Mohammadi et al identified risk factors for moderate to severe depression in a woman with multiple sclerosis (MS). These can help to identify a woman who may benefit from more aggressive management. The authors are from the University of Science and Culture, ACECR, in Tehran.
Patient selection: woman with multiple sclerosis
Risk factors for depression:
(1) relapsing-remitting MS (vs primary or secondary progressive)
(2) severe disability based on the Expanded Disability Status Scale (EDSS)
(3) employment status (housewife = not employed)
where:
• The issue of employment either relates to the woman being a housewife or not being employed. Not being able to work suggests greater disability.
The risk of depression increases with the number of risk factors present.
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