Mood Disorders and Dysfunction of the Hypothalamic-Pituitary-Adrenal Axis in Multiple Sclerosis

Abstract
CONCOMITANT with the deemphasis of euphoria, depression is now considered as the chief psychiatric implication of multiple sclerosis (MS). The lifetime rate of depression has been estimated between 27% and 54%.1-5 Minor depressive symptoms and anxiety are even more common.4 The pathophysiological basis for a possible relationship between depression and MS is unknown.