Neuropsychological counseling improves social behavior in cognitively-impaired multiple sclerosis patients

被引:25
作者
Benedict, RHB
Shapiro, A
Priore, R
Miller, C
Munschauer, F
Jacobs, L
机构
[1] SUNY Buffalo, Sch Med & Biomed Sci, Dept Neurol, Buffalo, NY 14260 USA
[2] SUNY Buffalo, Sch Med & Biomed Sci, Dept Psychiat, Buffalo, NY 14260 USA
[3] Buffalo Gen Hosp, Kalieda Hlth Syst, Buffalo, NY 14203 USA
关键词
multiple sclerosis; euphoria; dementia; neuropsychology;
D O I
10.1177/135245850000600606
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied the effectiveness of a newly-developed cognitive-behavioral intervention in 15 patients with marked cognitive impairment and behavior disorder. The design was a single-blind test of a neuropsychological intervention, with pre- and post-treatment assessments of personality and social behavior. MS patients underwent neurological examination and neuropsychological testing at baseline. The patients were then randomly assigned to neuropsychological counseling or standard non-specific supportive psychotherapy The active 12-week treatment emphasized enhancement of insight through education, social skills training, and behavior modification. All patients were re-examined within 2 weeks of the termination of treatment Neuropsychological technicians were blind to treatment condition. Both groups showed evidence of cognitive impairment and personality/behavior disorder prior to treatment and were well matched on demographic disability, and cognitive measures. Patients who underwent neuropsychological counseling showed significant positive response on measures of social behavior (e.g. excessive ego-centric speech) compared to those who underwent standard counseling. We conclude that these data support the use non-pharmacological, neuropsychological counseling in patients with acquired MS-associated behavior disorder.
引用
收藏
页码:391 / 396
页数:6
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