Department of Neurology, University of Florence, Florence, Italy.
Neurol Sci. 2010 Nov;31(Suppl 2):S227-30. doi: 10.1007/s10072-010-0372-8.
Multiple sclerosis (MS) is a chronic inflammatory disorder of the central nervous system typically affecting young adults. Psychological coping has proved to be crucially important for adjusting to the adaptive demands of chronic diseases, and in the last few years it has received growing interest in MS. A common finding in the literature is that MS patients tend to adopt dysfunctional avoiding strategies and to rely less on task-oriented and positive attitude strategies, which represent a better adjustment to disease-related challenges. Moreover, the studies show higher psychoticism in MS subjects compared with the general population, and higher levels of depression and anxiety that can contribute to lower QoL perception. In our study including 63 MS patients cognitive functioning did not seem to influence the type of coping. However, subjects with impairment on tasks that assess sustained attention and some aspects of executive function were less prone to adopt positive coping strategies. Cognitive and emotional problems should be carefully monitored, providing prompt diagnosis and treatment as appropriate.
多发性硬化症（MS）是一种中枢神经系统的慢性炎症性疾病，通常影响年轻人。心理应对已被证明对适应慢性病的适应需求至关重要，并且在过去几年中，它在 MS 中受到越来越多的关注。文献中的一个常见发现是，MS 患者倾向于采用功能失调的回避策略，较少依赖任务导向和积极态度的策略，这代表了对与疾病相关挑战的更好调整。此外，研究表明，MS 患者的精神病态高于普通人群，抑郁和焦虑水平较高，这可能导致较低的生活质量感知。在我们包括 63 名 MS 患者的研究中，认知功能似乎不会影响应对方式的类型。然而，在评估持续注意力和执行功能某些方面的任务中受损的患者不太可能采用积极的应对策略。应仔细监测认知和情绪问题，提供及时的诊断和治疗。
