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More MS news articles for March 2004

INTERMED: a measure of biopsychosocial case complexity: one year stability in Multiple Sclerosis patients

Gen Hosp Psychiatry. 2004 Mar-Apr;26(2):147-52
de Jonge P, Hoogervorst EL, Huyse FJ, Polman CH.
Department of Neurology, VU Medical Centre, Amsterdam, The Netherlands.

The 1-year temporal stability of the INTERMED in a sample of patients with relatively stable care needs, patients with established Multiple Sclerosis (MS) was analyzed.

Seventy MS patients underwent an interview to assess the INTERMED by a trained nurse, and two examinations of disability, EDSS and GNDS by medical doctors.

At the following appointment with the nurse, approximately 1 year later, a second INTERMED assessment was done.

Spearman correlations and change scores between the INTERMED assessments were calculated.

Correlations between the two assessments were considerable: 0.75 for the total score and 0.55-0.74 for the domain scores (all P <.05).

Median change of all four INTERMED domain scores and total score were 0.

Changes in INTERMED total scores tended to be associated with changes in EDSS scores over time (P = 0.09), but not with changes in GNDS scores (P = 0.67).

Patients with INTERMED scores above 20 on at least one of the two assessments had longer disease duration (P < 0.01), were more frequently suffering from a chronic form of MS (P < 0.01), and had more disability on EDSS (P < 0.01) and GNDS (P < 0.01) assessments.

In a sample of patients with an established diagnosis of MS, INTERMED scores remained fairly stable over the period of a year.

Implementing the INTERMED in routine care of patients with chronic conditions may help the clinician to structure interdisciplinary care.