Monitoring cognitive change in multiple sclerosis using a computerized cognitive battery

L De Meijer, Daniel Merlo, O. Skibina, Esmee J Grobbee, J. Gale, J Haartsen, P Maruff, D Darby, Helmut Butzkueven, Anneke Van Der Walt

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Cognitive monitoring that can detect short-term change in multiple sclerosis is challeng- ing. Computerized cognitive batteries such as the CogState Brief Battery can rapidly assess commonly affected cognitive domains. Objectives: The purpose of this study was to establish the acceptability and sensitivity of the CogState Brief Battery in multiple sclerosis patients compared to controls. We compared the sensitivity of the CogState Brief Battery to that of the Paced Auditory Serial Addition Test over 12 months. Methods: Demographics, Expanded Disability Status Scale scores, depression and anxiety scores were compared with CogState Brief Battery and Paced Auditory Serial Addition Test performances of 51 patients with relapsing–remitting multiple sclerosis, 19 with secondary progressive multiple sclerosis and 40 healthy controls. Longitudinal data in 37 relapsing–remitting multiple sclerosis patients were evaluated using linear mixed models. Results: Both the CogState Brief Battery and the Paced Auditory Serial Addition Test discriminated between multiple sclerosis and healthy controls at baseline (p<0.001). CogState Brief Battery tasks were more acceptable and caused less anxiety than the Paced Auditory Serial Addition Test (p<0.001). In relapsing–remitting multiple sclerosis patients, reaction time slowed over 12 months (p<0.001) for the CogState Brief Battery Detection (mean change –34.23 ms) and Identification (–25.31 ms) tasks. Paced Auditory Serial Addition Test scores did not change over this time. Conclusions: The CogState Brief Battery is highly acceptable and better able to detect cognitive change than the Paced Auditory Serial Addition Test. The CogState Brief Battery could potentially be used as a practical cognitive monitoring tool in the multiple sclerosis clinic setting.
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalMultiple Sclerosis Journal - Experimental, Translational and Clinica
Volume4
Issue number4
DOIs
Publication statusPublished - 1 Nov 2018

Keywords

  • Multiple Sclerosis
  • Cognition
  • Computerized testing
  • monitoring

Cite this

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title = "Monitoring cognitive change in multiple sclerosis using a computerized cognitive battery",
abstract = "Background: Cognitive monitoring that can detect short-term change in multiple sclerosis is challeng- ing. Computerized cognitive batteries such as the CogState Brief Battery can rapidly assess commonly affected cognitive domains. Objectives: The purpose of this study was to establish the acceptability and sensitivity of the CogState Brief Battery in multiple sclerosis patients compared to controls. We compared the sensitivity of the CogState Brief Battery to that of the Paced Auditory Serial Addition Test over 12 months. Methods: Demographics, Expanded Disability Status Scale scores, depression and anxiety scores were compared with CogState Brief Battery and Paced Auditory Serial Addition Test performances of 51 patients with relapsing–remitting multiple sclerosis, 19 with secondary progressive multiple sclerosis and 40 healthy controls. Longitudinal data in 37 relapsing–remitting multiple sclerosis patients were evaluated using linear mixed models. Results: Both the CogState Brief Battery and the Paced Auditory Serial Addition Test discriminated between multiple sclerosis and healthy controls at baseline (p<0.001). CogState Brief Battery tasks were more acceptable and caused less anxiety than the Paced Auditory Serial Addition Test (p<0.001). In relapsing–remitting multiple sclerosis patients, reaction time slowed over 12 months (p<0.001) for the CogState Brief Battery Detection (mean change –34.23 ms) and Identification (–25.31 ms) tasks. Paced Auditory Serial Addition Test scores did not change over this time. Conclusions: The CogState Brief Battery is highly acceptable and better able to detect cognitive change than the Paced Auditory Serial Addition Test. The CogState Brief Battery could potentially be used as a practical cognitive monitoring tool in the multiple sclerosis clinic setting.",
keywords = "Multiple Sclerosis, Cognition, Computerized testing, monitoring",
author = "{De Meijer}, L and Daniel Merlo and O. Skibina and Grobbee, {Esmee J} and J. Gale and J Haartsen and P Maruff and D Darby and Helmut Butzkueven and {Van Der Walt}, Anneke",
year = "2018",
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Monitoring cognitive change in multiple sclerosis using a computerized cognitive battery. / De Meijer, L; Merlo, Daniel; Skibina, O.; Grobbee, Esmee J; Gale, J.; Haartsen, J; Maruff, P; Darby, D; Butzkueven, Helmut; Van Der Walt, Anneke.

