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Titre : | Ecological Momentary Assessment of Pain, Fatigue, Depressive, and Cognitive Symptoms Reveals Significant Daily Variability in Multiple Sclerosis (2017) |
Auteurs : | Anna L. Kratz ; Susan L. Murphy ; Tiffany J. Braley |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/11, 2017) |
Article en page(s) : | p. 2142-2150 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Fatigue ; Pain ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Ecological momentary assessment ; Évaluation écologique instantanée ; Multiple sclerosis |
Résumé : |
Objective To describe the daily variability and patterns of pain, fatigue, depressed mood, and cognitive function in persons with multiple sclerosis (MS). Design Repeated-measures observational study of 7 consecutive days of home monitoring, including ecological momentary assessment (EMA) of symptoms. Multilevel mixed models were used to analyze data. Setting General community. Participants Ambulatory adults (N=107) with MS recruited through the University of Michigan and surrounding community. Interventions Not applicable. Main Outcome Measure EMA measures of pain, fatigue, depressed mood, and cognitive function rated on a 0 to 10 scale, collected 5 times a day for 7 days. Results Cognitive function and depressed mood exhibited more stable within-person patterns than pain and fatigue, which varied considerably within person. All symptoms increased in intensity across the day (all P<.02 with fatigue showing the most substantial increase. notably this diurnal increase varied by sex and age women showed a continuous from wake to bedtime whereas plateaued after pm for men b="1.04," p=".004)." oldest subgroup increases were concentrated middle of day compared younger subgroups which an earlier onset sustained until bed time patterns cognitive function education those advanced college degrees more stable pattern across significant differences bachelor-level in evening> Conclusions Findings suggest that chronic symptoms in MS are not static, even over a short time frame; rather, symptomsfatigue and pain in particularvary dynamically across and within days. Incorporation of EMA methods should be considered in the assessment of these chronic MS symptoms to enhance assessment and treatment strategies. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317304653 |