多发性硬化症患者的主观和客观认知之间的差异:探索大麻使用的作用
Anne Kever1, Anthony Feinstein2
1Division of Neurology, Department of Medicine, Michael's Hospital, University of Toronto, Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
Multiple sclerosis and related disorders
|November 28, 2025
概括
多发性硬化症 (pwMS) 患者使用大麻与报告更多的认知问题和高估认知问题的相关. 医疗保健提供者在评估pwMS认知功能时应考虑使用大麻.
科学领域:
- 神经科学是一个神经科学.
- 临床神经学 临床神经学
- 精神病学是一个精神病学.
背景情况:
- 大麻使用在患有多发性硬化症 (pwMS) 的人群中普遍存在.
- 以前的研究表明,大麻会对pwMS患者的客观认知表现产生负面影响.
研究的目的:
- 为了检查大麻消费和pwMS中感知认知缺陷之间的关系.
- 调查大麻使用与自我报告和客观评估认知能力之间的差异之间的联系.
主要方法:
- 一项横截面研究评估了847名pwMS (254名用户,593名非用户) 的认知表现和感知.
- 线性回归分析探讨了大麻使用作为感知缺陷和认知差异得分的预测因素.
- 焦虑,抑郁,疲劳和患病前智商被纳入作为共变量.
主要成果:
- 与非使用者相比,大麻使用者报告的主观认知障碍显著增加.
- 大麻使用独立地预测了感知和评估认知功能之间的较大差异.
- 这表明大麻使用者倾向于高估自己的认知缺陷.
结论:
- 这项研究提供了关于大麻使用如何影响多发性硬化症患者的元认知的初步见解.
- 临床医生和研究人员在评估pwMS认知障碍时应考虑评估大麻使用情况.
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