Impact of cognitive impairment on coping strategies in multiple sclerosis
Impact of cognitive impairment on coping strategies in multiple sclerosis
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DOI：
10.1016/j.clineuro.2009.10.019
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发表时间：
2010-02-01
影响因子：
1.9
通讯作者：
Amato, Maria Pia
中科院分区：
文献类型：
--
作者：
Goretti, Benedetta;Portaccio, Emilio;Amato, Maria Pia
目的：评估认知损害（CI）对多发性硬化（MS）患者应对策略的影响。材料与方法：63例患者（40例女性，55例复发缓解型和8例继发性进展型，年龄42.6 ± 10.1岁，扩展残疾状态量表2.2 ± 1.7）使用应对问题体验取向-新意大利版量表，贝克抑郁量表和饶氏简明重复成套测验进行评估。结果：MS患者较少使用积极和问题导向策略，而更多使用回避策略。23例（36.5%）为CI。我们发现CI和认知保留患者之间的应对类型没有差异。Stroop测验（beta =-0.91，p = 0.04）和词汇表生成（beta = 1.15，p = 0.04）的得分与较差的应对策略相关。结论：我们的研究表明，认知功能（特别是持续的注意力和执行功能方面）必须考虑在MS患者成功应对的因素的综合考虑。(C)2009爱思唯尔有限公司版权所有。
Objectives: To assess the impact of cognitive impairment (CI) on coping strategies in multiple sclerosis (MS). Materials and methods: Sixty-three patients (40 women, 55 relapsing-remitting and 8 secondary progressive, age 42.6 +/- 10.1 years, Expanded Disability Status Scale 2.2 +/- 1.7) were assessed using the Coping Orientation for Problem Experiences-New Italian version Inventory, the Beck Depression Inventory and the Rao's Brief Repeatable Battery. Results: MS patients were less likely to use positive and problem-focused strategies, whereas avoiding strategies were adopted more frequently. Twenty-three (36.5%) cases were CI. We found no differences in the type of coping between CI and cognitively preserved patients. Scores on the Stroop test (beta = -0.91, p = 0.04) and on the Word List Generation (beta = 1.15, p = 0.04) were associated with poorer coping strategies. Conclusions: Our study suggests that cognitive functioning (in particular on sustained attention and aspects of executive function) must be considered in a comprehensive account of the factors contributing to successful coping in MS patients. (C) 2009 Elsevier B.V. All rights reserved.