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多发性硬化症在整个生命周期中的神经心理学关联

Neuropsychological correlates of multiple sclerosis across the lifespan.

作者信息

Nunan-Saah Julia, Paulraj Selvi R, Waubant Emmanuelle, Krupp Lauren B, Gomez Rowena G

机构信息

Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, USA

Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, USA.

出版信息

Mult Scler. 2015 Oct;21(11):1355-64. doi: 10.1177/1352458515586088. Epub 2015 Jul 10.

Abstract

Multiple sclerosis can adversely affect cognitive functioning whether the disease has an adult or pediatric onset. The research thus far suggests that pediatric MS shares many features with adult MS but is also unique in several respects. One particular characteristic of pediatric MS is that, while physical disability develops more slowly as compared with adult patients, the impact of cognitive deficits in children may be more substantial as they are in a period of life during which they acquire many skills that are needed to transition into independently functioning adults. Our review takes a lifespan approach to MS, comparing and contrasting the neuropsychology (i.e., cognitive, psychological, and psychosocial factors) of these two populations. Understanding how MS manifests across the lifespan has important implications for tailoring assessment and treatment for individuals with MS as they transition from childhood to adulthood, and later life.

摘要

无论多发性硬化症是成人发病还是儿童发病,都可能对认知功能产生不利影响。迄今为止的研究表明,儿童多发性硬化症与成人多发性硬化症有许多共同特征,但在几个方面也有其独特之处。儿童多发性硬化症的一个特别特征是,与成年患者相比,身体残疾发展得较为缓慢,而儿童认知缺陷的影响可能更为显著,因为他们正处于人生中获取许多向独立生活的成年人过渡所需技能的时期。我们的综述采用了一种关于多发性硬化症的全生命周期方法,比较和对比了这两个人群的神经心理学(即认知、心理和社会心理因素)。了解多发性硬化症在整个生命周期中的表现,对于为患有多发性硬化症的个体从童年到成年及以后的生活过渡量身定制评估和治疗具有重要意义。

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