Managing cognitive impairment and its impact in multiple sclerosis: An Australian multidisciplinary perspective

被引：2

作者：

Lechner-Scott, Jeannette ^{[1
,2
,3
,12
]}

Agland, Susan ^{[4
]}

Allan, Michelle ^{[5
]}

Darby, David ^{[6
,7
,8
]}

Diamond, Keri ^{[9
]}

Merlo, Daniel ^{[10
]}

van der Walt, Anneke ^{[10
,11
]}

机构：

[1] Univ Newcastle, Sch Med & Publ Hlth, Callaghan, Australia

[2] John Hunter Hosp, Dept Pathol, New Lambton Hts, Australia

[3] Hunter Med Res Inst, New Lambton, NSW, Australia

[4] Hunter New England Hlth, MSSN John Hunter Hosp, New Lambton Hts, Australia

[5] Monash Hlth, Multiple Sclerosis Nurse Consultant, Clayton, Australia

[6] Alfred Hosp, Dept Neurol, Melbourne, Australia

[7] Royal Melbourne Hosp, Dept Neurol, Parkville, Australia

[8] Florey Inst Neurosci & Mental Hlth, Melbourne, Australia

[9] Univ Sydney, Brain & Mind Res Inst, Clin Res Unit, Sydney, Australia

[10] Monash Univ, Cent Clin Sch, Dept Neurosci, Melbourne, Australia

[11] Alfred Hlth, Dept Neurol, MSNI Serv, Melbourne, Australia

[12] Univ Newcastle, Hunter Med Res Inst, Immune Hlth Program, Callaghan, Australia

来源：

MULTIPLE SCLEROSIS AND RELATED DISORDERS | 2023年 / 79卷

关键词：

Cognition management; Progressive multiple sclerosis; Cognitive impairment; Cognitive screening; DIGIT MODALITIES TEST; DISABILITY PROGRESSION; FUNCTIONAL COMPOSITE; ANXIETY DISORDERS; SCREEN ARCS; VALIDITY; PERFORMANCE; DEPRESSION; FATIGUE; TOOL;

D O I：

10.1016/j.msard.2023.104952

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cognitive impairment in multiple sclerosis (MS) affects approximately 40-70% of patients and can have varying degrees of severity. Even mild cognitive impairment can impact on quality of life and productivity. Despite this, patients are not routinely screened or monitored for cognitive impairment in Australia due to a range of issues, with time and space being the main limiting factors. This Australian multidisciplinary perspective provides recommendations on cognition management in Australia. It gives a broad overview of cognition in MS, advice on the screening and monitoring tools available to clinicians, and strategies that can be implemented in clinics to help monitor for cognitive impairment in patients with MS. We suggest a routine baseline assessment and multidomain cognitive battery in regular intervals; a change should trigger a thorough investigation of the cause.

引用

页数：11

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