Moral reasoning and moral conflict in patients of the spectrum amyotrophic lateral sclerosis - frontotemporal dementia: a pilot study

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dc.contributor Gomila Benejam, Antoni Serrano Pastor, Lucas 2020 2021-11-03T12:45:38Z 2020-05-07
dc.description.abstract [eng] Objective To analyse the moral reasoning and moral conflict in patients of the amyotrophic lateral sclerosis – frontotemporal dementia (ALSFTD) spectrum. Methods Ten ALS patients without cognitive impairment, 10 ALS patients with cognitive or behavioural impairment, 10 ALSFTD patients and 23 controls were examined with neuropsychological and behavioural tests as well as with a set of eight well designed moral dilemmas. The responses to the moral dilemmas were used as proxies of the interpersonal moral reasoning. The reactivity to change, reaction time and the arousal were used as proxies of the moral conflict. Multivariable models were used to assess differences between subgroups, as well as the effect of cognitive and behavioural variables in the moral reasoning and moral conflict. Results ALSFTD patients, but not ALS patients without dementia, showed more utilitarian responses and less moral conflict than controls. ALS patients without dementia showed a trend toward slower reaction time, which could be largely attributed to physical disability. No statistically significant changes in arousal were found in ALS patients with and without dementia compared to controls, although more utilitarian responses appeared to correlate with higher arousal in all patients’ subgroups, but not in controls. Behavioural changes were partly responsible of the changes found in patients of the ALSFTD spectrum. Conclusion Our results suggests that most ALS patients without dementia would able to deal with the conflict of complex moral decisions, such as end-of-life decisions, at least in mild to moderate stages of the diseases. ca
dc.format application/pdf
dc.language.iso eng ca
dc.publisher Universitat de les Illes Balears
dc.rights all rights reserved
dc.rights info:eu-repo/semantics/openAccess
dc.subject 159.9 - Psicologia ca
dc.subject.other Amyotrophic lateral sclerosis ca
dc.subject.other Frontotemporal dementia ca
dc.subject.other Moral reasoning ca
dc.subject.other Moral conflict ca
dc.title Moral reasoning and moral conflict in patients of the spectrum amyotrophic lateral sclerosis - frontotemporal dementia: a pilot study ca
dc.type info:eu-repo/semantics/masterThesis ca
dc.type info:eu-repo/semantics/publishedVersion 2021-07-02T06:53:32Z info:eu-repo/date/embargoEnd/2050-01-01
dc.embargo 2050-01-01
dc.rights.accessRights info:eu-repo/semantics/embargoedAccess

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