Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56526
Type: Artigo de Periódico
Title: Muscle strength and psychiatric symptoms influence health-related quality of life in patients with myasthenia gravis
Authors: Nayara Felicidade Tomazbraz
Natalia Pessoa Rocha
Érica Leandro Marciano Vieira
Izabela Guimarães Barbosa
Rodrigo Santiago Gomez
Adriana Maria Kakehasi
Antonio Lucio Teixeira
Abstract: Myasthenia gravis (MG) is a neuromuscular autoimmune disease characterized by skeletal muscle weakness which can impact motor function and, furthermore, produce negative impact on the health-related quality of life (HRQOL). Objective: To evaluate the predictors for HRQOL in patients with MG. Methods: Eighty patients were evaluated with the MG Foundation of America classification and the MG Composite scale. HRQOL was estimated by the MGQOL15, while anxious and depressive symptoms were evaluated with the Hospital Anxiety and Depression Scale (HAD). Results: The mean age of patients was 41.9 years with mean illness duration of 13.5 years. Almost half of the patients (43.75%) had significant anxiety and more than a quarter (27.50%) had depressive symptoms. Factors that influenced the HRQOL in MG were skeletal muscle weakness and anxiety and depressive symptoms (p < .001 in logistic regres sion model). Conclusion: Anxiety and depressive symptoms, besides motor symptoms, influence HRQOL inMG. Mental health must be a clinical focus in addition to the treatment of somatic symptoms during the course of MG.
Subject: Miastenia Gravis
Qualidade de Vida
Ansiedade
Depressão
Debilidade Muscular
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE APARELHO LOCOMOTOR
MED - DEPARTAMENTO DE CLÍNICA MÉDICA
MED - DEPARTAMENTO DE SAÚDE MENTAL
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1016/j.jocn.2018.01.011
URI: http://hdl.handle.net/1843/56526
Issue Date: 5-Jan-2018
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/pii/S0967586817312274?via%3Dihub
metadata.dc.relation.ispartof: Journal of Clinical Neuroscience
Appears in Collections:Artigo de Periódico

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