지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 877 - 888 (12page)
이용수
초록· 키워드
오류제보하기
Multiple Sclerosis (MS) is a chronic disabling neuroinflammatory disease. Psychiatric manifestations have a high prevalence in MS patients and may worsen the illness progression and the patients’ quality of life (QoL). Depression is a highly prevalent condition in MS patients, associated with poorer adherence to treatment, decreased functional status and QoL, and increased suicide risk. Diagnosis and treatment of this disorder is challenging because of symptom overlap. Other prevalent psychiatric comorbidities are anxiety disorders, bipolar disorder, psychotic disorders, substance misuse and personality disorders. As the illness progresses, personality changes can happen, as well as affect abnormalities. Cognitive changes occur frequently in MS patients, and affect features like processing speed, attention, learning, memory, visual spatial capabilities, and some language deficits. Disease-modifying treatments may reduce cognitive impairment because of their container action on the brain’s lesion burden. Other QoL determinants such as fatigue, pain, sexual dysfunction, exercise, resilience and social support should be taken into account, in order to promote the individuals’ well-being. Further studies are needed in order to elucidate the effectiveness of pharmacotherapy and more neuroimaging studies are required to clarify the relationship between structural changes and psychiatric comorbidities.
목차
등록된 정보가 없습니다.
참고문헌 (100)
참고문헌 신청
Browne P / 2014 / Atlas of Multiple Sclerosis 2013 : a growing global problem with widespread inequity / Neurology 83:1022~1024
Chwastiak LA / 2007 / Psychiatric issues in multiple sclerosis / Psychiatry Clin N Am 30:803~817
José Sá M / 2008 / Psychological aspects of multiple sclerosis / Clin Neurol Neurosurg 110:868~877
Adams K / 2012 / Why should I talk about emotion? Communication patterns associated with physician discussion of patient expressions of negative emotion in hospital admission encounters / Patient Educ Couns 89:44~50
Boeije HR / 2002 / Encountering the downward phase : biographical work in people with multiple sclerosis living at home / Soc Sci Med 55:881~893
Chwastiak LA / 2007 / Psychiatric issues in multiple sclerosis / Psychiatry Clin N Am 30:803~817
José Sá M / 2008 / Psychological aspects of multiple sclerosis / Clin Neurol Neurosurg 110:868~877
Adams K / 2012 / Why should I talk about emotion? Communication patterns associated with physician discussion of patient expressions of negative emotion in hospital admission encounters / Patient Educ Couns 89:44~50
Boeije HR / 2002 / Encountering the downward phase : biographical work in people with multiple sclerosis living at home / Soc Sci Med 55:881~893
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