ORIGINAL ARTICLE

Self-awareness in multiple sclerosis: Relationships with executive functions and affect

Michelle H. Chen

orcid.org/0000-0002-5689-0044

Kessler Foundation, East Hanover, New Jersey, USA

Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA

Contribution: Formal analysis (lead), Writing - original draft (equal)

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Yael Goverover,

Corresponding Author

Yael Goverover

[email protected]

Kessler Foundation, East Hanover, New Jersey, USA

Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York, USA

Correspondence

Yael Goverover, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, 10003, USA.

Email: [email protected]

Contribution: Conceptualization (lead), Data curation (lead), Funding acquisition (lead), Writing - review & editing (lead)

Search for more papers by this author

Michelle H. Chen,

Michelle H. Chen

orcid.org/0000-0002-5689-0044

Kessler Foundation, East Hanover, New Jersey, USA

Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA

Contribution: Formal analysis (lead), Writing - original draft (equal)

Search for more papers by this author

Yael Goverover,

Corresponding Author

Yael Goverover

[email protected]

Kessler Foundation, East Hanover, New Jersey, USA

Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York, USA

Correspondence

Yael Goverover, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, 10003, USA.

Email: [email protected]

Contribution: Conceptualization (lead), Data curation (lead), Funding acquisition (lead), Writing - review & editing (lead)

Search for more papers by this author

First published: 01 February 2021

https://doi.org/10.1111/ene.14762

Citations: 9

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Abstract

Background and objectives

Deficits in self-awareness can be observed in persons with multiple sclerosis (pwMS). The present study aimed to investigate two types of self-awareness (intellectual and online) among pwMS, which will inform clinical care. Intellectual awareness refers to knowledge of one's own abilities; online awareness refers to real-time monitoring and regulation of one's performance.

Methods

The study sample consisted of 95 pwMS and 65 healthy controls (HCs). Intellectual awareness was defined as discrepancy between participant's and informant's reports of participant's functioning. Online awareness was operationalized by change in self-assessment of performance after engaging in a functional task.

Results

PwMS had significantly worse intellectual awareness than HCs regarding money management (confidence interval [CI] 0.44 to 1.99), task performance (CI −0.01 to 2.5), social interaction (CI 0.29 to 2.45), and problem solving (CI 0.87 to 2.8) abilities, but not sensory symptoms. Executive functioning was positively associated with intellectual awareness in HCs, while depressive and anxiety symptoms were negatively related to intellectual awareness in pwMS. In contrast, online awareness was not significantly different between groups; both groups were able accurately to assess their performance after engaging in a functional task.

Conclusions

Intellectual awareness, but not online awareness, is impaired in pwMS. Among pwMS, affective symptomatology may distort their perception of functional status. Persons with MS may benefit from actually performing a functional task during the assessment and treatment process, which may lead to a more accurate estimate of their own abilities.

CONFLICT OF INTEREST

None declared.

Supporting Information

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Volume28, Issue5

May 2021

Pages 1627-1635

Self-awareness in multiple sclerosis: Relationships with executive functions and affect

Abstract

Background and objectives

Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

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Self-awareness in multiple sclerosis: Relationships with executive functions and affect

Abstract

Background and objectives

Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

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