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Di Tella M, Clerico M, Castelli L. Associations between socioemotional alterations, quality of life, and social functioning in multiple sclerosis: A scoping review. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02387-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AbstractThe main aim of the present scoping review is to systematically review the available studies that investigated the associations between socioemotional alterations (i.e., social cognition impairments/alexithymia/difficulties in emotion regulation) and both reduced QoL and social functioning in patients with Multiple Sclerosis (MS). The articles were selected from the PubMed, PsycINFO, and Scopus databases. The main exclusion criteria were qualitative studies, articles that did not use validated instruments, and studies that did not investigate the association between socioemotional skills and QoL/social functioning in MS. Of the eight studies fulfilling the inclusion criteria, six found significant associations between social cognitive and emotion regulation abilities and QoL/social functioning in patients with MS, while two found no significant relationships particularly between the performance on social cognition tasks and QoL measures. Overall, the majority of findings seem to highlight that socioemotional alterations contribute to impaired QoL and social functioning in MS. However, given the still limited evidence, future studies are needed to replicate and confirm the available results, paying attention to two principal aspects: the use of standardized and ecological tasks for the assessment of social cognition skills and the recruitment of samples involving patients with different types of MS.
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Labbe TP, Montalba C, Zurita M, Ciampi EL, Cruz JP, Vasquez M, Uribe S, Crossley N, Cárcamo C. Regional brain atrophy is related to social cognition impairment in multiple sclerosis. ARQUIVOS DE NEURO-PSIQUIATRIA 2021; 79:666-675. [PMID: 34550187 DOI: 10.1590/0004-282x-anp-2020-0162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 11/22/2020] [Indexed: 11/21/2022]
Abstract
BACKGROUND Multiple sclerosis exhibits specific neuropathological phenomena driving to both global and regional brain atrophy. At the clinical level, the disease is related to functional decline in cognitive domains as the working memory, processing speed, and verbal fluency. However, the compromise of social-cognitive abilities has concentrated some interest in recent years despite the available evidence suggesting the risk of disorganization in social life. Recent studies have used the MiniSEA test to assess the compromise of social cognition and have found relevant relationships with memory and executive functions, as well as with the level of global and regional brain atrophy. OBJECTIVE The present article aimed to identify structural changes related to socio-cognitive performance in a sample of patients with relapsing-remitting multiple sclerosis. METHODS 68 relapsing-remitting multiple sclerosis Chilean patients and 50 healthy control subjects underwent MRI scans and neuropsychological evaluation including social-cognition tasks. Total brain, white matter, and gray matter volumes were estimated. Also, voxel-based morphometry was applied to evaluate regional structural changes. RESULTS Patients exhibited lower scores in all neuropsychological tests. Social cognition exhibited a significant decrease in this group mostly related to the declining social perception. Normalized brain volume and white matter volume were significantly decreased when compared to healthy subjects. The regional brain atrophy analysis showed that changes in the insular cortex and medial frontal cortices are significantly related to the variability of social-cognitive performance among patients. CONCLUSIONS In the present study, social cognition was only correlated with the deterioration of verbal fluency, despite the fact that previous studies have reported its link with memory and executive functions. The identification of specific structural correlates supports the comprehension of this phenomenon as an independent source of cognitive disability in these patients.
