Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons with Multiple Sclerosis

Neuroinflammatory disorders of the central nervous system (CNS) consist of a relatively heterogeneous group of diseases that share the autoimmune activity against different parts of the system. Swallowing problems could happen in many of these cases. Its effect on the patients’ quality of life is undeniable. It could be an important cause of morbidity and mortality. Detailed medical history and physical exam are important. Several questionnaires could help monitor dysphagia. Radiographic and endoscopic evaluations may be necessary to detect overlooked swallowing problems. The main treatment appears to be treating the underlying disease, besides general supplementary options like rehabilitation and speech therapy.

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“…Cognitive rehabilitation could be a useful strategy to tackle the associated problems that may worsen the swallowing problems [39].…”

Section: Treatmentmentioning

confidence: 99%

Dysphagia in Neuroinflammatory Diseases of the Central Nervous System

Ghadiri¹,

Moghadasi²

2022

Dysphagia - New Advances

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“…[6][7][8] Chronic and uncontrolled psychological stress could lead to depression, anxiety, insomnia, and pain symptoms. [9][10][11][12] The prevalence of depression symptoms was previously studied in patients with MS of both sexes. It has been established that the prevalence of depression is higher compared to that of the normal population.…”

Section: Introductionmentioning

confidence: 99%

“…6–8 Chronic and uncontrolled psychological stress could lead to depression, anxiety, insomnia, and pain symptoms. 9–12…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety, insomnia and dysmenorrhea in stressed fingolimod-treated women with multiple sclerosis

Gammoh

Ennab

2023

Int J Psychiatry Med

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Objective This study examined the prevalence and correlates of depression, anxiety, insomnia, and dysmenorrhea in stressed fingolimod-treated women with multiple sclerosis. Methods This cross-sectional study recruited female patients diagnosed with multiple sclerosis and stress from Al-Bashir Hospital in Jordan. Depression was assessed by the Patient Health Questionnaire (PHQ-9); anxiety by the Generalized Anxiety Disorder (GAD-7) scale; insomnia by the Insomnia Severity Index (ISI-A) scale; and dysmenorrhea severity by a measure assessing working ability, location, intensity, days of pain, and miscellaneous dysmenorrhea symptoms (WaLIDD). Results A total of 129 patients were recruited for the study. Severe depression was reported in 55.8%, severe anxiety in 62.0%, severe insomnia in 36.4%, and severe dysmenorrhea in 23.3%. Multivariate analyses revealed that depressive symptoms were associated with dysmenorrhea (OR = 3.55, 95% CI = 1.56–8.12, p = 0.003); anxiety symptoms with “not using dysmenorrhea analgesics” (OR = 2.74, 95% CI = 1.16–6.46, p = 0.02) and dysmenorrhea symptoms (OR = 4.74, 95% CI = 1.94–11.59, p = 0.001); insomnia symptoms with age above 30 years (OR = 4.34, 95% CI = 1.64–11.51, p = 0.003); and dysmenorrhea symptoms with the presence of chronic diseases (OR = 4.21, 95% CI = 1.28–13.92, p = 0.02), anxiety symptoms (OR = 3.03, 95% CI = 1.18–7.73, p = 0.02), and insomnia symptoms (OR = 3.00, 95% CI = 1.18–7.64, p = 0.02). Conclusion Stressed women with multiple sclerosis in Jordan experience high rates of depression, anxiety, insomnia, and dysmenorrhea; characteristics related to these conditions have been determined, which may help clinicians to identify those at risk. Longitudinal studies are needed to determine the causal nature of these associations.”

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“…Moreover, patients who fear aspiration and choking will eat more slowly than their tablemates and may modify their food and eating behaviors to decrease the risk of complications. This may lead to feelings of shame and social isolation, which could be furthermore an exacerbate symptoms of depression (Sadeghi, et al, 2021). Furthermore, eating and drinking represent a significant component of social contact, and drip feeding, drooling, and spilling of food, are not a socially desirable table habit.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, eating and drinking represent a significant component of social contact, and drip feeding, drooling, and spilling of food, are not a socially desirable table habit. Feeling of rejection, among people with dysphagia frequently become guilty, dread social rejection, cut back on their social interactions, and even become socially isolated, which may increase the likelihood of depressive symptoms among them (Sadeghi, et al, 2021, (Verdonschot & RJCG, 2018. The consequences of psychiatric illnesses on swallowing might cause some issues including lengthy mealtimes, gagging, or piecemeal deglutition in addition to affecting swallowing perception and normal physiology of swallowing.…”

Section: Introductionmentioning

confidence: 99%

Shaker Exercises, Feeding modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients

Abdelbaky

2023

Assiut Scientific Nursing Journal

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Background: Dysphagia is frequently overlooked by elderly individuals who may consider it a normal part of aging. This condition causes psychological distress, such as depression. Therefore, early, multidisciplinary care is essential. Aim of the study:To evaluate the effectiveness of shaker exercises, feeding modification, and associated-depression relief as dysphagia care bundle among elderly patients. Design: Quasi-experimental research design (study/ control) was utilized in the current study. Sample: Purposive sample of 120 elderly patients with dysphagia were collected from the outpatient clinic of the Ear, Nose, and Throat of El-Minia university hospital and randomly divided into the bundle group and the control group which include 60 elderly patients in each. Tools: Three tools and one scale were used for data collection before and after intervention: Eat-10 scale, the 3-ounce Water Swallow Test (3OWST), and Geriatric Depression Scale (Short Form). Results: In the post-intervention phase, the mean scores of Eat-10 scale declined from 16.2±4.8 to 8.3±2.27 among the bundle group with (p-value <0.0001), while it modestly decreased from 15.3±4.6 to 13.4±3.8 among the control group with (p-value=0.2965). The proportion of individuals with normal swallowing in 3-ounce Water Swallow Test were increased among the bundle and control group from 31.7 and 36.7 to 70 % and 38.3%, respectively. The proportion of individuals with moderate to severe depression levels among the participants in the bundle and control groups decreased from 63.3% and 66.7% to 25% and 63.3%, respectively. Conclusion: The study concludes that the intervention protocol was effective in improving dysphagia and its associated depression among the elderly patients. Recommendations: Further researches with larger sample, multiple outcome metrics of timing, and intensity of intervention are needed.

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Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons with Multiple Sclerosis

Cited by 21 publications

References 44 publications

Dysphagia in Neuroinflammatory Diseases of the Central Nervous System

Dysphagia in Neuroinflammatory Diseases of the Central Nervous System

Depression, anxiety, insomnia and dysmenorrhea in stressed fingolimod-treated women with multiple sclerosis

Shaker Exercises, Feeding modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients

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