Use of health services in people with multiple sclerosis with and without depressive symptoms: a two-year prospective study.
BACKGROUND
To organize tailored healthcare for people with multiple sclerosis (MS), knowledge about patterns in the use of healthcare among subgroups, such as those with depressive symptoms, is essential. Thus, the purpose of this study was to explore and compare the use of health services in people with MS and depressive symptoms, and without depressive symptoms over a period of 30 months.


METHODS
Data on the use of health services by 71 people with MS and depressive symptoms, and 102 with no depressive symptoms were collected from a computerised register and by interview, then categorized with regard to disease severity (Expanded Disability Status Scale).


RESULTS
People with EDSS mild and depressive symptoms used more outpatient and inpatient care compared to those with no depressive symptoms. Furthermore, they received more unsalaried informal care as well as intense rehabilitation periods.


CONCLUSIONS
The issues underlying the differences in the use of healthcare need to be explored further, as well as the plausible implications for the organization of healthcare services for people with MS and depressive symptoms. Furthermore, the life situations of caregivers of people with MS and depressive symptoms should be considered, and appropriate interventions supplied in order to diminish caregiver burden.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden. charlotte.ytterberg@ki.se.
Charlotte
C
Ytterberg
Sanna
S
Lundqvist
Sverker
S
Johansson
D000328:Adult; D016022:Case-Control Studies; D003863:Depression / Q000209:etiology / Q000523:psychology* / Q000628:therapy; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology* / Q000628:therapy; D011446:Prospective Studies; D012720:Severity of Illness Index