Pseudobulbar affect prevalence in Turkish multiple sclerosis patients
Journal Title: Medical Science and Discovery - Year 2018, Vol 5, Issue 7
Abstract
Objective: Pseudobulbar affect (PBA) is characterized by uncontrolled crying or laughing attacks which are usually socially inappropriate. The estimated prevalence in patients with multiple sclerosis (MS) ranges from 10% to 46.2%. We conducted a cross-sectional study to evaluate the prevalence of PBA in the Turkish MS population. Also, we aimed to estimate whether there was gender preference or coexistent depression. Material and Methods: We used the Center for Neurologic Study - Lability Scale (CNS-LS) for this study. We included patients who were followed up at our outpatient clinic of Sultan Abdulhamid Han Education and Research Hospital with definitive diagnosis of MS at least for one year. The total number of patients was 328. 60.4% were women (198/328) and 39.6% were men (130/328). Descriptive statistical methods, student t test and chi-square tests were used for the analysis by using SPSS. The prevalence of PBA in the Turkish MS population was 39.6%. 34.6% of the men with MS had PBA; whereas 42.9% of the women with MS had PBA (p=0.132). The incidence of PBA was 48.1% in MS patients with depression and 38% in those without depression (p=0.175). Results: As a result of t-test applied it was understood that depression did not significantly contribute to PBA frequency. The average depression test score was 13.28 in non-depressed, 17.85 in others. Furthermore, there was a difference between pathological laughing and pathological crying (p<0.05). Also, in both gender pathological laughing laughter was more and the difference was significant (p<0.05). Conclusion: Our study revealed the increased frequency of PBA in MS patients. Gender and having depression did not make a significant difference on the PBA prevalence. However, depression significantly increased PBA test scores
Authors and Affiliations
Serkan Demir, Asli Koskderelioglu, Mustafa Karaoglan, Muhtesem Gedizlioglu, Rifat Erdem Togrol
Keywords
Related Articles
- EP ID EP520682
- DOI 10.17546/msd.441199
- Views 38
- Downloads 0
Why epidural blood patch in postdural pain headache
Objective: Spinal anesthesia has some complications such as intravascular injections, nerve injuries, hypotension, bradycardia and dural ruptures. When puncture is performed on dura or araknoid, there is a risk of post-d...
A dangerous joke: Colon perforation by an air compressor
The most dangerous complication of air entry into rectum at a high volume and velocity in a short time are sigmoid colon rupture and pneumoperitoneum.We present a 28-year-old male was brought to emergency with abdominal...
Anomalous origin of Left Coronary Artery from Pulmonary Artery; Congenital Anomaly Presenting with Dyspnea. A rare Case Study
Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) is rare congenital anomaly. Most of these patients die is infancy. Presentation in adulthood is very rare. Clinical manifestation in teenagers or yo...
Is tubal ligation effective on sexual dysfunction?
Objective: Commonly used methods for preventing pregnancy in Turkey are withdrawal (30%), intrauterine device (27.2%), tube ligation (16.7%), condom (15.2), injection (8.9%), and combined oral contraceptive (1.9...
Relationship between Nurses' Spiritual Well-being and Nurses' perception of competence in providing spiritual care for patients
Objective: As an important factor affecting human's health consequences, spiritual well-being has been the center of attention in recent years. According to literature, nurses' spiritual well-being affects how they provi...