Mohr D C, Cox D
University of California, San Francisco.
J Clin Psychol. 2001 Apr;57(4):479-99. doi: 10.1002/jclp.1042.
This article reviews the empirical literature related to clinical health psychology in multiple sclerosis (MS). MS is a disease in which the immune system attacks the central nervous system. As such, the interactions between medical and psychological variables are complex, and potentially of considerable importance to patients. Common neuropsychological and psychological problems associated with MS and their etiologies are reviewed. The effects of stress and depression on MS exacerbation are discussed, including clinical, immune, endocrine, and neuroimaging findings. The types of coping common in MS and their effects on adjustment are discussed. The empirical literature on psychological and neuropsychological intervention is reviewed. The small literature on caregiving in MS is also summarized.
本文综述了与多发性硬化症（MS）临床健康心理学相关的实证文献。MS是一种免疫系统攻击中枢神经系统的疾病。因此，医学和心理变量之间的相互作用很复杂，对患者可能具有相当重要的意义。本文回顾了与MS相关的常见神经心理学和心理问题及其病因。讨论了压力和抑郁对MS病情加重的影响，包括临床、免疫、内分泌和神经影像学研究结果。讨论了MS患者常见的应对方式及其对适应的影响。综述了心理和神经心理学干预的实证文献。还总结了关于MS患者护理的少量文献。
