Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers
Abstract Background The relationship between cognitive assessment results in multiple sclerosis (MS) and performance in daily activities (DAs) remains unclear. Our study aimed to evaluate the relationship between cognitive functions (CF) measured by tests, performance in DAs, and the perception of C...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12883-018-1224-z |
| _version_ | 1818364014627913728 |
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| author | G. Fenu M. Fronza L. Lorefice M. Arru G. Coghe J. Frau M. G. Marrosu E. Cocco |
| author_facet | G. Fenu M. Fronza L. Lorefice M. Arru G. Coghe J. Frau M. G. Marrosu E. Cocco |
| author_sort | G. Fenu |
| collection | DOAJ |
| description | Abstract Background The relationship between cognitive assessment results in multiple sclerosis (MS) and performance in daily activities (DAs) remains unclear. Our study aimed to evaluate the relationship between cognitive functions (CF) measured by tests, performance in DAs, and the perception of CF in patients and their caregivers (CG) in MS. Methods The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) battery was used to evaluate cognitive status. We created an ad hoc questionnaire (DaQ) to assess performance in DAs not requiring specific motor skills. We used the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) to measure each patient self-judgment and caregiver’s perception of CF. Results Forty-nine patients and their caregivers were included in the study. Significant correlations were found between the BICAMS and the DaQ (Symbol Digit Modalities Test (SDMT): r = − 0.48, p < 0.001; California Verbal Learning Test (CVLT): r = − 0.33, p = 0.01; Brief Visual Memory Test (BVMT-R): r = − 0.42; p = 0.002); patients self-judgment (SDMT: r = − 0.38, p = 0.004; CVLT: r = − 0.26, p = 0.03); caregiver perception of patient’s CF (SDMT: r = − 0.52, p < 0.001; CVLT: r = − 0.3, p = 0.01; BVMT-R: r = − 0.42, p = 0.002). The difference in perception between the patients and their caregivers was related to patient age (p = 0.001) and severity of cognitive impairment (p = 0.03). Conclusions Cognitive assessment results show a significant correlation with performance in daily activities and with patients and, especially, caregiver perception of cognitive impairment. These data support the importance of a routine evaluation of cognitive function in MS that includes an anamnestic evaluation of patients, and, when possible, consideration of the caregiver’s point of view. |
| first_indexed | 2024-12-13T21:57:38Z |
| format | Article |
| id | doaj.art-a163ccc696d54408ac747219442f294a |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-13T21:57:38Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-a163ccc696d54408ac747219442f294a2022-12-21T23:30:06ZengBMCBMC Neurology1471-23772018-12-011811610.1186/s12883-018-1224-zPerformance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregiversG. Fenu0M. Fronza1L. Lorefice2M. Arru3G. Coghe4J. Frau5M. G. Marrosu6E. Cocco7Multiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariMultiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, Department of Medical Sciences and Public Health, University of CagliariAbstract Background The relationship between cognitive assessment results in multiple sclerosis (MS) and performance in daily activities (DAs) remains unclear. Our study aimed to evaluate the relationship between cognitive functions (CF) measured by tests, performance in DAs, and the perception of CF in patients and their caregivers (CG) in MS. Methods The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) battery was used to evaluate cognitive status. We created an ad hoc questionnaire (DaQ) to assess performance in DAs not requiring specific motor skills. We used the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) to measure each patient self-judgment and caregiver’s perception of CF. Results Forty-nine patients and their caregivers were included in the study. Significant correlations were found between the BICAMS and the DaQ (Symbol Digit Modalities Test (SDMT): r = − 0.48, p < 0.001; California Verbal Learning Test (CVLT): r = − 0.33, p = 0.01; Brief Visual Memory Test (BVMT-R): r = − 0.42; p = 0.002); patients self-judgment (SDMT: r = − 0.38, p = 0.004; CVLT: r = − 0.26, p = 0.03); caregiver perception of patient’s CF (SDMT: r = − 0.52, p < 0.001; CVLT: r = − 0.3, p = 0.01; BVMT-R: r = − 0.42, p = 0.002). The difference in perception between the patients and their caregivers was related to patient age (p = 0.001) and severity of cognitive impairment (p = 0.03). Conclusions Cognitive assessment results show a significant correlation with performance in daily activities and with patients and, especially, caregiver perception of cognitive impairment. These data support the importance of a routine evaluation of cognitive function in MS that includes an anamnestic evaluation of patients, and, when possible, consideration of the caregiver’s point of view.http://link.springer.com/article/10.1186/s12883-018-1224-zPatientsCaregiverMultiple sclerosisCognitionDaily activitiesPerception |
| spellingShingle | G. Fenu M. Fronza L. Lorefice M. Arru G. Coghe J. Frau M. G. Marrosu E. Cocco Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers BMC Neurology Patients Caregiver Multiple sclerosis Cognition Daily activities Perception |
| title | Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| title_full | Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| title_fullStr | Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| title_full_unstemmed | Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| title_short | Performance in daily activities, cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| title_sort | performance in daily activities cognitive impairment and perception in multiple sclerosis patients and their caregivers |
| topic | Patients Caregiver Multiple sclerosis Cognition Daily activities Perception |
| url | http://link.springer.com/article/10.1186/s12883-018-1224-z |
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