了解多发性硬化症患者补偿性认知策略的使用和预测因素
Jeeyeon Kim1, Susan L Murphy2, Libak Abou1
1Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
Multiple sclerosis and related disorders
|September 4, 2025
概括
多发性硬化症患者使用补偿性认知策略,特别是当他们感知认知困难时. 意识到缺陷, 而不是客观的分数, 预测在MS患者使用策略.
科学领域:
- 神经科学
- 认知心理学
- 康复医学
背景情况:
- 认知障碍是多发性硬化症 (MS) 的重大挑战,影响日常生活.
- 补偿性认知策略提供一种管理这些缺陷的方法.
- 了解这些策略的实际用途和预测因素对于有效的干预至关重要.
研究的目的:
- 研究MS患者使用的补偿性认知策略的频率和类型.
- 确定使用策略的人口统计,客观认知和认知预测因素.
- 探索与战略使用有关的感知和客观认知功能之间的关系.
主要方法:
- 对268名多发性硬化患者的基线数据进行二次分析.
- 使用补偿性认知策略尺度评估补偿策略的使用情况.
- 认知功能 (PROMIS认知功能能力简称) 和客观认知功能 (NIH工具箱认知电池) 的评估.
主要成果:
- 最常见的策略包括电子提醒,建立的例行程序和任务分解.
- 较低的认知功能和更大的行走障碍与增加的策略使用有关.
- 客观认知功能并不是补偿策略使用的重要预测因素.
结论:
- 认知功能比客观认知表现更强烈地预测MS中补偿策略的使用.
- 神经心理评估的目的是识别可能低估自己认知缺陷的MS患者.
- 建议对有效的补偿策略和未来对策略培训的研究进行指导,以加强功能独立性.
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