Long‑term Observation of Cognitive, Emotional and Behavioral Changes in Patient with Multiple Sclerosis – a Case Report

Česká verzia

Authors: A. Javůrková ¹; J. Amlerová ²; J. Raudenská ³
Authors place of work: Oddělení klinické psychologie, FN Královské Vinohrady, Praha ¹; Neurologická klinika 2. LF UK Praha a FN v Motole, Praha ²; Oddělení klinické psychologie, 2. LF UK Praha a FN v Motole, Praha ³
Published in the journal: Cesk Slov Neurol N 2014; 77/110(4): 501-504
Category: Case Report

Podpořeno Ministerstvem zdravotnictví ČR – RVO, FN v Motole 00064203.

Summary

The aim of the paper is to show cognitive, emotional and behavioural changes in a multiple sclerosis (MS) patient over eighteen years of observation. Case study documents maladaptation to MS diagnosis and prolonged maladaptive coping, diffusion and influence of affective components on inhibition of cognitive abilities and mental health status, the contribution of stress to development of „pseudo-relapses“ of MS, psychosocial problems and quality of life. The diagnosis of MS was devastating for the patient herself and her family. Its unpredictable course complicated adjustment and created difficulties in planning for support. Effects of disease-related stress as well as a negative side-effect of treatment led to many psychosocial problems that impaired the patient’s quality of life and affected compliance with treatment and rehabilitation. Repeated neuropsychological assessment was a part of a comprehensive diagnostic process and treatment of MS and, at the end of observation, in chronic-progressive phase of MS, was complemented with cognitive-behavioural therapy aimed at reducing burden of disease and improving the quality of life.

Key words:
multiple sclerosis – neuropsychological assessment – cognitive behavioral therapy

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