Multiple Sclerosis Clinical Trial
Official title:
Evaluation and Neural Basis of Communication in Patients With Multiple Sclerosis
Multiple sclerosis (MS) progressively leads to an increasing level of disability. That's why
individuals faced with this chronic disease whose progression is unpredictable have to
mobilize all their available resources. As a result, management of interpersonal
relationships appears to be a key issue in adjustment to situations.
Although knowledge on cognitive abnormalities in MS has been growing in recent years, there
is a lack of research about social behaviour regulation skills. The few studies conducted in
this field are mainly interested in emotional processing (emotional facial recognition and
empathy) and skills mentalizing (theory of mind) that appear disturbed in MS.
While some recent studies touch on the issue of the contextual analysis of language (that is
to say, the social use of language) in MS, their assessment on a wide range of pragamtic
skills has never been studied. However, the pragmatic aspects of language are known to play a
major role in social adjustment.
This project has three main objectives : (1) to increase general knowledge of deficits in
communication and in social cognition in patients with MS, (2) to propose new leads for the
evaluation of these disorders and (3) to contribute to increasing knowledge of neural basis
of communication and social cognition.
In order to address those objectives, the assessment will be focused on many various
pragmatics skills : conversation, indirect language comprehension (indirect questions,
idiomatic expressions, sarcasm) and metapragmatic knowledge in a population of 40 RR-MS
patients. Those patients' performances will be compared to a group of healthy matched control
subjects, potential relationships between pragmatic abilities, other aspects of social
cognition (theory of mind and processing of emotional stimuli), cognitive functioning,
psycho-behavioural aspects and the characteristics of the disease will be explore.
Social cognition tasks have been selected for their dynamic and ecologic aspects in order to
match natural social interaction.
Finally, communication consideration, cognitive and cerebral skills of patients with MS will
contribute to increasing knowledge of the neural basis of social cognition.
n/a
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