Table 3

Clinical factors associated with depressive state (univariate logistic regression)

Clinical factorsOR (95% CI)p Value
Age (years)0.98 (0.96 to 1.00)0.060
Female1.41 (0.63 to 3.14)0.41
Time since onset (years)0.94 (0.89 to 1.00)0.041*
Age at onset (years)0.99 (0.97 to 1.01)0.51
Thymectomy0.39 (0.18 to 1.24)0.27
Thymoma0.91 (0.38 to 2.20)0.84
QMG1.12 (1.05 to 1.19)0.0007*
Ocular QMG1.26 (1.05 to 1.52)<0.012*
Bulbar QMG1.36 (0.94 to 1.98)0.10
MG composite1.14 (1.08 to 1.20)<0.0001*
MG-ADL1.21 (1.09 to 1.35)0.0003*
MGFA classification (worst)1.19 (0.88 to 1.62)0.26
Current dose of PSL (mg/day)1.09 (1.04 to 1.15)0.0006*
Maximum dose of PSL (mg/day)1.00 (0.98 to 1.02)0.97
Calcineurin inhibitors2.07 (1.01 to 4.27)0.048*
Crisis0.93 (0.26 to 3.29)0.91
AChR-Ab positivity1.00 (1.00 to 1.01)0.28
Kv 1.4-Ab positivity1.92 (0.70 to 5.26)0.20
Titin-Ab positivity1.71 (0.93 to 3.14)0.10
CSR (no case with BDI-II >21.5)Not determinedNot determined
PR0.30 (0.04 to 2.28)0.24
MM0.54 (0.24 to 1.24)0.15
I1.24 (0.59 to 2.60)0.57
U3.14 (1.46 to 6.77)0.004*
W5.93 (1.27 to 27.73)0.023*
  • * Variables entered into multivariate logistic regression analysis (see the Results section in the text).

  • AChR-Ab, antibodies against acetylcholine receptor; CSR, complete stable remission; I, improved; Kv1.4, voltage-gated potassium channel 1.4; MG-ADL, MG activities of daily living scale; MG composite, MG composite scale; MGFA, Myasthenia Gravis Foundation of America; MM, minimal manifestations; MuSK, muscle-specific tyrosine kinase; PR, pharmacologic remission; PSL, prednisolone; QMG, MGFA quantitative MG score; U, unchanged; W, worse.