Department of Medical and Surgical Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Department of Psychology, University of Campania "Luigi Vanvitelli", Viale Ellittico, 31, 81100, Caserta, Italy.
J Neurol. 2019 Nov;266(11):2665-2671. doi: 10.1007/s00415-019-09460-4. Epub 2019 Jul 16.
Prospective memory (PM) deficits are often reported in multiple sclerosis (MS), but their relationship with neuropsychological characteristics and personality traits remains to be explored.
To systematically investigate both time-based and event-based PM abilities in a sample of MS without clinically relevant disability or global cognitive decline and to explore cognitive, neuropsychiatric characteristics and personality traits associated with PM deficits.
Thirty-three patients with MS and 33 healthy individuals were enrolled in the study. All participants underwent a standardized measure of PM to evaluate both time-based and event-based PM. Moreover, patients with MS completed the Brief Repeatable Battery to assess cognitive functioning, the Beck Depression Inventory-II and the Dimensional Apathy Scale to assess neuropsychiatric characteristics, and the NEO Personality Inventory-3 to assess personality traits.
Individuals with MS demonstrated impaired time-based PM compared to healthy individuals. The regression analysis showed that poor performance in time-based PM was significantly related to lower extroversion and openness traits, whereas poor performance in event-based PM was significantly related to lower visuospatial memory abilities.
Low levels of openness and extroversion traits are associated with a greater risk of developing time-based PM deficit. Therefore, personality assessment and behavioural interventions should be encouraged in MS clinical practice.
前瞻性记忆(PM)缺陷在多发性硬化症(MS)中经常被报道,但它们与神经心理学特征和人格特质的关系仍有待探索。
系统地研究无临床相关残疾或整体认知衰退的 MS 样本中的基于时间和基于事件的 PM 能力,并探讨与 PM 缺陷相关的认知、神经精神病学特征和人格特质。
33 名 MS 患者和 33 名健康个体被纳入研究。所有参与者都接受了 PM 的标准化测量,以评估基于时间和基于事件的 PM。此外,MS 患者完成了简短的重复电池测试来评估认知功能,贝克抑郁量表 II 和维度淡漠量表来评估神经精神病学特征,以及 NEO 人格量表-3 来评估人格特质。
与健康个体相比,MS 患者的基于时间的 PM 受损。回归分析表明,基于时间的 PM 表现不佳与外向和开放特质较低显著相关,而基于事件的 PM 表现不佳与较低的视觉空间记忆能力显著相关。
开放性和外向性特质水平较低与基于时间的 PM 缺陷的风险增加相关。因此,在 MS 临床实践中应鼓励进行人格评估和行为干预。