RT Journal Article T1 Predictive Model of Anxiety and Depression Perception in Multiple Sclerosis Patients: Possible Implications for Clinical Treatment A1 Cuerda Ballester, María A1 Bustos, Antonio A1 Sancho Cantus, David A1 Martínez Rubio, David A1 Privado Zamorano, Jesús A1 Alarcón Jiménez, Jorge A1 Villarón Casales, Carlos A1 Bernardo Tejedor, Nieves De A1 Navarro Illana, Esther A1 Rubia Ortí, José Enrique De La AB Multiple Sclerosis (MS) is a neurodegenerative disease characterized by motor and non-motor symptoms, including emotional distress, anxiety, and depression. These emotional symptoms currently have a pharmacological treatment with limited effectiveness; therefore, it is necessary to delve into their relationship with other psychological, functional, or prefrontal alterations. Additionally, exploring non-pharmacological therapeutic alternatives that have shown benefits in addressing emotional distress in MS patients is essential. Aim: To establish a predictive model for the presence of anxiety and depression in MS patients, based on variables such as psychological well-being, functional activity, and prefrontal symptoms. Additionally, this study aimed to propose non-pharmacological therapeutic alternatives based on this model. Materials and Methods: A descriptive, observational, and cross-sectional study was conducted with a sample of 64 diagnosed MS patients who underwent functional and cognitive assessments using the following questionnaires and scales: Functional Activities Questionnaire (FAQ), Acceptance and Action Questionnaire (AAQ-II), Experiences Questionnaire (EQ), Self-Compassion Scale Short Form (SCS-SF), Beck Depression Inventory II (BDI-II), State-Trait Anxiety Inventory (STAI), and Prefrontal Symptoms Inventory (PSI). Results: The model showed an excellent fit to the data and indicated that psychological well-being was the most significant predictor of the criteria (β = −0.83), followed by functional activity (β = −0.18) and prefrontal symptoms (β = 0.15). The latter two are negatively related to psychological well-being (β = −0.16 and β = −0.75, respectively). Conclusions: Low psychological well-being is the variable that most significantly predicts the presence of anxiety and depression in MS patients, followed by functional activity and prefrontal alterations. Interventions based on mindfulness and acceptance are recommended, along with nutritional interventions such as antioxidant-enriched ketogenic diets and moderate group physical exercise. PB MDPI YR 2024 FD 2024-01-22 LK https://hdl.handle.net/20.500.14352/104966 UL https://hdl.handle.net/20.500.14352/104966 LA eng NO Cuerda-Ballester, M., Bustos, A., Sancho-Cantus, D., Martínez-Rubio, D., Privado, J., Alarcón-Jiménez, J., Villarón-Casales, C., De Bernardo, N., Navarro Illana, E., & De La Rubia Ortí, J. E. (2024). Predictive model of anxiety and depression perception in multiple sclerosis patients: Possible implications for clinical treatment. Bioengineering, 11(1), 100. https://doi.org/10.3390/bioengineering11010100 NO 2024 Descuento MDPI NO Catholic University Foundation San Vicente Mártir DS Docta Complutense RD 5 abr 2025