Assessment of mental health, knowledge, and attitude of patients with multiple sclerosis and neuromyelitis optica spectr
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ORIGINAL ARTICLE
Assessment of mental health, knowledge, and attitude of patients with multiple sclerosis and neuromyelitis optica spectrum disorder in response to 2019 novel coronavirus Vahid Shaygannejad 1,2 & Alireza Afshari-Safavi 2,3 & Boshra Hatef 4 Received: 31 August 2020 / Accepted: 12 November 2020 # Fondazione Società Italiana di Neurologia 2020
Abstract Background With the recent pandemic of the novel coronavirus disease (COVID-19), multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) patients for their compromised immune system have been in significant concern. Awareness and attitude about this virus have an important impact on infection prevention and coping with stress and anxiety. So we conducted this study to assess knowledge, attitude, and mental health status in MS and NMOSD patients within the COVID19 pandemic. Method In this cross-sectional study, the link of Depression Anxiety Stress Scales-21 (DASS-21) and a self-administered structured questionnaire were sent through social media to MS and NMOSD patients and two control groups consisting of healthy and migraine individuals. Results A total of 223 MS patients, 41 NMOSD, 29 migraine, and 245 healthy subjects participated in this study. MS patients had higher total DASS scores compared to healthy participants (p = 0.012). There were no significant differences among the study groups regarding knowledge and attitude. In MS patients, physical comorbidity was associated with a total score of attitude (OR 1.59, 95% CI 0.53, 2.66, p = 0.004). We did not find association between other demographic and clinical variables with DASS scores, attitude, and knowledge in MS patients. Conclusion The current data highlight the necessity of attitude, knowledge, and mental health assessment among MS and NMOSD patients. Further studies in other countries need to be carried to assess these points among MS and NMOSD patients. Keywords Multiple sclerosis . Neuromyelitis optica spectrum disorder . Novel coronavirus disease (COVID-19) . Knowledge . Attitude . Mental health
Introduction In late December 19, a novel coronavirus causing severe acute respiratory syndrome was identified in Wuhan, China [1]. Soon after, this virus has rapidly spread across all the world * Boshra Hatef [email protected] 1
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2
Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3
Department of Biostatistics and Epidemiology, Faculty of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran
4
Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Vanak, Mollasadra, Tehran, Iran
and emerges as a global public health threat. As of April 26, more than two million confirmed cases of coronavirus disease (COVID-19) had been identified in more than 210 countries or territories [2]. In early 2020, the first case of COVID-19 was confirmed in Iran. Up to now, a total of 88,194 confirmed cases and 5
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