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Affiliation(s)
- Tomas P Labbe
- Universidad de Santiago de Chile, Escuela de Medicina, Santiago, Chile.,Pontificia Universidad Católica de Chile, Interdisciplinary Center of Neurosciences, Santiago, Chile
| | - Cristian Montalba
- Pontificia Universidad Católica de Chile, Biomedical Imaging Center, Santiago, Chile
| | - Mariana Zurita
- Pontificia Universidad Católica de Chile, Biomedical Imaging Center, Santiago, Chile
| | - Ethel Leslie Ciampi
- Pontificia Universidad Católica de Chile, Neurology Department, School of Medicine, Santiago, Chile
| | - Juan Pablo Cruz
- Pontificia Universidad Católica de Chile, Radiology Department, School of Medicine, Santiago, Chile
| | - Macarena Vasquez
- Pontificia Universidad Católica de Chile, Neurology Department, School of Medicine, Santiago, Chile
| | - Sergio Uribe
- Pontificia Universidad Católica de Chile, Biomedical Imaging Center, Santiago, Chile.,Pontificia Universidad Católica de Chile, Radiology Department, School of Medicine, Santiago, Chile.,Millenium Nucleus for Cardiovascular Magnetic Resonance, Santiago, Chile
| | - Nicolás Crossley
- Pontificia Universidad Católica de Chile, Interdisciplinary Center of Neurosciences, Santiago, Chile.,Pontificia Universidad Católica de Chile, Psychiatry Department, School of Medicine, Santiago, Chile
| | - Claudia Cárcamo
- Pontificia Universidad Católica de Chile, Neurology Department, School of Medicine, Santiago, Chile
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Empathy in multiple sclerosis––Correlates with cognitive, psychological and occupational functioning. Mult Scler Relat Disord 2020; 41:102036. [DOI: 10.1016/j.msard.2020.102036] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 02/25/2020] [Accepted: 03/01/2020] [Indexed: 01/10/2023]
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Macías Islas MÁ, Ciampi E. Assessment and Impact of Cognitive Impairment in Multiple Sclerosis: An Overview. Biomedicines 2019; 7:E22. [PMID: 30893874 PMCID: PMC6466345 DOI: 10.3390/biomedicines7010022] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 03/13/2019] [Accepted: 03/14/2019] [Indexed: 12/30/2022] Open
Abstract
Cognitive impairment affects 40⁻60% of patients with multiple sclerosis. It may be present early in the course of the disease and has an impact on a patient's employability, social interactions, and quality of life. In the last three decades, an increasing interest in diagnosis and management of cognitive impairment has arisen. Neuropsychological assessment and neuroimaging studies focusing on cognitive impairment are now being incorporated as primary outcomes in clinical trials. However, there are still key uncertainties concerning the underlying mechanisms of damage, neural basis, sensitivity and validity of neuropsychological tests, and efficacy of pharmacological and non-pharmacological interventions. The present article aimed to present an overview of the assessment, neural correlates, and impact of cognitive impairment in multiple sclerosis.
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Affiliation(s)
| | - Ethel Ciampi
- Neurology, Pontificia Universidad Católica de Chile, Neurology, Hospital Dr. Sótero del Río, Santiago 8320000, Chile.
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Isernia S, Baglio F, d’Arma A, Groppo E, Marchetti A, Massaro D. Social Mind and Long-Lasting Disease: Focus on Affective and Cognitive Theory of Mind in Multiple Sclerosis. Front Psychol 2019; 10:218. [PMID: 30792684 PMCID: PMC6374311 DOI: 10.3389/fpsyg.2019.00218] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 01/22/2019] [Indexed: 12/11/2022] Open
Abstract
The role of social cognition, including theory of mind (ToM), in affecting quality of life (QoL) along the course of diseases has been reported. This is a considerable aspect in chronic pathologies, such as multiple sclerosis (MS), in which supporting and maintaining QoL is of crucial importance. We aimed to investigate the relation between ToM, clinical variables and neuropsychological profile in a cohort of adults with long lasting disease, such as different clinical MS phenotypes (Relapsing Remitting -RR- versus Progressive -Pr). In particular, our study focuses on (1) how (affective and cognitive) ToM impairment occurs in different phenotypes, (2) whether MS ToM impairment is secondary to or independent from cognitive deficit and (3) whether ToM deficit impacts QoL. 42 adults with MS (18 M: 24 F, 52.38 ± 10.31 mean age, 21.24 ± 10.94 mean disease duration, 26 RR and 16 Pr) and 26 matched healthy controls (HC) (7 M: 19 F, 51.35 ± 12.42 mean age) were screened with a neuropsychological and ToM battery, assessing both affective and cognitive components. We found statistically significant groups differences in cognitive but not affective ToM, with a lower performance in PrMS than those with a RRMS disease course. Also, significant predictive effects of neuropsychological tests on ToM were identified in MS group. Finally, MS people with different level of affective ToM differed significantly in QoL. ToM deficit in moderately disabled people with MS involves cognitive but not affective ToM components with implications on QoL. It also appears to be related to cognitive performance. As neurological and neurocognitive profiles influence mentalizing in MS, ToM evaluation should be considered for inclusion in clinical screening.
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Affiliation(s)
- Sara Isernia
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Fondazione Don Carlo Gnocchi Onlus (IRCCS), Milan, Italy
| | | | - Alessia d’Arma
- Fondazione Don Carlo Gnocchi Onlus (IRCCS), Milan, Italy
| | | | - Antonella Marchetti
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Davide Massaro
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
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