treatment for psychological concerns. 24…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

Walker¹,

Gardner²,

Freedman³

et al. 2019

International Journal of MS Care

View full text Add to dashboard Cite

show abstract

“…In a recent survey of MS providers, only 26% indicated that they refer patients endorsing pain to a clinical health psychologist. 15 Part of the reason for low referral rates may be the limited research. Psychotherapy for pain in MS has been studied as part of an interdisciplinary treatment program, and certain strategies, such as cognitive restructuring and self-hypnosis, have been explored with beneficial results.…”

Section: Methodsmentioning

confidence: 99%

Cognitive Behavioral Therapy for the Management of Multiple Sclerosis–Related Pain

Gromisch¹,

Kerns²,

Czlapinski³

et al. 2020

International Journal of MS Care

Self Cite

View full text Add to dashboard Cite

Background: Pain is a common and often debilitating symptom in persons with multiple sclerosis (MS).Besides interfering with daily functioning, pain in MS is associated with higher levels of depression and anxiety. Although cognitive behavioral therapy (CBT) for pain has been found to be an effective treatment in other populations, there has been a dearth of research in persons with MS. Methods: Persons with MS with at least moderate pain severity (N = 20)were randomly assigned to one of two groups: CBT plus standard care or MS-related education plus standard care, each of which met for 12 sessions. Changes in pain severity, pain interference, and depressive symptom severity from baseline to 15-week follow-up were assessed using a 2×2 factorial design. Participants also rated their satisfaction with their treatment and accomplishment of personally meaningful behavioral goals.Results: Both treatment groups rated their treatment satisfaction as very high and their behavioral goals as largely met, although only the CBT plus standard care group's mean goal accomplishment ratings represented significant improvement. Although there were no significant differences between groups after treatment on the three primary outcomes, there was an overall improvement over time for pain severity, pain interference, and depressive symptom severity. Conclusions: Cognitive behavioral therapy or education-based programs may be helpful adjunctive treatments for persons with MS experiencing pain. Int J MS Care. 2020;22:8-14.

show abstract

Sex differences in predictors of illness intrusiveness in persons with multiple sclerosis

Neto

Gromisch

Sloan³

et al. 2018

Qual Life Res

View full text Add to dashboard Cite

Assessment and Treatment of Psychiatric Distress, Sexual Dysfunction, Sleep Disturbances, and Pain in Multiple Sclerosis

Cited by 20 publications

References 30 publications

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

Research-to-Practice Gaps in Multiple Sclerosis Care for Patients with Subjective Cognitive, Mental Health, and Psychosocial Concerns in a Canadian Center

Cognitive Behavioral Therapy for the Management of Multiple Sclerosis–Related Pain

Sex differences in predictors of illness intrusiveness in persons with multiple sclerosis

Contact Info

Product

Resources

About