Research Article

Prevalence and Associated Factors of Depressive Symptoms in Patients with Myasthenia Gravis: A Cross-Sectional Study of Two Tertiary Hospitals in Riyadh, Saudi Arabia

Table 1

Demographic and clinical features sorted by PHQ-9 group.

VariablesCommentsAll patients PHQ-9
(none & mild depression) (moderate & severe depression) value

Age, year0.28
SexMale32 (30.8)25 (32.5)7 (25.9)0.53
Female72 (69.2)52 (67.5)20 (74.1)
MarriedYes68 (65.4)47 (61.0)21 (77.8)0.12
Education≤high school53 (51.0)44 (57.1)9 (33.3)0.03
>high school51 (49.0)33 (42.9)18 (66.7)
EmploymentYes34 (32.7)23 (29.9)11 (40.7)0.3
Family monthly income<10,000 SR69 (66.3)56 (72.7)13 (48.1)0.02
≥10,000 SR35 (33.7)21 (27.3)14 (51.9)
MG typeOcular22 (21.2)18 (23.4)4 (14.8)0.35
Generalized82 (78.8)59 (76.6)23 (85.2)
MG duration≥4 years56 (53.8)46 (59.7)10 (37.0)0.04
MG therapies≥278 (75.0)56 (72.7)22 (81.5)0.37
PrednisoloneYes74 (71.2)52 (67.5)22 (81.5)0.17
Average 3-month prednisolone dose mg0.07
MG statusUncontrolled5 (4.8)1 (1.3)4 (14.8)0.009
Partially controlled77 (74.0)57 (74.0)20 (74.1)
Controlled22 (21.2)19 (24.7)3 (11.1)
Last MG relapse<1 year ago42 (40.4)27 (35.1)15 (55.6)0.06
Comorbidities≥145 (43.3)34 (75.6)11 (24.4)0.38
ICU admissionYes42 (40.4)29 (37.7)13 (48.1)0.34

SR: Saudi riyal. The number 10,000 SR (≈2,666 $) represents the estimated median monthly income for the general Saudi population according to the 2013 Saudi household income survey [19]. values reported are unadjusted. To account for multiple tests using Bonferroni adjustment, here the statistically significant value for a test is considered to be . for comparisons of the rate of depression between the “uncontrolled” and “partially controlled” groups; for comparisons between the “uncontrolled” and “controlled”; and for comparisons between “the partially controlled” and “controlled” groups. Note: percentages reported in all rows reflect column percentages.