多发性硬化症中的情绪能力

Emotional competencies in multiple sclerosis.

作者信息

Sadeghi-Bahmani Dena, Motl Robert W, Sadeghi Bahmani Laleh, Mirmosayyeb Omid, Shaygannejad Vahid, Mokhtari Faezeh, Gross James J

机构信息

Department of Psychology, Stanford University, Stanford, CA, USA; Department of Epidemiology and Population Health, Stanford University, Stanford, CA, USA.

College of Applied Sciences, University of Illinois Chicago Il, USA.

出版信息

Mult Scler Relat Disord. 2023 Oct;78:104896. doi: 10.1016/j.msard.2023.104896. Epub 2023 Jul 17.

DOI:10.1016/j.msard.2023.104896

PMID:37595370

Abstract

BACKGROUND

Emotional competencies (i.e., understanding emotions in self and others) are crucial for psychological well-being and successful social interaction. However, despite the deficits in psychological well-being and social interaction among individuals with multiple sclerosis (MS), emotional competencies have not been broadly investigated in MS. The present study: (1) compared emotional competencies between persons with MS and (a) previously published norms for the general population and (b) persons with major depressive disorder; and (2) investigated the association between emotional competencies and symptoms of insomnia, depression, fatigue, and paresthesia in persons with MS.

METHODS

The sample of 1135 persons with MS (mean age: 34.6 years; 81.1% female; median EDSS: 2; range: 0 - 5) self-rated emotional competencies and symptoms of insomnia, symptoms of depression, fatigue, and paresthesia. Data on emotional competencies of historical samples (general population: N = 622; mean age: 22.0 years; 61% females; outpatients with major depressive disorders (MDD); N = 50; mean age: 42.46 years; 68% females) were used for comparison.

RESULTS

Persons with MS reported lower levels of emotional competencies than both the general population (t (1, 1756) = 55.18, p < 0.001, d = 1.66; large effect size) and outpatients with MDD (t (1, 1183) = 3.48, p <0.001, d = 0.50; medium effect size). Among persons with MS, lower levels of emotional competencies were associated with higher MS-related symptoms of insomnia(r = - 0.24; p < 0.001), depression (r = - 0.42; p < 0.001), fatigue (r = - 0.31; p < 0.001), and paresthesia (r = - 0.18; p < 0.001).

CONCLUSIONS

Persons with MS reported significantly lower scores for emotional competencies when compared with the general population and outpatients with MDD. Further, lower scores for emotional competencies were associated with typical MS-related symptoms of insomnia, depression, fatigue and paresthesia. These findings suggest that emotional competencies may be an important target for intervention in persons with MS.

摘要

背景

情绪能力（即理解自身和他人的情绪）对于心理健康和成功的社交互动至关重要。然而，尽管多发性硬化症（MS）患者存在心理健康和社交互动方面的缺陷，但情绪能力在MS患者中尚未得到广泛研究。本研究：（1）比较了MS患者与（a）先前发表的一般人群规范以及（b）重度抑郁症患者之间的情绪能力；（2）调查了MS患者情绪能力与失眠、抑郁、疲劳和感觉异常症状之间的关联。

方法

1135名MS患者（平均年龄：34.6岁；81.1%为女性；EDSS中位数：2；范围：0 - 5）对情绪能力以及失眠、抑郁、疲劳和感觉异常症状进行了自评。使用历史样本（一般人群：N = 622；平均年龄：22.0岁；61%为女性；重度抑郁症门诊患者（MDD）：N = 50；平均年龄：42.46岁；68%为女性）的情绪能力数据进行比较。

结果

MS患者报告的情绪能力水平低于一般人群（t（1, 1756）= 55.18，p < 0.001，d = 1.66；大效应量）和MDD门诊患者（t（1, 1183）= 3.48，p <0.001，d = 0.50；中等效应量）。在MS患者中，较低的情绪能力水平与较高的MS相关失眠症状（r = - 0.24；p < 0.001）、抑郁症状（r = - 0.42；p < 0.001）、疲劳症状（r = - 0.31；p < 0.001）和感觉异常症状（r = - 0.18；p < 0.001）相关。