疾病活动对壮症认知和心理结果的影响:一项前性研究
Serhat Uysal1, Zehra Kara1, Cem Sulu1
1Division of Endocrinology-Metabolism, and Diabetes, Department of Internal Medicine, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, 34098 Fatih, Istanbul, Türkiye.
巨症会对认知和心理健康产生负面影响,影响记忆力,注意力和情绪. 有效的治疗可以显著改善这些功能,提高生活质量.
科学领域:
- 内分泌学 在内分泌学.
- 神经心理学 神经心理学
- 临床医学 临床医学
背景情况:
- 巨症是由生长激素过量引起的疾病,与各种系统性并发症有关.
- 壮症的认知和心理影响及其与疾病活动的关系尚未完全理解.
研究的目的:
- 为了调查壮症患者的认知和心理障碍.
- 评估疾病活动对这些神经心理结果的影响.
- 为了评估治疗后认知和心理功能的变化.
主要方法:
- 对19名经过跨形手术 (TSS) 的壮病患者进行前性研究.
- 使用标准化测试 (蒙特利尔认知评估,斯特罗普测试,韦克斯勒记忆量表) 评估认知功能.
- 心理评估包括贝克抑郁症清单 (BDI),贝克焦虑清单和巨症生活质量问卷 (AcroQoL).
- 在手术前和9个月后进行的评估.
主要成果:
- 认知功能,包括记忆和注意力,在活跃巨期间与缓解相比显著受损.
- 活跃疾病阶段的患者报告了较高的抑郁症得分 (BDI) 和较低的生活质量 (AcroQoL).
- 在成功治疗后,人们观察到认知灵活性,记忆力和心理健康的改善.
结论:
- 活跃壮症与显著的认知缺陷和心理困扰有关.
- 有效治疗巨导致认知和心理功能显著改善.
- 神经心理评估应在壮病的综合管理中考虑.
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