Psychological morbidity in ALS: The importance of psychological assessment beyond depression alone

Stephanie H. Felgoise, Beatrice H. Chakraborty, Elisabeth Bond, Jamie Rodriguez, Barbara A. Bremer, Susan M. Walsh, Eugene C. Lai, Leo McCluskey, Zachary Simmons

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

The assessment of psychological morbidity in patients with ALS has centered around depression, hopelessness, and anxiety. The Brief Symptom Inventory (BSI) offers an opportunity to explore psychological morbidity more broadly. We administered this instrument to 111 patients with ALS as part of a larger study of quality of life. Scores of ALS patients on the Global Severity Index and Positive Symptom Distress Index were comparable to the majority of distressed psychiatric outpatients and significantly higher than those of non-patient adults. Among BSI subscales, scores on the Anxiety, Depression, Phobic Anxiety, and Somatization subscales also were not significantly different from distressed adult psychiatric outpatients, and were greater than normal mean scores for a non-patient population sample. Based on these data, ALS patients appear to be significantly more distressed than non-patients in the identified areas, and as distressed as approximately 68% of a distressed psychiatric outpatient sample. In conclusion, a substantial number of individuals with ALS experience psychological distress of various types. Because psychological health impacts lifespan and quality of life in these individuals, broadly-based mental health assessment and treatment should remain an important part of care for patients with ALS. The effects of physical symptoms on responses to questions used to assess psychological distress must be considered.

Original languageEnglish (US)
Pages (from-to)351-358
Number of pages8
JournalAmyotrophic Lateral Sclerosis
Volume11
Issue number4
DOIs
StatePublished - Jan 1 2010

Fingerprint

Depression
Psychology
Morbidity
Psychiatry
Outpatients
Anxiety
Quality of Life
Equipment and Supplies
Patient Care
Mental Health
Health
Population
Therapeutics

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Felgoise, Stephanie H. ; Chakraborty, Beatrice H. ; Bond, Elisabeth ; Rodriguez, Jamie ; Bremer, Barbara A. ; Walsh, Susan M. ; Lai, Eugene C. ; McCluskey, Leo ; Simmons, Zachary. / Psychological morbidity in ALS : The importance of psychological assessment beyond depression alone. In: Amyotrophic Lateral Sclerosis. 2010 ; Vol. 11, No. 4. pp. 351-358.
@article{ab03d8fddf784b9182cc432bb311ee21,
title = "Psychological morbidity in ALS: The importance of psychological assessment beyond depression alone",
abstract = "The assessment of psychological morbidity in patients with ALS has centered around depression, hopelessness, and anxiety. The Brief Symptom Inventory (BSI) offers an opportunity to explore psychological morbidity more broadly. We administered this instrument to 111 patients with ALS as part of a larger study of quality of life. Scores of ALS patients on the Global Severity Index and Positive Symptom Distress Index were comparable to the majority of distressed psychiatric outpatients and significantly higher than those of non-patient adults. Among BSI subscales, scores on the Anxiety, Depression, Phobic Anxiety, and Somatization subscales also were not significantly different from distressed adult psychiatric outpatients, and were greater than normal mean scores for a non-patient population sample. Based on these data, ALS patients appear to be significantly more distressed than non-patients in the identified areas, and as distressed as approximately 68{\%} of a distressed psychiatric outpatient sample. In conclusion, a substantial number of individuals with ALS experience psychological distress of various types. Because psychological health impacts lifespan and quality of life in these individuals, broadly-based mental health assessment and treatment should remain an important part of care for patients with ALS. The effects of physical symptoms on responses to questions used to assess psychological distress must be considered.",
author = "Felgoise, {Stephanie H.} and Chakraborty, {Beatrice H.} and Elisabeth Bond and Jamie Rodriguez and Bremer, {Barbara A.} and Walsh, {Susan M.} and Lai, {Eugene C.} and Leo McCluskey and Zachary Simmons",
year = "2010",
month = "1",
day = "1",
doi = "10.3109/17482961003667630",
language = "English (US)",
volume = "11",
pages = "351--358",
journal = "Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration",
issn = "2167-8421",
publisher = "Informa Healthcare",
number = "4",

