The relationship between perceived and objective cognitive functioning in multiple sclerosis
The relationship between perceived and objective cognitive functioning in multiple sclerosis
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DOI：
10.1016/j.acn.2006.06.008
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发表时间：
2006-08-01
影响因子：
2.6
通讯作者：
Parmenter, Brett
中科院分区：
文献类型：
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作者：
Middleton, Laura S.;Denney, Douglas R.;Parmenter, Brett
对221例多发性硬化症患者的感知认知功能与客观认知功能的关系进行了研究。对整体认知功能的认知以及对特定认知测试表现的认知进行了评估。患者在日常生活中对整体认知功能的感知与他们在完整认知测试中的客观表现无关。然而，患者对他们在特定任务中的表现的感知与他们在这些任务中的客观表现相关，即使他们低估了他们在这些任务中的表现。本研究还评估了患者感知认知功能的预测因素。抑郁、焦虑、疲劳和残疾水平可以预测整体认知功能的感知，而客观认知表现则不能。这些结果增加了我们对多发性硬化症患者表达的对其认知功能的担忧的理解，这表明临床医生应该谨慎地解释这些担忧。(c) 2006年国家神经心理学研究院。Elsevier Ltd.出版。版权所有。
The relationship between perceived cognitive functioning and objective cognitive functioning was studied in 221 patients with multiple sclerosis. Perceptions of global cognitive functioning as well as perceptions of performance on specific cognitive tests were assessed. Patients' perceptions of global cognitive functioning in their daily lives were unrelated to their objective performance on the full cognitive test battery. However, patients' perceptions of their performance on specific tasks correlated with their objective performance on those tasks, even though they underestimated their performance on these tasks. The present study also evaluated predictors of patients' perceived cognitive functioning. Depression, anxiety, fatigue, and level of disability predicted perceptions of global cognitive functioning, whereas objective cognitive performance did not. These results add to our understanding of patients' expressed concerns regarding their cognitive functioning in the wake of multiple sclerosis, suggesting that such concerns should be interpreted with caution by clinicians. (c) 2006 National Academy of Neuropsychology. Published by Elsevier Ltd. All rights reserved.