Apport de l'évaluation écologique des troubles exécutifs dans la sclérose en plaques [Contribution of ecological evaluation of executive disorders in multiple sclerosis]

Détails

ID Serval
serval:BIB_6F8C27EC6820
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Apport de l'évaluation écologique des troubles exécutifs dans la sclérose en plaques [Contribution of ecological evaluation of executive disorders in multiple sclerosis]
Périodique
Revue neurologique
Auteur⸱e⸱s
Rouaud O., Graule-Petot A., Couvreur G., Contegal F., Osseby G.V., Benatru I., Giroud M., Moreau T.
ISSN
0035-3787 (Print)
ISSN-L
0035-3787
Statut éditorial
Publié
Date de publication
10/2006
Peer-reviewed
Oui
Volume
162
Numéro
10
Pages
964-969
Langue
français
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Publication Status: ppublish
Résumé
Multiple sclerosis (MS) is a major cause of neurological disability among young adults. The cognitive disorders are the second cause of alteration of quality of life after physical handicap and are often responsible for loss of social-occupational adaptability. The prevalence of cognitive disorders is 40 to 65%. The alteration of executive functions predominates whereas instrumental functions are generally preserved. The assessment of these disorders is often underestimated by the usual battery of neuropsychological tests. However, the link between psychometric results and executive difficulties of daily life is uncertain.
To evaluate the sensitivity of an ecological test compared to standard psychometric tests in assessment of executive disorders in MS.
Twenty subjects with clinically definite MS were matched for age, sex and pre-morbid intellectual level with control subjects. A battery of neuropsychological and ecological tests was applied to all subjects. The performances on these tests formed a global score of executive function (SFE). The "paper and pencil" multiple errands test was used as the ecological test to examine planning and goal-oriented behavior. We also assessed fatigue and depression with the Fatigue Severity Scale and the Beck Depression Inventory.
There was no significant differences between MS patients and controls in neuropsychological executive tests, except for verbal fluencies (p=0.01). The performances were significantly decreased in the MS group for the multiple errands test (p=0.01). 75% of MS subjects have a pathological score for this test. There was a significant link between the performances with this test and SFE (p=0.009).
Executive disorders are underestimated in MS. However, we suggest that an ecological approach is more reliable than standard neuropsychological tests to estimate the cognitive difficulties in daily life in MS subjects. The results of our study favor further research to ascertain the usefulness of ecological assessment in MS.
Mots-clé
Adult, Cognition Disorders/epidemiology, Depression/epidemiology, Fatigue, Female, Humans, Intelligence, Male, Middle Aged, Multiple Sclerosis/psychology, Personality Inventory, Reference Values
Pubmed
Web of science
Création de la notice
22/08/2024 8:33
Dernière modification de la notice
23/08/2024 9:34
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