Psychometric Properties of the Center for Epidemiologic Studies-Depression Scale in Multiple Sclerosis

Verdier-Taillefer, M.-H.; Gourlet, V.; Fuhrer, Rebecca; Alpérovitch, Annick

doi:10.1159/000054800

Cited by 64 publications

(49 citation statements)

References 12 publications

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“…It has been widely used in chronic medical diseases (12). Previous work using the CES-D in persons with rheumatoid arthritis has shown that 4 items (items 7, 8, 11, and 20) may be more associated with arthritis than depression (13).…”

Section: Methodsmentioning

confidence: 99%

Determinants of sleep quality in women with systemic lupus erythematosus

Costa

Bernatsky

Dritsa

et al. 2005

Arthritis & Rheumatism

130

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Objective. To characterize sleep complaints in women with systemic lupus erythematosus (SLE) and to identify correlates of sleep quality. Methods. Sleep quality in 100 women with SLE was assessed using the Pittsburgh Sleep Quality Index (PSQI). Participants completed standardized questionnaires assessing depressed mood, leisure time physical activity, functional disability, and pain severity. A clinical examination determined disease activity, cumulative damage, and whether patients fulfilled the American College of Rheumatology criteria for fibromyalgia. A series of hierarchical multiple regressions were computed. Results. The mean ؎ SD global PSQI score was 6.98 ؎ 4.03, with moderate to severe sleep impairment reported by 56% of the sample. The first model testing the importance of demographic factors was not statistically significant. In the disease-related model, the use of prednisone and functional disability both contributed to poor sleep quality (P < 0.001). The addition of level of exercise participation to the demographic set significantly added to the model (P ‫؍‬ 0.001). Depression significantly added to the demographic set, explaining 29% of the variance (P < 0.0001). When these variables, along with disease related variables, were simultaneously regressed on the PSQI Global Score, only depressed mood appeared as a significant independent determinant of global sleep quality (P < 0.001). However, the point estimates for the Beta coefficients were consistent with effects for lack of exercise and prednisone use. Conclusion. A significant proportion of women with SLE suffer from poor sleep quality. The findings suggest that depressed mood, prednisone use, and lack of exercise contribute to decreased overall sleep quality.

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Section: Methodsmentioning

confidence: 99%

Determinants of sleep quality in women with systemic lupus erythematosus

Costa

Bernatsky

Dritsa

et al. 2005

Arthritis & Rheumatism

130

View full text Add to dashboard Cite

show abstract

“…It is designed to assess depressive symptoms in nonpsychiatric populations. It is widely used in medically ill populations because it does not overemphasize physical symptoms such as fatigue, which could falsely elevate the symptom ratings [15][16][17][18][19][20]. Scores of 16 or greater on the CES-D are interpreted as being suggestive of clinically significant depression.…”

Section: Psqimentioning

confidence: 99%

The prevalence and associations of sleep disturbances in patients with systemic lupus erythematosus

et al. 2009

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The aim of this study was to analyze sleep complaints in patients with systemic lupus erythematosus (SLE) and to determine its prevalence and associations. Fifty outpatients with SLE and an equal number of age- and sex-matched controls were included in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) in both cases and controls. Depressed mood, functional disability and pain severity were assessed in patients using standardized questionnaires. Disease severity, cumulative damage and presence of fibromyalgia were determined by clinical examination. Bivariate associations between sleep quality and disease-related variables as well as demographic variables were calculated. A series of hierarchical regression analyses were computed to determine the independent determinant of sleep quality. PSQI scores were significantly higher in patients with SLE. Prevalence of sleep disturbance was 62%. Functional disability, disease activity and depressed mood correlated positively with sleep disturbances. 36% of the patients satisfied ACR criteria for fibromyalgia. In multiple regression analyses disease activity was found to be an independent determinant of sleep quality. The prevalence of poor sleep quality in patients with SLE was higher than it is generally perceived to be. Functional disability, disease activity and depressed mood contributed significantly to sleep disturbances in SLE.

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“…Fatigue was measured by the Fatigue Severity Scale (FSS) [28] depression by the Centre for Epidemiologic Studies Depression Scale (CES-D) [29,30], health-related quality of life (HRQoL) by the European Quality of Life 5-Dimensional Questionnaire (EQ-5D) [31] and the Functional Assessment of Multiple Sclerosis (FAMS) [32]. Demographic and disease variables were also collected [32].…”

Section: Methodsmentioning

confidence: 99%

Reports of Patients and Relatives from the CogniCIS Study about Cognition in Clinically Isolated Syndrome: What Are Our Patients Telling Us?

et al. 2013

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Objective: To assess the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) in patients with clinically isolated syndrome (CIS). Methods: 130 European CIS patients and 60 relatives completed the MSNQ. Results: The mean (SD) MSNQ score for CIS patients was 15.5 (10.8) and for their informants 11.3 (9.6). Neither the CIS patient nor relative MSNQ report scores correlated with any of the cognitive test scores in the Brief Repeatable Battery of Neuropsychological Tests, but they were significantly related to psychosocial scales including depression. Conclusions: In CIS, patient and relative MSNQ scores are influenced by psychosocial variables rather than actual objective cognitive status. Formal cognitive test assessment is recommended for CIS patients.

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Psychometric Properties of the Center for Epidemiologic Studies-Depression Scale in Multiple Sclerosis

Cited by 64 publications

References 12 publications

Determinants of sleep quality in women with systemic lupus erythematosus

Determinants of sleep quality in women with systemic lupus erythematosus

The prevalence and associations of sleep disturbances in patients with systemic lupus erythematosus

Reports of Patients and Relatives from the CogniCIS Study about Cognition in Clinically Isolated Syndrome: What Are Our Patients Telling Us?

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