Neuro-e-Motion Research Team, Department of Psychology, Faculty of Health Sciences, University of Deusto, Spain.
Department of Clinical and Health Psychology and Research Methodology, Faculty of Psychology, University of the Basque Country UPV/EHU, Spain.
J Pediatr Psychol. 2024 Aug 1;49(8):525-535. doi: 10.1093/jpepsy/jsae013.
This study aimed to determine the effects of a neuropsychosocial teleassistance group-based intervention on improving social cognitive functioning and health-related quality of life (HRQoL) in pediatric neuromuscular diseases (NMD).
Thirty-five pediatric patients with NMD were assigned to the neuropsychosocial intervention program (n = 20) or waiting list control condition (n = 15). The intervention group received an integrative approach that combines training in social cognition with cognitive behavioral therapy. All participants completed a neuropsychological and clinical assessment at baseline and follow-up, which included tests of social cognition, both for emotion recognition and theory of mind, and HRQoL. Repeated-measures multivariate analysis of covariance was used to determine the effects of the teleassistance program.
Group × Time interactions revealed significant improvements in the intervention group as compared with the control group for different social cognition's indicators (AR NEPSY-II: p = .003, η2p = .24; TM NEPSY: p < .001, η2p = .35; Verbal task: p < .001, η2p = .35; Happé's Strange Stories: p = .049, η2p = .11) and HRQoL (Psychosocial health: p = .012, η2p = .18; Emotional functioning: p = .037, η2p = 0.13; Social functioning: p = .006, η2p = .21; Total: p = .013, η2p = .17), showing medium to large effects.
Patients receiving the neuropsychosocial intervention showed improvements in their social cognition performance and psychosocial HRQoL, providing evidence about the positive effects of the program in pediatric patients with NMD. This should be considered in further research and interventions in this field.
本研究旨在确定神经心理社会远程辅助小组干预对改善儿科神经肌肉疾病（NMD）患者的社会认知功能和健康相关生活质量（HRQoL）的影响。
将 35 名患有 NMD 的儿科患者分配到神经心理社会干预计划组（n=20）或等待名单对照组（n=15）。干预组接受了一种综合方法，结合了社会认知训练和认知行为疗法。所有参与者在基线和随访时都完成了神经心理学和临床评估，包括社会认知测试，包括情绪识别和心理理论的测试，以及 HRQoL。使用重复测量多元方差分析来确定远程辅助计划的效果。
组×时间的交互作用表明，与对照组相比，干预组在不同的社会认知指标上有显著的改善（AR NEPSY-II：p=0.003，η2p=0.24；TM NEPSY：p<0.001，η2p=0.35；言语任务：p<0.001，η2p=0.35；Happé 的陌生故事：p=0.049，η2p=0.11）和 HRQoL（心理社会健康：p=0.012，η2p=0.18；情绪功能：p=0.037，η2p=0.13；社会功能：p=0.006，η2p=0.21；总分：p=0.013，η2p=0.17），表现出中等至较大的效果。
接受神经心理社会干预的患者在社会认知表现和心理社会 HRQoL 方面有改善，这为儿科 NMD 患者的计划积极效果提供了证据。这在该领域的进一步研究和干预中应予以考虑。
