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多发性硬化症患者在神经心理评估之前和之后的认知意识
P T Waskowiak1, B A de Jong2, B M J Uitdehaag2
1Amsterdam UMC Location Vrije Universiteit Amsterdam, Medical Psychology, MS Center Amsterdam, Amsterdam Neuroscience, De Boelelaan 1118, Amsterdam, The Netherlands. p.t.waskowiak@amsterdamumc.nl.
许多患有多发性硬化症 (MS) 的人在测试前高估了他们的认知能力. 虽然评估提高了意识,但有些人可能会低估自己的表现.
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:
- 多发性硬化症 (PwMS) 患者的主观和客观认知功能之间的联系往往很弱.
- 这使得临床医生难以确定谁可能受益于神经心理评估的PwMS.
研究的目的:
- 调查PwMS中的认知意识.
- 在神经心理评估后检查认知意识的变化.
- 探索认知意识与情绪,疲劳和客观认知功能的关联.
主要方法:
- 228名PwMS在评估前和之后估计了他们在MS认知功能的最小评估 (MACFIMS) 上的表现.
- 参与者被分为高估计者,准确估计者或低估计者.
- 用医院焦虑和抑郁量表和修改疲劳影响量表来评估情绪和疲劳.
主要成果:
- 在评估之前,54%的PwMS高估了他们的认知表现.
- 在评估后,高估值降至39%,准确估值上升至39%,低估值降至22%.
- 疲劳和客观认知功能预测了认知意识;抑郁症在测试前预测了它,而焦虑则没有.
结论:
- 大约一半的PwMS在神经心理评估之前高估了他们的认知能力.
- 虽然评估经验通常会提高估计准确度,但它可能会导致一些人的低估率增加.
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