Intrathecal administration of Nusinersen in type 1 SMA: successful psychological program in a single Italian center

Neurol Sci. 2018 Nov;39(11):1961-1964. doi: 10.1007/s10072-018-3506-z. Epub 2018 Jul 25.

Abstract

Nusinersen is the first approved drug to treat spinal muscular atrophy (SMA). Its periodic intrathecal delivery may cause psychological burden in infants and in their parents. We report our experience during expanded access program (EAP) for type 1 SMA in a single Italian center. Because of the occurrence of stress emotional states, anxious reactions and fear before, during, and after lumbar puncture (LP), a specific psychological intervention was implemented based on regulation of emotions, anticipatory expectations, and post-event attributions. Activities included the use of fairy tales, distraction, music play through listening preferred cartoon themes in the youngest children, and contextual games and solution of fun riddle quizzes in the oldest ones. State anxiety greatly reduced in children and their parents. Treatment of psychological aspects should therefore become an integral part of health care in SMA infants and children during Nusinersen treatment.

Keywords: Cognitive-behavioral therapy; Contestual games; Lumbar puncture; Nusinersen; Psychological support; Spinal muscular atrophy.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Injections, Spinal / methods
  • Italy
  • Male
  • Oligonucleotides / administration & dosage*
  • Oligonucleotides, Antisense / administration & dosage*
  • Spinal Muscular Atrophies of Childhood / drug therapy*
  • Spinal Muscular Atrophies of Childhood / psychology*
  • Treatment Outcome

Substances

  • Oligonucleotides
  • Oligonucleotides, Antisense
  • nusinersen