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首页> 外文期刊>European journal of neurology: the official journal of the European Federation of Neurological Societies >The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis
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The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis

机译:自我报告的执行绩效与多发性硬化症心理特征之间的关系

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Background and purpose: Self-reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance. Methods: The first phase was an inventory of cognitive complaints by means of self-reported (and partner-reported) questionnaires. At the second phase (January-October 2009), 114 of the 128 participants met the inclusion and exclusion criteria and underwent cognitive and neurological assessments. Results: A total of 19% (N=22) of participants reported subjective executive impairment, whilst 81% (N=92) reported no subjective executive impairment. Based on Behavioural Assessment of the Dysexecutive Syndrome-Dysexecutive Questionnaire self-reports, 67% (N=76) of the participants accurately reported no subjective executive impairment, 14% (N=16) overestimated, and 15% underestimated (N=17) their executive performance; 78% of the informants accurately reported no subjective executive impairment, 15% overestimated the patient's executive performance, and 4% underestimated the patient's executive performance. Patients with MS underestimating their executive performance were characterized by more depression (F(2,106=12.9, P0.001), anxiety (F 2,105=7.4, P=0.001) and psychosocial stress (F 2,103=17.8, P0.001), more often used the coping style 'disclosure of emotions' (H 2=12.1, P=0.002) than accurate estimators and overestimators and displayed a more passive reaction pattern (F 2,104=4.4, P=0.014) than accurate estimators. Conclusions: Self-reports of executive performance are generally reliable, but 29% of patients with MS underestimated or overestimated their abilities. It is especially important to identify underestimators as they display underlying psychological problems and dysfunctional coping styles in need of further psychological treatment. Informants are valuable in this respect, but should not be seen as the 'gold standard' to identify cognitive impairment.
机译:背景和目的:认知功能的自我报告并不总是与客观指标相关。我们检查了低估,高估或准确估计其执行绩效的多发性硬化症(MS)患者的心理特征。方法:第一阶段是通过自我报告(和伴侣报告)的问卷调查认知投诉的清单。在第二阶段(2009年1月至10月)中,有128名参与者中的114名符合纳入和排除标准,并接受了认知和神经系统评估。结果:共有19%(N = 22)的参与者报告了主观执行力障碍,而81%(N = 92)的参与者没有主观执行力障碍。根据对行为失调综合症-行为失调调查问卷自我报告的行为评估,有67%(N = 76)的参与者准确无主观执行力障碍,14%(N = 16)被高估,而15%被低估(N = 17)他们的执行绩效; 78%的线人准确地报告没有主观执行力障碍,15%的患者高估了患者的执行力,4%的患者低估了患者的执行力。低估执行能力的MS患者的特征在于更多的抑郁症(F(2,106 = 12.9,P <0.001),焦虑症(F 2,105 = 7.4,P = 0.001)和社会心理压力(F 2,103 = 17.8,P <0.001),更多与准确的估计量和过高的估计量相比,经常使用应对方式“情绪的披露”(H 2 = 12.1,P = 0.002),并且比准确的估计量显示出更被动的反应模式(F 2,104 = 4.4,P = 0.014)。报告的执行力通常是可靠的,但29%的MS患者低估或高估了他们的能力,特别是识别低估者尤其重要,因为他们表现出潜在的心理问题和不良的应对方式,需要进一步的心理治疗。尊重,但不应被视为识别认知障碍的“黄金标准”。

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