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Research ArticleOriginal Article
Open Access

Prevalence of depression and anxiety among adult patients with multiple sclerosis at Riyadh City, Saudi Arabia

Norah A. Alharbi, Sadaga H. Alawi, Yousef M. Alharbi, Muath Y. Alharbi, Tareq N. Alsamarh, Adi A. Aldubaiyan, Saleh A. Alwasil and Abdulrahman A. Alomairi
Neurosciences Journal April 2022, 27 (2) 71-78; DOI: https://doi.org/10.17712/nsj.2022.2.20210101
Norah A. Alharbi
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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  • For correspondence: [email protected]
Sadaga H. Alawi
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Yousef M. Alharbi
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Muath Y. Alharbi
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Tareq N. Alsamarh
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Adi A. Aldubaiyan
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Saleh A. Alwasil
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Abdulrahman A. Alomairi
From the Department of Clinical Science (Alharbi), College of Medicine, Princess Nourah Bint Abdulrahman University, from Department of Neurology (Alawi, Alomairi), Prince Sultan Military Medical City, Riyadh, Unaizah College of Medicine (Alharbi Y, Alharbi M, Alsamarh, Aldubaiyan, Alwasil), Unaizah, Kingdom of Saudi Arabia
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Article Figures & Data

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    Figure 1

    - The EDSS classification. EDSS - Expanded Disability Status Scale

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    Figure 2

    - Correlation (Pearson-r) between anxiety and depression score.

Tables

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    Table 1

    - Socio-demographic characteristics of MS patients (n=328)

    Study datan (%)
    Age group in years
    18 – 35 years117 (35.7)
    36 – 45 years126 (38.4)
    >45 years85 (25.9)
    Gender
    Male100 (30.5)
    Female228 (69.5)
    Nationality
    Saudi324 (98.8)
    Non-Saudi4 (1.2)
    Marital Status
    Single53 (16.2)
    Married244 (74.4)
    Divorced or Widowed31 (9.5)
    Educational level
    Primary school3 (0.90)
    High school107 (32.6)
    Bachelor degree198 (60.4)
    Master or PhD20 (6.1)
    Number of cohabiting members
    One adult14 (4.3)
    A couple with one child younger than 16 years old77 (23.5)
    Several adults are older than 16 years with one child younger than 16 years old237 (72.3)
    Job status
    Civilian292 (89.0)
    Military36 (11.0)
    Monthly salary in SAR
    <2,00080 (24.4)
    2,000 – 5,00060 (18.3)
    5,001 – 10,00068 (20.7)
    >10,000120 (36.6)
    Type of MS
    Primary6 (1.8)
    Secondary37 (11.3)
    RIS5 (1.5)
    CIS22 (6.7)
    Relapsing-remitting258 (78.7)
    Duration of MS
    ≤10 years192 (58.5)
    >10 years136 (41.5)

    RIS - radiologic isolated syndrome, CIS - clinical isolated syndrome

      • View popup
      Table 2

      - Anxiety and depression characteristics of sample (n=301)*

      HADS dimensionn (%)
      HADS-Anxiety (mean ± SD)7.02±3.43
      Level of anxiety
      Anxiety (Score >7)129 (42.9)
      No anxiety (Score ≤7)172 (57.1)
      HADS-Depression (mean ± SD)8.79±3.36
      Level of depression
      Depression (Score >7)177 (58.8)
      No depression (≤7)124 (41.2)

      *Patients who had RIS and CIS were excluded from the assessment of mental disorders, HADS - Hospital Anxiety and Depression Scale

        • View popup
        Table 3

        - Relationship between the level of anxiety and depression in regards to the socio demographic characteristics of the MS patients (n=301).

