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2010 Neurological Institute Outcomes - Cleveland Clinic

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Depression in 5-Year Increments since MS Diagnosis<br />

<strong>2010</strong><br />

Mean PHQ-9 Score<br />

10<br />

8<br />

6<br />

4<br />

2<br />

0<br />

N =<br />

Mean EQ-5D Score<br />

1.0<br />

0.8<br />

0.6<br />

0.4<br />

0.2<br />

0<br />

N =<br />

<strong>Neurological</strong> <strong>Institute</strong><br />

0-4.99 5-9.99 10-14.99 15-19.99 >20<br />

1,179 846 623 322 354<br />

Years since Diagnosis<br />

Quality of Life in 5-Year Increments since MS Diagnosis<br />

<strong>2010</strong><br />

0-4.99 5-9.99 10-14.99 15-19.99 >20<br />

1,205 855 630 323 356<br />

Years since Diagnosis<br />

Cross-sectional analysis of PHQ-9 scores<br />

shows gradual decline in depression scores<br />

by years since diagnosis with significantly<br />

worse values in individuals with disease<br />

duration of 10 to 14.99 years compared<br />

to those who have had MS for five years or<br />

less (P = 0.007).<br />

EQ-5D scores gradually decline by years<br />

since diagnosis, with significantly worse<br />

values in individuals with disease duration<br />

of 15 to 19.99 years, compared to those<br />

who have had MS for five years or less<br />

(P = 0.025).<br />

67

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