| Author/Editor | Klun, Tara; Resnik Robida, Karmen; Čižman Štaba, Urša | |
| Title | Nevropsihološki status in primerjava kognitivnega profila pri pacientih z recidivno-remitentno ter sekundarno napredujočo multiplo sklerozo | |
| Translated title | Neuropsychological status and comparison of cognitive profiles in patients with relapsing-remitting and secondary progressive multiple sclerosis | |
| Type | članek | |
| Vol. and No. | Letnik 20, št. 1 | |
| Publication year | 2021 | |
| Volume | str. 4-12 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Kognitivni primanjkljaji se pojavljajo pri 43 % do 65 % obolelih za multiplo sklerozo in običajno vplivajo na vsakdanje funkcioniranje ter na kakovost življenja. Izrazitejši kognitivni primankljaji so značilni za napredujočo obliko multiple skleroze. Metode: V raziskavo smo vključili 58 pacientov z recidivno-remitentno in 59 pacientov s sekundarno napredujočo obliko multiple skleroze, ki so se v letih 2018-2020 udeležili celostne rehabilitacijske obravnave na URI - Soča. Kognitivne sposobnosti smo ocenili s pomočjo testne baterije RBANS (angl. Repeatable Battery for the Assessment of Neuropsychological Status), ki vključuje oceno pozornosti, spomina, vidno-prostorskih/ konstrukcijskih sposobnosti in jezikovnih sposobnosti. Rezultati: V kliničnem vzorcu pacientov z multiplo sklerozo so se najpogosteje pojavljale težave na področju psihomotorične hitrosti in spomina za besedno gradivo. 85 % udeležencev je dosegalo slabše rezultate glede na demografsko določene norme na osmih od 12 podtestih. Med skupinama pacientov z recidivno-remitentno obliko in sekundarno napredujočo obliko smo odkrili statistično značilna odstopanja na področju konstrukcijskih sposobnosti. Zaključek: Kognitivni primanjkljaji se pojavljajo pri vseh oblikah oz. fenotipih multiple skleroze. Njihova prevalenca je v kliničnih vzorcih višja kot v splošni populaciji. Klinični psiholog znotraj rehabilitacijskega tima ne sodeluje samo pri ugotavljanju morebitnih odstopanj od normalnega kognitivnega funkcioniranja, temveč tudi pri načrtovanju ustrezne obravnave z namenom osvajanja čim večje samostojnosti in neodvisnosti na vseh področjih življenja.Background: Cognitive deficits occur in 43 % to 65 % of patients with multiple sclerosis, having an impact on daily functioning and the quality of life. Progressive course of multiple sclerosis is associated with greater cognitive impairment. Methods: The study included 58 patients with relapsing-remitting and 59 patients with secondary progressive multiple sclerosis who participated in a comprehensive rehabilitation treatment at the University Rehabilitation Institute in Ljubljana in 2018-2020. Cognitive abilities were assessed using the RBANS test battery (Repeatable Battery for the Assessment of Neuropsychological Status), which assesses attention, memory, visual-spatial/constructional abilities, and language abilities. Results: In the clinical sample of patients with multiple sclerosis, psychomotor speed and memory problems were the most common cognitive deficits; 85 % of the participants in the sample performed worse than demographically determined norms on eight of the 12 subtests. Between-group comparisons (relapsing-remitting vs. secondary progressive MS) showed statistically significant differences in the field of constructional abilities. Conclusion: Cognitive deficits occur in all forms or phenotypes of multiple sclerosis. Their prevalence is higher in clinical samples than in the general population. The clinical psychologist in the rehabilitation team is not only involved in identifying possible deviations from normal cognitive functioning, but also in planning appropriate treatment for the patient to gain maximum autonomy and independence in all areas of life. | |
| Descriptors | Multiple Sclerosis psychology | |
| Keywords | kognicija nevropsihološki status kognitivni profil multipla skleroza rehabilitacija cognition neuropsychological status cognitive profile multiple sclerosis rehabilitation |