多发性硬化症患者的疲劳患病率,与相关症状的相互作用和纵向变化:TONiC研究的见解
Carolyn A Young1, David Rog2, Radu Tanasescu3
1Institute of Systems, Molecular and Integrative Biology, University of Liverpool, UK; Walton Centre NHS Trust, Liverpool, UK.
Journal of the neurological sciences
|March 13, 2026
概括
大多数患有多发性硬化症 (MS) 的人都会经历明显的疲劳. 疼痛,焦虑和睡眠不足等因素加剧了MS疲劳,而自我效能可以帮助管理它.
科学领域:
- 神经学 神经学
- 临床心理学 临床心理学
背景情况:
- 疲劳是多发性硬化症 (MS) 的主要和复杂症状.
- 了解疲劳与其他多发性硬化症症状随着时间的推移的相互作用对于患者管理至关重要.
研究的目的:
- 探索疲劳与人口统计学,临床和症状因素的相互作用,在一个大队列的成年人MS.
- 为了确定疲劳的轨迹随着时间的推移和疲劳恶化的预测因素.
主要方法:
- 一个大规模的英国队列,包括6356名患有多发性硬化症的成年人,在54个月内完成了连续问卷.
- 用回归,结构方程建模,轨迹建模以及分类和回归树分析来分析数据.
主要成果:
- 中度/重度疲劳的患病率为56.5%,在进展性多发性硬化症亚型中更高,在50-64岁之间达到顶峰.
- 性,疼痛,身体/认知功能受损,焦虑,视力问题和非恢复性睡眠与疲劳增加有关.
- 确定了四种疲劳轨迹:28.9%的疲劳持续严重,66.3%的疲劳恶化,只有4.9%的疲劳低,稳定.
结论:
- 与MS疲劳相互作用的因素需要在临床管理中仔细考虑.
- 这些因素必须在临床试验中考虑,在临床试验中,疲劳是结果的衡量标准.
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