Diana Bruno, Agostina Galiani, María Golfeder, Fatima Pagani Cassará, John Duncan, Vladimiro Sinay, María Roca
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引用次数: 0
摘要
导言和目标:近年来的研究表明,45% 至 70% 的多发性硬化症(MS)患者存在认知障碍,其中最突出的是与额叶相关的障碍。在这些缺陷中,我们可以发现 "心智理论"(ToM),即推断他人感受和想法的能力。虽然有人认为心智理论依赖于更基本的技能,如透视(PT),但还没有研究调查过多发性硬化症患者的这种关联。本研究旨在调查多发性硬化症患者的透视能力,并确定其与 ToM 缺陷之间的关系。材料和方法:对 36 名复发缓解型多发性硬化症(RRMS)患者和 42 名健康对照者进行了评估,他们的年龄、性别和受教育程度均匹配。两组患者都接受了测试,以评估病前和当前的智力、运动能力、ToM(眼读心测试 -RMET- 和 Faux Pas)和补充量表(疲劳、抑郁和残疾)。结果显示RRMS 患者在 PT 和 ToM 测试中与对照组存在明显差异。PT 测试与我们的 ToM 测试之一 RMET 呈正相关。结论结果显示 ToM 与 PT 能力之间存在关系。我们的研究结果对多发性硬化症社交障碍的评估、解释和康复都具有临床和学术意义。
Perspective taking deficits and their relationship with theory of mind abilities in patients with relapsing-remitting multiple sclerosis (RRMS).
Introduction and objectives: In recent years, research has reported that between 45% and 70% of patients with Multiple Sclerosis (MS) have cognitive deficits, the most prominent being those associated with the frontal lobe. Among these deficits, we can find Theory of Mind (ToM), which is the ability to infer feelings and thoughts of others. Although it has been suggested that ToM relies on more basic skills, such as perspective taking (PT), no studies have investigated this association in patients with MS. The aim of this study was to investigate PT abilities in patients with MS and to establish their relationship with ToM deficits. Material and methods: 36 patients with relapsing-remitting multiple sclerosis (RRMS) and 42 healthy controls matched by age, sex and educational level were evaluated. Both groups were tested to estimate premorbid and current intellectual capacity, PT, ToM (Reading the Mind in the Eyes Test -RMET- and Faux Pas) and complementary scales (fatigue, depression and disability). Results: Patients with RRMS presented significant differences from controls in both PT and ToM tests. The PT test showed positive correlation with RMET, one of our ToM tests. Conclusion: The results show that there is a relationship between ToM and PT abilities. Our findings are of clinical and academic relevance to both the assessment and interpretation as well as the rehabilitation of social deficits in MS.