多发性硬化症表型中的认知障碍:葡萄牙样本的神经心理学评估。

IF 1.7 4区 心理学
Applied Neuropsychology-Adult Pub Date : 2024-11-01 Epub Date: 2022-08-17 DOI:10.1080/23279095.2022.2112681
Cláudia Sousa, Teresa Jacques, Maria José Sá, Rui A Alves
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引用次数: 0

摘要

背景:40%-65%的多发性硬化症患者存在认知障碍,包括所有疾病阶段和临床病程类型。这一估计基于不同的工具和人群常模数据:本研究旨在评估葡萄牙多发性硬化症患者医院队列中的认知功能,以估计不同表型的认知功能障碍患病率:313名多发性硬化症(MS)患者接受了神经心理学评估,包括简短可重复神经心理学测试(BRBN-T)和简短多发性硬化症国际认知评估(BICAMS):结果发现,不同疾病表型和不同疾病严重程度阶段的患者在认知障碍方面存在差异。RRMS患者在BRBN-T和BICAMS认知测试中的表现优于进展期患者。认知障碍与残疾和职业状况之间存在相关性。虽然可以观察到多发性硬化症表型的认知概况具有相似性,主要涉及言语记忆、言语流畅性和信息处理速度,但随着病情的进展,后者的出现频率更高:这项研究有助于提高人们对不同多发性硬化症表型的认知概况的认识,并了解葡萄牙患者的认知特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive impairment in multiple sclerosis phenotypes: Neuropsychological assessment in a portuguese sample.

Background: Cognitive impairment affects 40-65% of MS patients, encompassing all disease stages and types of clinical courses. This estimation is based on different instruments used and population normative data.

Objective: This study aims to assess the cognitive function in a hospital-based cohort of Portuguese MS patients, to allow estimating the prevalence of cognitive impairment in different phenotypes.

Methods: Three hundred and thirteen patients with Multiple Sclerosis (MS) underwent neuropsychological assessment with the brief repeatable battery of neuropsychological tests (BRBN-T) and the brief international cognitive assessment for multiple sclerosis (BICAMS).

Results: Differences were observed in the cognitive impairment profile of different disease phenotypes and of the different disease severity stages. RRMS patients performed better in the cognitive test of the BRBN-T and BICAMS than those with progressive disease phenotypes. Relationships between cognitive impairment and disability and professional status were relevant. Although similarities could be observed in the cognitive profile of the MS phenotypes, with predominant involvement of verbal memory, verbal fluency, and information processing speed, the latter was found to be more frequent as the disease progressed.

Conclusion: This study contributes to improve knowledge about the cognitive profile of the different MS phenotypes and understand the cognitive characteristics of Portuguese patients.

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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
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