使用MoCA的纤维肌痛患者的认知分析.
Emiş Cansu Yaka1, Zeynep Alev Özçete2
1Neurology Department, İzmir City Hospital, İzmir, Türkiye. emiscansu@gmail.com.
Irish journal of medical science
|October 21, 2025
概括
纤维肌痛 (FM) 症状严重程度与抑郁症和认知缺陷相关. 早期评估情绪和认知对于有效的,多学科的FM管理至关重要.
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
- 类风湿病学 类风湿病学
背景情况:
- 纤维肌痛 (FM) 是一种复杂的疾病,其特点是普遍的疼痛,疲劳,睡眠障碍和认知功能障碍.
- 虽然中央敏感性和单胺失衡有关,但症状严重程度,情绪,认知和治疗效应之间的相互作用需要进一步调查.
研究的目的:
- 研究纤维肌痛症状严重程度,抑郁症状和认知功能之间的关系.
- 为了比较未经治疗的 FM 患者,治疗的 FM 患者和健康对照者的认知表现和情绪.
主要方法:
- 一项涉及145名女性的横截面病例控制研究 (55名对照组,90名 FM 患者).
- FM患者被分为未接受治疗 (n=48) 和接受治疗 (n=42) 组.
- 评估包括纤维肌痛影响问卷 (FIQ),贝克抑郁症清单 (BDI) 和蒙特利尔认知评估 (MoCA).
主要成果:
- 与治疗患者和对照患者相比,未经治疗的FM患者的FIQ和BDI得分显著更高,MoCA总得分更低.
- 在未经治疗的FM组中,注意到注意力,执行功能和记忆力的显著认知障碍.
- 纤维肌痛影响问卷得分与MoCA总得分和注意力有负相关性,而贝克抑郁 inventory得分与MoCA总得分有负相关性.
结论:
- 纤维肌痛症状的严重程度与抑郁症和认知障碍的程度直接相关.
- 这些发现强调了FM患者护理中常规情感和认知评估的重要性.
- 建议采用量身定制的,多学科的FM管理方法,并纳入这些评估.
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