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Cognitive impairment in patients with multiple sclerosis predicts worse caregiver's health-related quality of life. [artículo]

Por: Labiano Fontcuberta, Andrés [Neurología] | Moreno Garcia, Sara [Neurología] | Benito León, Julián [Neurología].
Colaborador(es): Servicio de Neurología-Neurofisiología.
Tipo de material: materialTypeLabelArtículoEditor: Multiple sclerosis (Houndmills, Basingstoke, England), 2014Descripción: 20(13):1769-79.Recursos en línea: Solicitar artículo Resumen: Background: The objective of this paper is to examine the extent to which cognitive impairment in MS patients contributes to caregivers' HRQoL. Methods: A total of 63 MS patients, 63 caregivers and 59 matched controls were recruited. Patients and controls underwent a neuropsychological assessment, including tests of working memory, speed of information processing, executive function, and verbal fluency. HRQoL of the caregivers was assessed by CAREQOL-MS. In logistic regression models, we adjusted for the effects of confounding variables. In these models, the dependent variable was the CAREQOL-MS (higher median of CAREQOL-MS (worse HRQoL) vs. lower median of CAREQOL-MS (better HRQoL) (reference)), and the independent variable was the impairment on each neuropsychological test vs. its integrity (reference). Results: Cognitive impairment in MS patients was significantly associated with worse caregiver HRQoL (adjusted odds ratio (OR) = 3.10, 95% confidence interval (CI) = 1.07-11.55, p = 0.04). In secondary analyses in which each neuropsychological test was entered in the analyses separately, only Symbol Digit Modalities Test (a measurement of information processing speed) impairment (OR = 4.22, 95%, CI = 1.16-14.53, p = 0.03) was significantly associated with worse caregiver HRQoL. Conclusions: MS patients' caregivers' HRQoL is significantly influenced by information processing speed impairment of MS patients.
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Artículo Artículo PC15981 (Navegar estantería) Disponible

Formato Vancouver:
Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Benito-León J. Cognitive impairment in patients with multiple sclerosis predicts worse caregiver's health-related quality of life. Mult Scler. 2014 Nov;20(13):1769-79.

PMID: 24777277

Contiene 34 referencias

Background: The objective of this paper is to examine the extent to which cognitive impairment in MS patients contributes to caregivers' HRQoL.
Methods: A total of 63 MS patients, 63 caregivers and 59 matched controls were recruited. Patients and controls underwent a neuropsychological assessment, including tests of working memory, speed of information processing, executive function, and verbal fluency. HRQoL of the caregivers was assessed by CAREQOL-MS. In logistic regression models, we adjusted for the effects of confounding variables. In these models, the dependent variable was the CAREQOL-MS (higher median of CAREQOL-MS (worse HRQoL) vs. lower median of CAREQOL-MS (better HRQoL) (reference)), and the independent variable was the impairment on each neuropsychological test vs. its integrity (reference).
Results: Cognitive impairment in MS patients was significantly associated with worse caregiver HRQoL (adjusted odds ratio (OR) = 3.10, 95% confidence interval (CI) = 1.07-11.55, p = 0.04). In secondary analyses in which each neuropsychological test was entered in the analyses separately, only Symbol Digit Modalities Test (a measurement of information processing speed) impairment (OR = 4.22, 95%, CI = 1.16-14.53, p = 0.03) was significantly associated with worse caregiver HRQoL.
Conclusions: MS patients' caregivers' HRQoL is significantly influenced by information processing speed impairment of MS patients.

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