dc.contributor.author | Pakpoor, J | en_US |
dc.contributor.author | Goldacre, R | en_US |
dc.contributor.author | Schmierer, K | en_US |
dc.contributor.author | Giovannoni, G | en_US |
dc.contributor.author | Waubant, E | en_US |
dc.contributor.author | Goldacre, MJ | en_US |
dc.date.accessioned | 2017-09-12T09:21:18Z | |
dc.date.available | 2017-06-03 | en_US |
dc.date.issued | 2018-08 | en_US |
dc.date.submitted | 2017-06-10T15:47:54.732Z | |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/25649 | |
dc.description.abstract | INTRODUCTION: The profile of psychiatric disorders associated with multiple sclerosis (MS) may differ in children. We aimed to assess the risk of psychiatric disorders in children with MS and other demyelinating diseases, and vice versa. PATIENTS AND METHODS: We analyzed linked English Hospital Episode Statistics, and mortality data, 1999-2011. Cohorts were constructed of children admitted with MS and other central nervous system (CNS) demyelinating diseases. We searched for any subsequent episode of care with psychiatric disorders in these cohorts and compared to a reference cohort. RESULTS: Children with CNS demyelinating diseases had an increased rate of psychotic disorders (rate ratio (RR) = 5.77 (95% confidence interval (CI) = 2.48-11.41)); anxiety, stress-related, and somatoform disorders (RR = 2.38 (1.39-3.81)); intellectual disability (RR = 6.56 (3.66-10.84)); and other behavioral disorders (RR = 8.99 (5.13-14.62)). In analysis of the pediatric MS cohort as the exposure, there were elevated rates of psychotic disorders (RR = 10.76 (2.93-27.63)), mood disorders (RR = 2.57 (1.03-5.31)), and intellectual disability (RR = 6.08 (1.25-17.80)). In reverse analyses, there were elevated rates of a recorded hospital episode with CNS demyelinating disease after a previous recorded episode with anxiety, stress-related, and somatoform disorders; attention-deficit hyperactivity disorder (ADHD); autism; intellectual disability; and other behavioral disorders. CONCLUSION: This analysis of a national diagnostic database provides strong evidence for an association between pediatric CNS demyelinating diseases and psychiatric disorders, and highlights a need for early involvement of mental health professionals. | en_US |
dc.description.sponsorship | The Health and Social Care
Information Centre provided data on HES, and the
Office for National Statistics provided data on death
registrations. The Oxford record-linkage group undertook
linkage of the records in constructing a timesequenced
record of successive care episode (or
death, if applicable) for each person. The building of
the linked datasets, and the development of the analytical
software used to study disease associations,
was funded by the English National Institute for
Health Research (ref RNC/035/002). The build and
use of the datasets received ethical approval from the
Central and South Bristol research Ethics Committee
(ref 04/Q2006/176). R.G.’s salary is part-funded by
Public Health England. | en_US |
dc.format.extent | 1243 - 1250 | en_US |
dc.language | eng | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Mult Scler | en_US |
dc.rights | Julia Pakpoor et a., Psychiatric disorders in children with demyelinating diseases of the central nervous system, Multiple Sclerosis Journal [Epub ahead of print]. Copyright © 2017 The Author(s). Reprinted by permission of SAGE Publications. | |
dc.subject | Multiple sclerosis | en_US |
dc.subject | demyelination | en_US |
dc.subject | epidemiology | en_US |
dc.subject | pediatric | en_US |
dc.subject | psychiatry | en_US |
dc.title | Psychiatric disorders in children with demyelinating diseases of the central nervous system. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s), 2017. Reprints and permissions: http://www.sagepub.co.uk/ journalsPermissions.nav | |
dc.identifier.doi | 10.1177/1352458517719150 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/28675955 | en_US |
pubs.issue | 9 | en_US |
pubs.notes | 12 months | en_US |
pubs.notes | Population-based study reporting strong evidence for an association between pediatric CNS demyelinating diseases and psychiatric disorders, and highlights a need for early involvement of mental health professionals. | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 24 | en_US |