        FactorsAnxietyDepression
        YesNoYesNo
        (n=129)(n=172)(n=177)(n=124)
        n (%)
        Age group in years
        ≤40years80 (62.0)89 (51.7)102 (57.6)67 (54.0)
        >40 years49 (38.0)83 (48.3)75 (42.4)57 (46.0)
        P-value0.0760.536
        Gender
        Male27 (20.9)67 (39.0)50 (28.2)44 (35.5)
        Female102 (79.1)105 (61.0)127 (71.8)80 (64.5)
        P-value0.001 **0.182
        Marital Status
        Unmarried30 (23.3)46 (26.7)45 (25.4)31 (25.0)
        Married99 (76.7)126 (73.3)132 (74.6)93 (75.0)
        P-value0.4910.934
        Educational level
        High school or below54 (41.9)46 (26.7)68 (38.4)32 (25.8)
        Bachelor or higher75 (58.1)126 (73.3)109 (61.6)92 (74.2)
        P-value0.006 **0.022 **
        Number of family members
        Couple and 1 child (<16 years)/One adult35 (27.1)50 (29.1)50 (28.2)35 (28.2)
        Several adults with 1 child (<16 years)94 (72.9)122 (70.9)127 (71.8)89 (71.8)
        P-value0.7120.997
        Monthly salary in SAR
        ≤5,00063 (48.8)64 (37.2)79 (44.6)48 (38.7)
        >5,00066 (51.2)108 (62.8)98 (55.4)76 (61.3)
        P-value0.043 **0.306
        Type of MS
        Primary05 (03.9)01 (0.60)06 (03.4)0
        Secondary15 (11.6)22 (12.8)20 (11.3)17 (13.7)
        Relapsing-remitting109 (84.5)149 (86.6)151 (85.3)107 (86.3)
        P-value0.1270.102
        Duration of MS
        ≤10 years70 (54.3)101 (58.7)97 (54.8)74 (59.7)
        >10 years59 (45.7)71 (41.3)80 (45.2)50 (40.3)
        P-value0.4400.401
        Disability index
        Normal77 (59.7)129 (75.0)113 (63.8)93 (75.0)
        Partial to severe disability52 (40.3)43 (25.0)64 (36.2)31 (25.0)
        P-value0.005 **0.040 **

        P-value has been calculated using Chi-square test, **Significant at p<0.05 level, MS - Multiple sclerosis

          • View popup
          Table 4

          - Multivariate regression analysis to determine the factor associated with anxiety and depression (n=301).

          AnxietyAOR95% CIP-value
          Gender
          MaleRef
          Female2.361.37 – 4.070.002 **
          Educational level
          High school or belowRef
          Bachelor or higher0.510.31 – 0.860.011 **
          Monthly salary (SAR)
          ≤5,000Ref
          >5,0000.680.42 – 1.120.126
          Disability index
          NormalRef
          Partial to severe disability1.861.11 – 3.110.018 **
          Depression
          Educational level
          High school or belowRef
          Bachelor or higher0.550.33 – 0.910.019 **
          Disability index
          NormalRef
          Partial to severe disability1.741.04 – 2.910.035 **

          AOR- Adjusted odds ratio; CI-Confidence Interval.** Significant at p<0.05 level.

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          Prevalence of depression and anxiety among adult patients with multiple sclerosis at Riyadh City, Saudi Arabia
          Norah A. Alharbi, Sadaga H. Alawi, Yousef M. Alharbi, Muath Y. Alharbi, Tareq N. Alsamarh, Adi A. Aldubaiyan, Saleh A. Alwasil, Abdulrahman A. Alomairi
          Neurosciences Journal Apr 2022, 27 (2) 71-78; DOI: 10.17712/nsj.2022.2.20210101

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          Prevalence of depression and anxiety among adult patients with multiple sclerosis at Riyadh City, Saudi Arabia
          Norah A. Alharbi, Sadaga H. Alawi, Yousef M. Alharbi, Muath Y. Alharbi, Tareq N. Alsamarh, Adi A. Aldubaiyan, Saleh A. Alwasil, Abdulrahman A. Alomairi
          Neurosciences Journal Apr 2022, 27 (2) 71-78; DOI: 10.17712/nsj.2022.2.20210101
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