通过多发性硬化症亚型来描述疲劳,并确定特定于进展性多发性硬化症患者的疲劳度表的有效性
Jennie Feldpausch1, Prudence Plummer2, Zade Abou-Rass1
1From the Neuroimaging and Neurorehabilitation Laboratory, Wayne State University, Detroit, MI.
International journal of MS care
|October 15, 2024
概括
患有渐进性多发性硬化症 (PMS) 的人比患有复发性多发性硬化症 (RRMS) 的人更严重地感到疲劳. 疲劳症状和影响问卷 (FSIQ) 是一种验证的工具,用于评估PMS患者的疲劳.
科学领域:
- 神经学 神经学
- 临床研究 临床研究
- 患者报告的结果
背景情况:
- 疲劳是多发性硬化症 (MS) 的重要和致残症状.
- 进展性多发性硬化症 (PMS) 患者报告的疲劳患病率高于复发性多发性硬化症 (RRMS) 患者.
- 现有的疲劳评估工具缺乏针对PMS的具体验证,尽管有明显的症状特征.
研究的目的:
- 描述RRMS和PMS亚型之间的疲劳差异.
- 确定PMS患者疲劳症状和影响问卷 (FSIQ) 的融合有效性.
主要方法:
- 一项全国性调查收集了806名参与者的数据 (637名RRMS,169名PMS).
- 数据包括人口统计,疾病严重程度,疲劳,生活质量和功能.
- 使用相关性分析评估FSIQ的收有效性.
主要成果:
- 前综合征患者报告的疲劳严重程度明显高于RRMS患者 (P < .001).
- FSIQ子域 (身体,认知/情绪,应对) 与其他疲劳指标 (P < .001) 显示中等至优异的有效性 (r = 0.5-0.75,r > 0.75).
结论:
- 在PMS中增加的疲劳凸显了对验证的评估工具的需求.
- FSIQ是一个有效的,免费可用的仪器,用于测量PMS的身体,精神和情绪疲劳.
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