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Behavioral manifestations associated with multiple sclerosis

M E Mahler1

  • 1Neurobehavior Program, Brentwood Division, West Los Angeles Department of Veterans Affairs Medical Center, California.

The Psychiatric Clinics of North America
|June 1, 1992
PubMed

Insights

Multiple Sclerosis (MS) significantly impacts cognition and emotion, affecting intellect, memory, and executive functions. Management requires a multimodal approach including neurologic care, rehabilitation, and therapy.

Area of Science:

  • Neurology
  • Neuropsychology

Background:

  • Multiple Sclerosis (MS) is a chronic neurological disease.
  • Behavioral changes, including cognitive and emotional disturbances, are common in MS patients.

Purpose of the Study:

  • To summarize the range of behavioral manifestations in Multiple Sclerosis.
  • To highlight the impact of these changes on daily living and management strategies.

Main Methods:

  • Literature review of studies on cognitive and emotional changes in MS.
  • Analysis of reported prevalence and severity of impairments.

Main Results:

  • Cognitive impairments affect intellect (50%) and executive functions in MS patients.
  • Memory retrieval, concept formation, and emotional control disturbances are prevalent.
  • Depression is frequent, with occasional euphoria; psychosis is rare but bipolar disorder is more common.

Conclusions:

  • Behavioral disturbances are integral to Multiple Sclerosis, impacting quality of life.
  • Comprehensive management integrating neurologic care, cognitive rehabilitation, counseling, and pharmacotherapy is essential.

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