In: Multiple Sclerosis Journal - Experimental, Translational and Clinica, Vol. 4, No. 4, 01.11.2018, p. 1-9.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Monitoring cognitive change in multiple sclerosis using a computerized cognitive battery

AU - De Meijer, L

AU - Merlo, Daniel

AU - Skibina, O.

AU - Grobbee, Esmee J

AU - Gale, J.

AU - Haartsen, J

AU - Maruff, P

AU - Darby, D

AU - Butzkueven, Helmut

AU - Van Der Walt, Anneke

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Background: Cognitive monitoring that can detect short-term change in multiple sclerosis is challeng- ing. Computerized cognitive batteries such as the CogState Brief Battery can rapidly assess commonly affected cognitive domains. Objectives: The purpose of this study was to establish the acceptability and sensitivity of the CogState Brief Battery in multiple sclerosis patients compared to controls. We compared the sensitivity of the CogState Brief Battery to that of the Paced Auditory Serial Addition Test over 12 months. Methods: Demographics, Expanded Disability Status Scale scores, depression and anxiety scores were compared with CogState Brief Battery and Paced Auditory Serial Addition Test performances of 51 patients with relapsing–remitting multiple sclerosis, 19 with secondary progressive multiple sclerosis and 40 healthy controls. Longitudinal data in 37 relapsing–remitting multiple sclerosis patients were evaluated using linear mixed models. Results: Both the CogState Brief Battery and the Paced Auditory Serial Addition Test discriminated between multiple sclerosis and healthy controls at baseline (p<0.001). CogState Brief Battery tasks were more acceptable and caused less anxiety than the Paced Auditory Serial Addition Test (p<0.001). In relapsing–remitting multiple sclerosis patients, reaction time slowed over 12 months (p<0.001) for the CogState Brief Battery Detection (mean change –34.23 ms) and Identification (–25.31 ms) tasks. Paced Auditory Serial Addition Test scores did not change over this time. Conclusions: The CogState Brief Battery is highly acceptable and better able to detect cognitive change than the Paced Auditory Serial Addition Test. The CogState Brief Battery could potentially be used as a practical cognitive monitoring tool in the multiple sclerosis clinic setting.

AB - Background: Cognitive monitoring that can detect short-term change in multiple sclerosis is challeng- ing. Computerized cognitive batteries such as the CogState Brief Battery can rapidly assess commonly affected cognitive domains. Objectives: The purpose of this study was to establish the acceptability and sensitivity of the CogState Brief Battery in multiple sclerosis patients compared to controls. We compared the sensitivity of the CogState Brief Battery to that of the Paced Auditory Serial Addition Test over 12 months. Methods: Demographics, Expanded Disability Status Scale scores, depression and anxiety scores were compared with CogState Brief Battery and Paced Auditory Serial Addition Test performances of 51 patients with relapsing–remitting multiple sclerosis, 19 with secondary progressive multiple sclerosis and 40 healthy controls. Longitudinal data in 37 relapsing–remitting multiple sclerosis patients were evaluated using linear mixed models. Results: Both the CogState Brief Battery and the Paced Auditory Serial Addition Test discriminated between multiple sclerosis and healthy controls at baseline (p<0.001). CogState Brief Battery tasks were more acceptable and caused less anxiety than the Paced Auditory Serial Addition Test (p<0.001). In relapsing–remitting multiple sclerosis patients, reaction time slowed over 12 months (p<0.001) for the CogState Brief Battery Detection (mean change –34.23 ms) and Identification (–25.31 ms) tasks. Paced Auditory Serial Addition Test scores did not change over this time. Conclusions: The CogState Brief Battery is highly acceptable and better able to detect cognitive change than the Paced Auditory Serial Addition Test. The CogState Brief Battery could potentially be used as a practical cognitive monitoring tool in the multiple sclerosis clinic setting.

KW - Multiple Sclerosis

KW - Cognition

KW - Computerized testing

KW - monitoring

U2 - 10.1177/2055217318815513

DO - 10.1177/2055217318815513

M3 - Article

VL - 4

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JO - Multiple Sclerosis Journal - Experimental, Translational and Clinica

JF - