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记录常染色体隐性痉挛性共济失调的临床表现和影响,以开发患者报告的结局。

Documenting manifestations and impacts of autosomal recessive spastic ataxia of Charlevoix-Saguenay to develop patient-reported outcome.

机构信息

Université de Sherbrooke, 2500, boulevard de l'Université, Sherbrooke, QC, J1K 2R1, Canada.

Groupe de recherche interdisciplinaire sur les maladies neuromusculaires, 2230 de l'Hôpital cp 1200, Jonquière, QC, G7X 7X2, Canada.

出版信息

Orphanet J Rare Dis. 2022 Oct 1;17(1):369. doi: 10.1186/s13023-022-02497-1.

Abstract

BACKGROUND

Autosomal recessive cerebellar ataxias (ARCA) are a group of rare inherited disorders characterized by degeneration or abnormal development of the cerebellum. Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is one of the most prevalent in Europe.

OBJECTIVES

The aim of this study is to provide a better understanding of the manifestations and impacts of ARSACS.

METHODS

A systematic review of the literature was conducted, followed by a qualitative study using semistructured interviews and discussion groups to obtain the experience of people affected.

RESULTS

According to the PROMIS framework, the results show manifestations and impacts in three components of health: physical, mental, and social. Fatigue and struggles with balance and dexterity are the physical manifestations of the disease most often cited by participants. Negative affects such as frustration and depression are among the mental health impacts with some loss in cognitive abilities. Social health is the least documented component; nonetheless, people with the disease report significant impacts in terms of social relationships, activities and work.

CONCLUSIONS

These findings shed new light on the experience of people with recessive ataxia and identify key aspects to assess to improve their overall health.

摘要

背景

常染色体隐性小脑共济失调(ARCA)是一组罕见的遗传性疾病,其特征为小脑退化或发育异常。夏格诺-沙勒瓦克遗传性痉挛性共济失调(ARSACS)是欧洲最常见的 ARCA 之一。

目的

本研究旨在更好地了解 ARSACS 的表现和影响。

方法

对文献进行系统回顾,然后采用半结构式访谈和讨论小组进行定性研究,以了解受影响者的经历。

结果

根据 PROMIS 框架,结果显示健康的三个组成部分(身体、心理和社会)存在表现和影响。参与者最常提到的疾病的身体表现是疲劳以及平衡和灵巧度的困难。沮丧和抑郁等负面情绪是心理健康影响之一,认知能力也有一定程度的下降。社会健康是记录最少的部分;尽管如此,患有这种疾病的人报告说在社交关系、活动和工作方面受到重大影响。

结论

这些发现为隐性共济失调患者的体验提供了新的视角,并确定了评估的关键方面,以改善他们的整体健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e285/9526980/603f99f8b047/13023_2022_2497_Fig1_HTML.jpg

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