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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

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Published on: June 30, 2014

Relationship between subjective and objective cognitive performance in multiple sclerosis.

E Rosti-Otajärvi¹, J Ruutiainen, H Huhtala

¹Department of Neurology and Rehabilitation, Tampere University Hospital, Tampere, Finland.

Acta Neurologica Scandinavica

|February 28, 2014

Summary

This summary is machine-generated.

In multiple sclerosis (MS), patient and informant reports on cognitive function are often accurate. However, those with progressive MS may overestimate cognitive decline compared to relapsing MS patients.

Keywords:

accuracy cognitive complaints cognitive performance multiple sclerosis progressive relapsing

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Area of Science:

Neuropsychology
Neurology
Clinical Psychology

Background:

Subjective and informant reports are crucial for assessing cognitive function in neuropsychological evaluations.
Understanding discrepancies between perceived and objective cognitive performance is vital for managing multiple sclerosis (MS).

Purpose of the Study:

To investigate differences in the relationship between subjective/informant-reported and objective cognitive performance in relapsing-remitting MS versus progressive MS patients.
To identify factors influencing accurate cognitive assessments in different MS phenotypes.

Main Methods:

A cohort of 196 MS patients (138 relapsing-remitting, 58 progressive) completed neuropsychological tests (Brief Repeatable Battery of Neuropsychological Tests).
Self-reports and informant reports assessed cognitive symptoms, mood, disease impact, and quality of life.
Patients and informants were categorized as accurate estimators, underestimators, or overestimators of cognitive performance.

Main Results:

Approximately 50% of patient and informant cognitive assessments were accurate.
Patient-reported cognitive complaints correlated with mood.
The relapsing group reported more subjective cognitive issues than the progressive group, despite similar objective performance.
Overestimation of cognitive impairment was linked to greater physical disability, progressive MS, poorer objective cognition, and lower education levels.

Conclusions:

Patient and informant cognitive assessments in MS are moderately reliable, with over half being accurate.
Patients with a progressive MS phenotype are more likely to overestimate their cognitive deterioration compared to those with a relapsing-remitting phenotype.