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Cognitive reserve and appraisal in multiple sclerosis
Carolyn E Schwartz1, Erin Snook2, Brian Quaranto3
1DeltaQuest Foundation, Inc., Concord, MA, USA; Departments of Medicine and Orthopaedic Surgery, Tufts University Medical School, Boston, MA, USA.
Multiple Sclerosis and Related Disorders
|April 17, 2015
Summary
Cognitive reserve influences how multiple sclerosis (MS) patients appraise their quality of life (QOL). Higher cognitive reserve in MS patients is linked to more positive QOL appraisals and potentially better clinical outcomes.
Area of Science:
- Neuroscience
- Psychology
- Clinical Medicine
Background:
- Cognitive appraisal processes influence patient-reported outcomes and resilience in multiple sclerosis (MS).
- Cognitive reserve may protect against disability in MS by modulating these appraisal processes.
Purpose of the Study:
- To investigate the relationship between cognitive reserve indicators and quality of life (QOL) appraisal processes in MS patients.
- To describe how passive and active cognitive reserve relate to QOL conceptualizations in MS.
Main Methods:
- Cross-sectional study of 860 MS patients from the NARCOMS Registry.
- Cognitive reserve assessed using Stern and Sole-Padulles measures.
- Quality of Life Appraisal Profile (QOLAP) used to evaluate QOL conceptualization and reporting.
Main Results:
- Individuals with high cognitive reserve (passive or active) conceptualize QOL differently than those with low reserve.
- High-reserve individuals emphasize positive aspects, controllable experiences, and less fantasy in QOL appraisals.
- Slight differences observed between passive and active cognitive reserve indicators, but general trends were consistent.
Conclusions:
- Cognitive reserve significantly shapes how MS patients appraise their QOL.
- Appraisal metrics associated with cognitive reserve may serve as predictors for disease course and clinical outcomes in MS.
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