The therapeutic effects of intravenous immunoglobulin (IVIG) on the stiff-person syndrome (SPS) have been described exclusively in case reports or open-label studies in terms of clinical outcomes. We investigate whether IVIG improves quality of life (QoL) in the SPS. Six patients with the classic fo
Quality of life in stiff person syndrome
โ Scribed by Willibald Gerschlager; Anette Schrag; Peter Brown
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 75 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0885-3185
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โฆ Synopsis
Abstract
Stiff person syndrome (SPS) is a rare, chronic disorder characterized by painful spasm and stiffness. We investigated the quality of life (QoL) in SPS patients, and identified factors associated with impairment in patients' QoL. Twentyโfour SPS patients (10 men, 14 women; mean age ยฑ S.D., 52.6 ยฑ 9.5 years) completed the medical outcomes study Short Form health survey (SFโ36), the Beck Depression Inventory (BDI), and a questionnaire asking for sociodemographic and clinical details. Extent of the disease was assessed using a distribution of stiffness score. SPS patients showed markedly reduced mean scores for all dimensions of the SFโ36 when compared to norms from the general population of the United Kingdom. QoL scores showed a strong correlation with the extent of the disease. Depression was a common finding; 14 of 24 patients had depressive symptoms as evidenced by the BDI. There was a significant and strong correlation between the BDI score and several SFโ36 subscores. This is the first study to address QoL in patients with SPS. We have shown that SPS has a significant impact on patients' reported QoL. The association between depression and QoL highlights the importance of recognizing and treating depression in SPS. ยฉ 2002 Movement Disorder Society
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