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CNS Drugs
Published in: CNS Drugs 2/2018

01-02-2018 | Review Article

Depression in Multiple Sclerosis: Epidemiology, Aetiology, Diagnosis and Treatment

Authors: Claudio Solaro, Giulia Gamberini, Fabio Giuseppe Masuccio

Published in: CNS Drugs | Issue 2/2018

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Abstract

Depressive disorders are common in patients with multiple sclerosis, influencing their quality of life and adherence to treatments, as well as becoming more frequent with the progression of the disease and in the secondary progressive form of multiple sclerosis. Patients with multiple sclerosis often experience a typical cluster of symptoms in association with depression, such as fatigue, pain and cognitive impairment. However, the pathogenesis of multiple sclerosis-related depression remains partially unclear, even though genetic, immune-inflammatory and psychosocial factors might be seen to play a role, in addition to the brain structural alterations documented by magnetic resonance imaging studies. The high incidence and burden of depression in people affected with multiple sclerosis are matters of crucial importance. Despite such importance, the efficacy of pharmacologic treatments has been poorly studied and, for the most part, the access to non-pharmacological treatments is partially dependent on the local health system availability. It has been determined that interferon-beta and glatiramer acetate do not cause depressive symptoms; however, no definitive data in this regard are avaible for the newer disease-modifyng medications. In this review, we discuss the diagnosis, prevalence, pathogenesis, clinical aspects, magnetic resonance imaging findings and treatments available in patients experiencing multiple sclerosis-related depression.
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Metadata
Title
Depression in Multiple Sclerosis: Epidemiology, Aetiology, Diagnosis and Treatment
Authors
Claudio Solaro
Giulia Gamberini
Fabio Giuseppe Masuccio
Publication date
01-02-2018
Publisher
Springer International Publishing
Published in
CNS Drugs / Issue 2/2018
Print ISSN: 1172-7047
Electronic ISSN: 1179-1934
DOI
https://doi.org/10.1007/s40263-018-0489-5

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