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Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study

BACKGROUND: Depression and anxiety are common among people with multiple sclerosis (MS), as are adverse health behaviours, but the associations between these factors are unclear. OBJECTIVE: To evaluate the associations between cigarette smoking, alcohol use, and depression and anxiety in MS in a cro...

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Autores principales: McKay, Kyla A., Tremlett, Helen, Fisk, John D., Patten, Scott B., Fiest, Kirsten, Berrigan, Lindsay, Marrie, Ruth Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819567/
https://www.ncbi.nlm.nih.gov/pubmed/26245214
http://dx.doi.org/10.1177/1352458515599073
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author McKay, Kyla A.
Tremlett, Helen
Fisk, John D.
Patten, Scott B.
Fiest, Kirsten
Berrigan, Lindsay
Marrie, Ruth Ann
author_facet McKay, Kyla A.
Tremlett, Helen
Fisk, John D.
Patten, Scott B.
Fiest, Kirsten
Berrigan, Lindsay
Marrie, Ruth Ann
author_sort McKay, Kyla A.
collection PubMed
description BACKGROUND: Depression and anxiety are common among people with multiple sclerosis (MS), as are adverse health behaviours, but the associations between these factors are unclear. OBJECTIVE: To evaluate the associations between cigarette smoking, alcohol use, and depression and anxiety in MS in a cross-Canada prospective study. METHODS: From July 2010 to March 2011 we recruited consecutive MS patients from four MS clinics. At three visits over two years, clinical and demographic information was collected, and participants completed questionnaires regarding health behaviours and mental health. RESULTS: Of 949 participants, 75.2% were women, with a mean age of 48.6 years; most had a relapsing−remitting course (72.4%). Alcohol dependence was associated with increased odds of anxiety (OR: 1.84; 95% CI: 1.32–2.58) and depression (OR: 1.53; 95% CI: 1.05–2.23) adjusting for age, sex, Expanded Disability Status Scale (EDSS), and smoking status. Smoking was associated with increased odds of anxiety (OR: 1.29; 95% CI: 1.02–1.63) and depression (OR: 1.37; 95% CI: 1.04–1.78) adjusting for age, sex, EDSS, and alcohol dependence. Alcohol dependence was associated with an increased incidence of depression but not anxiety. Depression was associated with an increased incidence of alcohol dependence. CONCLUSION: Alcohol dependence and smoking were associated with anxiety and depression. Awareness of the effects of adverse health behaviours on mental health in MS might help target counselling and support for those ‘at risk’.
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spelling pubmed-48195672016-04-20 Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study McKay, Kyla A. Tremlett, Helen Fisk, John D. Patten, Scott B. Fiest, Kirsten Berrigan, Lindsay Marrie, Ruth Ann Mult Scler Original Research Papers BACKGROUND: Depression and anxiety are common among people with multiple sclerosis (MS), as are adverse health behaviours, but the associations between these factors are unclear. OBJECTIVE: To evaluate the associations between cigarette smoking, alcohol use, and depression and anxiety in MS in a cross-Canada prospective study. METHODS: From July 2010 to March 2011 we recruited consecutive MS patients from four MS clinics. At three visits over two years, clinical and demographic information was collected, and participants completed questionnaires regarding health behaviours and mental health. RESULTS: Of 949 participants, 75.2% were women, with a mean age of 48.6 years; most had a relapsing−remitting course (72.4%). Alcohol dependence was associated with increased odds of anxiety (OR: 1.84; 95% CI: 1.32–2.58) and depression (OR: 1.53; 95% CI: 1.05–2.23) adjusting for age, sex, Expanded Disability Status Scale (EDSS), and smoking status. Smoking was associated with increased odds of anxiety (OR: 1.29; 95% CI: 1.02–1.63) and depression (OR: 1.37; 95% CI: 1.04–1.78) adjusting for age, sex, EDSS, and alcohol dependence. Alcohol dependence was associated with an increased incidence of depression but not anxiety. Depression was associated with an increased incidence of alcohol dependence. CONCLUSION: Alcohol dependence and smoking were associated with anxiety and depression. Awareness of the effects of adverse health behaviours on mental health in MS might help target counselling and support for those ‘at risk’. SAGE Publications 2015-08-05 2016-04 /pmc/articles/PMC4819567/ /pubmed/26245214 http://dx.doi.org/10.1177/1352458515599073 Text en © The Author(s), 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Papers
McKay, Kyla A.
Tremlett, Helen
Fisk, John D.
Patten, Scott B.
Fiest, Kirsten
Berrigan, Lindsay
Marrie, Ruth Ann
Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title_full Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title_fullStr Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title_full_unstemmed Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title_short Adverse health behaviours are associated with depression and anxiety in multiple sclerosis: A prospective multisite study
title_sort adverse health behaviours are associated with depression and anxiety in multiple sclerosis: a prospective multisite study
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4819567/
https://www.ncbi.nlm.nih.gov/pubmed/26245214
http://dx.doi.org/10.1177/1352458515599073
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