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Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study

BACKGROUND: Restless legs syndrome (RLS) is a chronic disorder with substantial impact on quality of life similar to that seen in diabetes mellitus or osteoarthritis. Little is known about the psychological characteristics of RLS patients although psychological factors may contribute to unfavourable...

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Autores principales: Scholz, Hanna, Benes, Heike, Happe, Svenja, Bengel, Juergen, Kohnen, Ralf, Hornyak, Magdolna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3187724/
https://www.ncbi.nlm.nih.gov/pubmed/21933380
http://dx.doi.org/10.1186/1477-7525-9-73
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author Scholz, Hanna
Benes, Heike
Happe, Svenja
Bengel, Juergen
Kohnen, Ralf
Hornyak, Magdolna
author_facet Scholz, Hanna
Benes, Heike
Happe, Svenja
Bengel, Juergen
Kohnen, Ralf
Hornyak, Magdolna
author_sort Scholz, Hanna
collection PubMed
description BACKGROUND: Restless legs syndrome (RLS) is a chronic disorder with substantial impact on quality of life similar to that seen in diabetes mellitus or osteoarthritis. Little is known about the psychological characteristics of RLS patients although psychological factors may contribute to unfavourable treatment outcome. METHODS: In an observational cross-sectional design, we evaluated the psychological features of 166 consecutive RLS patients from three outpatient clinics, by means of the Symptom Checklist 90-R (SCL-90-R) questionnaire. Additionally, the Beck Depression Inventory-II (BDI-II) and the International RLS Severity Scale (IRLS) were measured. Both treated and untreated patients were included, all patients sought treatment. RESULTS: Untreated patients (n = 69) had elevated but normal scores on the SCL-90-R Global Severity Index (GSI; p = 0.002) and on the sub-scales somatisation (p < 0.001), compulsivity (p = 0.003), depression (p = 0.02), and anxiety (p = 0.004) compared with a German representative sample. In the treated group, particularly in those patients who were dissatisfied with their actual treatment (n = 62), psychological distress was higher than in the untreated group with elevated scores for the GSI (p = 0.03) and the sub-scales compulsivity (p = 0.006), depression (p = 0.012), anxiety (p = 0.031), hostility (p = 0.013), phobic anxiety (p = 0.024), and paranoid ideation (p = 0.012). Augmentation, the most serious side effect of dopaminergic, i.e. first-line treatment of RLS, and loss of efficacy were accompanied with the highest psychological distress, as seen particularly in the normative values of the sub-scales compulsivity and anxiety. Generally, higher RLS severity was correlated with higher psychological impairment (p < 0.001). CONCLUSION: Severely affected RLS patients show psychological impairment in multiple psychological domains which has to be taken into account in the treatment regimen.
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spelling pubmed-31877242011-10-06 Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study Scholz, Hanna Benes, Heike Happe, Svenja Bengel, Juergen Kohnen, Ralf Hornyak, Magdolna Health Qual Life Outcomes Research BACKGROUND: Restless legs syndrome (RLS) is a chronic disorder with substantial impact on quality of life similar to that seen in diabetes mellitus or osteoarthritis. Little is known about the psychological characteristics of RLS patients although psychological factors may contribute to unfavourable treatment outcome. METHODS: In an observational cross-sectional design, we evaluated the psychological features of 166 consecutive RLS patients from three outpatient clinics, by means of the Symptom Checklist 90-R (SCL-90-R) questionnaire. Additionally, the Beck Depression Inventory-II (BDI-II) and the International RLS Severity Scale (IRLS) were measured. Both treated and untreated patients were included, all patients sought treatment. RESULTS: Untreated patients (n = 69) had elevated but normal scores on the SCL-90-R Global Severity Index (GSI; p = 0.002) and on the sub-scales somatisation (p < 0.001), compulsivity (p = 0.003), depression (p = 0.02), and anxiety (p = 0.004) compared with a German representative sample. In the treated group, particularly in those patients who were dissatisfied with their actual treatment (n = 62), psychological distress was higher than in the untreated group with elevated scores for the GSI (p = 0.03) and the sub-scales compulsivity (p = 0.006), depression (p = 0.012), anxiety (p = 0.031), hostility (p = 0.013), phobic anxiety (p = 0.024), and paranoid ideation (p = 0.012). Augmentation, the most serious side effect of dopaminergic, i.e. first-line treatment of RLS, and loss of efficacy were accompanied with the highest psychological distress, as seen particularly in the normative values of the sub-scales compulsivity and anxiety. Generally, higher RLS severity was correlated with higher psychological impairment (p < 0.001). CONCLUSION: Severely affected RLS patients show psychological impairment in multiple psychological domains which has to be taken into account in the treatment regimen. BioMed Central 2011-09-20 /pmc/articles/PMC3187724/ /pubmed/21933380 http://dx.doi.org/10.1186/1477-7525-9-73 Text en Copyright ©2011 Scholz et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Scholz, Hanna
Benes, Heike
Happe, Svenja
Bengel, Juergen
Kohnen, Ralf
Hornyak, Magdolna
Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title_full Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title_fullStr Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title_full_unstemmed Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title_short Psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
title_sort psychological distress of patients suffering from restless legs syndrome: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3187724/
https://www.ncbi.nlm.nih.gov/pubmed/21933380
http://dx.doi.org/10.1186/1477-7525-9-73
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