Fatigue and declines in cognitive functioning in multiple sclerosis.

Objective: To determine whether cognitive fatigue, defined as a decline in cognitive performance over a single testing session, could be identified in MS.Methods: Forty-five individuals with MS and 14 healthy control participants completed a 4-hour session of cognitive testing that involved a baseli...

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Publicado en:Neurology Vol. 55; no. 7; pp. 934 - 940
Autores principales: Krupp, L B, Elkins, L E
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins 2000 Oct 10
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2000 Oct 10
      vid: 55
      iid: 7
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        136638006
        136638006
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        10.1212/wnl.55.7.934
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        136638006
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        atl: Fatigue and declines in cognitive functioning in multiple sclerosis.
      aug:
        au:
          Krupp, L B
          Elkins, L E
        affil: (Department of Neurology, State University of New York at Stony Brook, 11794-8121, USA
      sug:
        subj:
          Multiple Sclerosis Physiopathology
          Multiple Sclerosis Psychosocial Factors
          Fatigue Physiopathology
          Cognition
          Fatigue Psychosocial Factors
          Adult
          Neuropsychological Tests
          Male
          Predictive Value of Tests
          Female
          Middle Age
          Self Assessment
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Objective: To determine whether cognitive fatigue, defined as a decline in cognitive performance over a single testing session, could be identified in MS.Methods: Forty-five individuals with MS and 14 healthy control participants completed a 4-hour session of cognitive testing that involved a baseline neuropsychological battery, a continuous effortful cognitive task (completing mental arithmetic problems administered on a computer), and a repeat neuropsychological battery. Self-report measures of fatigue and affect were completed before each step of the testing session.Results: The pattern of change in cognitive performances over the testing session significantly differed between the MS and control participants. Individuals with MS showed declines on measures of verbal memory and conceptual planning, whereas the control participants showed improvement. Although there were no significant differences between the groups on any of the baseline cognitive measures, the MS participants performed worse than the control subjects on tests of visual memory, verbal memory, and verbal fluency that were repeated following the continuous effortful cognitive task. Both MS and control participants reported increased mental and physical fatigue across the testing session compared with their baseline values.Conclusion: Individuals with MS show declines in cognitive performance during a single testing session and fail to show the improvement exemplified by healthy control subjects.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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