Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients

Abstract Background Information processing speed is commonly impaired in people with multiple sclerosis (PwMS). However, depression and fatigue can affect the cognitive profile of patients: fatigue has a negative impact from the disease’s earliest stage and a reduced information processing speed is...

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Main Authors: Madia M. Biasi, Alessia Manni, Ilaria Pepe, Chiara Abbatantuono, Daphne Gasparre, Pietro Iaffaldano, Marta Simone, Maria F. De Caro, Maria Trojano, Paolo Taurisano, Damiano Paolicelli
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-023-01235-x
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author Madia M. Biasi
Alessia Manni
Ilaria Pepe
Chiara Abbatantuono
Daphne Gasparre
Pietro Iaffaldano
Marta Simone
Maria F. De Caro
Maria Trojano
Paolo Taurisano
Damiano Paolicelli
author_facet Madia M. Biasi
Alessia Manni
Ilaria Pepe
Chiara Abbatantuono
Daphne Gasparre
Pietro Iaffaldano
Marta Simone
Maria F. De Caro
Maria Trojano
Paolo Taurisano
Damiano Paolicelli
author_sort Madia M. Biasi
collection DOAJ
description Abstract Background Information processing speed is commonly impaired in people with multiple sclerosis (PwMS). However, depression and fatigue can affect the cognitive profile of patients: fatigue has a negative impact from the disease’s earliest stage and a reduced information processing speed is often associated with higher levels of depression. Therefore, the aim of this study was to investigate the correlations between information processing speed and physical fatigue in a cohort of Italian PwMS from a single center, considering the effect of depression. Methods Two hundred (W = 128; mean age = 39.83 years; SD = 11.86) PwMS, from the Bari University Hospital, underwent testing for processing speed (Symbol Digit Modalities Test [SDMT]), fatigue level (Fatigue Severity Scale [FSS]), and depression (Beck’s Depression Inventory [BDI]). Results Statistically significant correlations emerged between SDMT and FSS, SDMT and BDI, FSS and BDI. Mediation analyses revealed that while physical fatigue had no significant direct negative effect on information processing speed (z=-0.891; p > 0.05), depression predicted the relationship between fatigue and information processing speed (z=-2.181; p < 0.05). Conclusion Our findings showed that cognitive performance at SDMT was not affected by patients’ perceived level of physical fatigue, but by depression. The presence of a high BDI score mediates the physical fatigue on cognitive performance impact.
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spelling doaj.art-b04dd8edb8de40468747d53b2805ea902023-07-16T11:31:51ZengBMCBMC Psychology2050-72832023-07-011111710.1186/s40359-023-01235-xImpact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patientsMadia M. Biasi0Alessia Manni1Ilaria Pepe2Chiara Abbatantuono3Daphne Gasparre4Pietro Iaffaldano5Marta Simone6Maria F. De Caro7Maria Trojano8Paolo Taurisano9Damiano Paolicelli10Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Department of Translational Biomedicine and Neuroscience, University of Bari “Aldo Moro”Abstract Background Information processing speed is commonly impaired in people with multiple sclerosis (PwMS). However, depression and fatigue can affect the cognitive profile of patients: fatigue has a negative impact from the disease’s earliest stage and a reduced information processing speed is often associated with higher levels of depression. Therefore, the aim of this study was to investigate the correlations between information processing speed and physical fatigue in a cohort of Italian PwMS from a single center, considering the effect of depression. Methods Two hundred (W = 128; mean age = 39.83 years; SD = 11.86) PwMS, from the Bari University Hospital, underwent testing for processing speed (Symbol Digit Modalities Test [SDMT]), fatigue level (Fatigue Severity Scale [FSS]), and depression (Beck’s Depression Inventory [BDI]). Results Statistically significant correlations emerged between SDMT and FSS, SDMT and BDI, FSS and BDI. Mediation analyses revealed that while physical fatigue had no significant direct negative effect on information processing speed (z=-0.891; p > 0.05), depression predicted the relationship between fatigue and information processing speed (z=-2.181; p < 0.05). Conclusion Our findings showed that cognitive performance at SDMT was not affected by patients’ perceived level of physical fatigue, but by depression. The presence of a high BDI score mediates the physical fatigue on cognitive performance impact.https://doi.org/10.1186/s40359-023-01235-xMultiple sclerosisCognitionInformation processing speed, depression, fatigue
spellingShingle Madia M. Biasi
Alessia Manni
Ilaria Pepe
Chiara Abbatantuono
Daphne Gasparre
Pietro Iaffaldano
Marta Simone
Maria F. De Caro
Maria Trojano
Paolo Taurisano
Damiano Paolicelli
Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
BMC Psychology
Multiple sclerosis
Cognition
Information processing speed, depression, fatigue
title Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
title_full Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
title_fullStr Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
title_full_unstemmed Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
title_short Impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
title_sort impact of depression on the perception of fatigue and information processing speed in a cohort of multiple sclerosis patients
topic Multiple sclerosis
Cognition
Information processing speed, depression, fatigue
url https://doi.org/10.1186/s40359-023-01235-x
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