}

Felgoise, SH, Chakraborty, BH, Bond, E, Rodriguez, J, Bremer, BA, Walsh, SM, Lai, EC, McCluskey, L & Simmons, Z 2010, 'Psychological morbidity in ALS: The importance of psychological assessment beyond depression alone', Amyotrophic Lateral Sclerosis, vol. 11, no. 4, pp. 351-358. https://doi.org/10.3109/17482961003667630

Psychological morbidity in ALS : The importance of psychological assessment beyond depression alone. / Felgoise, Stephanie H.; Chakraborty, Beatrice H.; Bond, Elisabeth; Rodriguez, Jamie; Bremer, Barbara A.; Walsh, Susan M.; Lai, Eugene C.; McCluskey, Leo; Simmons, Zachary.

In: Amyotrophic Lateral Sclerosis, Vol. 11, No. 4, 01.01.2010, p. 351-358.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Psychological morbidity in ALS

T2 - The importance of psychological assessment beyond depression alone

AU - Felgoise, Stephanie H.

AU - Chakraborty, Beatrice H.

AU - Bond, Elisabeth

AU - Rodriguez, Jamie

AU - Bremer, Barbara A.

AU - Walsh, Susan M.

AU - Lai, Eugene C.

AU - McCluskey, Leo

AU - Simmons, Zachary

PY - 2010/1/1

Y1 - 2010/1/1

N2 - The assessment of psychological morbidity in patients with ALS has centered around depression, hopelessness, and anxiety. The Brief Symptom Inventory (BSI) offers an opportunity to explore psychological morbidity more broadly. We administered this instrument to 111 patients with ALS as part of a larger study of quality of life. Scores of ALS patients on the Global Severity Index and Positive Symptom Distress Index were comparable to the majority of distressed psychiatric outpatients and significantly higher than those of non-patient adults. Among BSI subscales, scores on the Anxiety, Depression, Phobic Anxiety, and Somatization subscales also were not significantly different from distressed adult psychiatric outpatients, and were greater than normal mean scores for a non-patient population sample. Based on these data, ALS patients appear to be significantly more distressed than non-patients in the identified areas, and as distressed as approximately 68% of a distressed psychiatric outpatient sample. In conclusion, a substantial number of individuals with ALS experience psychological distress of various types. Because psychological health impacts lifespan and quality of life in these individuals, broadly-based mental health assessment and treatment should remain an important part of care for patients with ALS. The effects of physical symptoms on responses to questions used to assess psychological distress must be considered.

AB - The assessment of psychological morbidity in patients with ALS has centered around depression, hopelessness, and anxiety. The Brief Symptom Inventory (BSI) offers an opportunity to explore psychological morbidity more broadly. We administered this instrument to 111 patients with ALS as part of a larger study of quality of life. Scores of ALS patients on the Global Severity Index and Positive Symptom Distress Index were comparable to the majority of distressed psychiatric outpatients and significantly higher than those of non-patient adults. Among BSI subscales, scores on the Anxiety, Depression, Phobic Anxiety, and Somatization subscales also were not significantly different from distressed adult psychiatric outpatients, and were greater than normal mean scores for a non-patient population sample. Based on these data, ALS patients appear to be significantly more distressed than non-patients in the identified areas, and as distressed as approximately 68% of a distressed psychiatric outpatient sample. In conclusion, a substantial number of individuals with ALS experience psychological distress of various types. Because psychological health impacts lifespan and quality of life in these individuals, broadly-based mental health assessment and treatment should remain an important part of care for patients with ALS. The effects of physical symptoms on responses to questions used to assess psychological distress must be considered.

UR - http://www.scopus.com/inward/record.url?scp=77953735008&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953735008&partnerID=8YFLogxK

U2 - 10.3109/17482961003667630

DO - 10.3109/17482961003667630

M3 - Article

C2 - 20235756

AN - SCOPUS:77953735008

VL - 11

SP - 351

EP - 358

JO - Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

JF - Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

SN - 2167-8421

IS - 4

ER -