在患有纤维肌痛的女性中执行功能和功能
Bárbara Thais Veras de Mendonça1, Valter Machado1, Guilherme Gomes Silva1
1Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas, Departamento de Psicologia, Florianópolis SC, Brazil.
Arquivos de neuro-psiquiatria
|September 24, 2024
概括
纤维肌痛 (FM) 患者表现出影响日常活动的执行功能 (EF) 缺陷. 即使疼痛和情绪得到了管理,这些认知挑战仍然存在,这凸显了全面的FM评估的必要性.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 康复医学 康复医学 康复医学
背景情况:
- 纤维肌痛 (FM) 是一种与认知障碍相关的慢性疼痛疾病,特别是在执行功能 (EFs) 中.
- 了解EF与FM日常运作之间的关系对于有效管理至关重要.
研究的目的:
- 研究被诊断为纤维肌痛的女性执行功能和整体功能之间的关联.
- 为了确定认知缺陷是否有助于FM的功能限制,除了疼痛,焦虑和抑郁之外.
主要方法:
- 十七名患有FM的女性 (年龄在30-59岁) 接受了全面的执行功能评估,包括数字跨度,五位数测试,步道制作测试 (TMT),Corsi Block-Tapping Task,Hayling Test (HT) 和口头流利性任务.
- 使用纤维肌痛影响问卷测量功能,通过贝克抑郁 inventory,汉密尔顿焦虑评分表和简短疼痛 inventory分别评估抑郁,焦虑和疼痛.
- 对疼痛,焦虑和抑郁的影响进行统计分析.
主要成果:
- 纤维肌痛患者在海林测试和TMT上表现出较慢的响应时间,在倒数跨度和Corsi Block-Tapping任务上的表现受损.
- 在特定的EF任务 (Corsi Block-Tapping向后,TMT-B完成时间) 和功能干扰/疲劳之间观察到相关性.
- 在海林测试 (B部分) 的错误与工作场所干扰之间发现了一个意想不到的联系.
结论:
- 纤维肌痛与执行功能的效率降低有关,例如抑制控制,认知灵活性,工作记忆和处理速度.
- 经过观察,EF与功能之间的关系表明认知障碍与疼痛,焦虑和抑郁症无关.
- 认知评估,特别是EF应纳入纤维肌痛患者的综合评估,以改善功能结果.
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