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A correlation between cognitive dysfunction and employment status in multiple sclerosis - a systematic literature
Justyna Wołos1,2, Olga Grodzka3,4, Jan Kochanowski3
1Department of Neurology, Faculty of Medicine and Dentistry, Medical University of Warsaw, Poland. justyna.wolos@wum.edu.pl.
Neurologia I Neurochirurgia Polska
|May 27, 2026
Summary
Cognitive impairment significantly impacts employment for multiple sclerosis (MS) patients, worsening work ability and independence. The Symbol Digit Modalities Test (SDMT) is recommended for assessing cognitive function in MS.
Area of Science:
- Neuroscience
- Clinical Neurology
Background:
- Multiple sclerosis (MS) is a central nervous system disease with complex pathogenesis.
- Cognitive impairment (CI) affects 40-70% of MS patients, impacting independence and socioeconomic factors.
Purpose of the Study:
- To review recent findings on the link between cognitive impairment and employment status in MS patients.
- To identify key cognitive domains affected in MS and their relation to vocational outcomes.
Main Methods:
- Systematic literature search of PubMed and Embase databases.
- Adherence to PRISMA guidelines for study selection.
- Inclusion of 37 relevant studies for analysis.
Main Results:
- MS patients demonstrate poorer performance on cognitive tests compared to healthy individuals.
- Worsened cognitive function correlates significantly with unemployment in MS.
- Cognitive impairment can predict future vocational decline in MS patients.
Conclusions:
- Cognitive dysfunction is a key factor in employment status deterioration for MS patients.
- The Symbol Digit Modalities Test (SDMT) is identified as a suitable tool for cognitive assessment in MS.
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