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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
Cognitive Profiles of Aging in Multiple Sclerosis.
Dejan Jakimovski1,2, Bianca Weinstock-Guttman1, Shumita Roy1
1Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo - The State University of New York, Buffalo, NY, United States.
Cognitive impairment is common in elderly with multiple sclerosis (MS), particularly affecting processing speed and verbal fluency. These findings highlight the need to monitor cognitive aging in MS patients.
Area of Science:
- Neurology
- Neuropsychology
- Gerontology
Background:
- Improved survival in multiple sclerosis (MS) necessitates understanding cognitive aging and comorbidities like Alzheimer's disease (AD).
- The cognitive profile of elderly individuals with MS (EwMS) requires detailed investigation.
Purpose of the Study:
- To compare cognitive performance in elderly with MS (EwMS) against age-matched healthy controls (HCs).
- To utilize both MS- and AD-specific psychometric assessments to evaluate cognitive function.
Main Methods:
- EwMS (n=104) and HCs (n=56) underwent comprehensive cognitive testing across multiple domains.
- Logistic regression analyzed cognitive differences, defining cognitive impairment (CI) as -1.5 SD below HC performance in two domains.
Main Results:
- Cognitive impairment (CI) was identified in 47.1% of EwMS.
- Processing speed (Symbol Digit Modalities Test) and verbal fluency (category and letter-based) showed significant deficits.
- Category-based verbal fluency and SDMT scores effectively predicted MS/HC diagnosis (R²=0.27).
Conclusions:
- Slowed cognitive processing speed is a key feature of aging in multiple sclerosis.
- Impaired verbal fluency, more prevalent in older MS patients, may indicate additional cognitive pathologies.
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