PMID: 9551458Apr 29, 1998Paper

Follow-up of myasthenia gravis. Results of a longitudinal study of the significance of psychosocial predictors

Der Nervenarzt
J KnielingK Toyka

Abstract

Forty-two patients suffering from myasthenia gravis were examined in a longitudinal study design. The aim of the study was to investigate possible psychosocial predictors for the course of the disease. At the time of the first examination (T1) the diagnosis myasthenia gravis had been established for no longer than 1 year. Two further examinations were done at 6 months (T2) and 18 months (T3) after T1. Methods consisted of a personality questionnaire (FPI), a coping questionnaire (FKV), an assessment of neurotic symptoms by interviewers (PSKB) and an assessment of the doctor-patient relationship by the attending physicians. Two different severity scores (Oosterhuis Index, Myasthenia Score) served as criteria for the course of the disease. There was no connection between the course of myasthenia gravis and neurotic symptoms like anxiety or depression and the quality of the doctor-patient relationship (both assessed at T1). Also demographic data were independent from the development of severity scores. The personality factor extraversion was associated with a positive course of the disease, aggressiveness and worrying about health with a negative one. Among the coping behaviors religiousness and looking for sense were associated w...Continue Reading

Citations

Apr 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Z-F MaoT C Olde Hartman
May 16, 2007·Journal of Neurology·Wolfgang Köhler

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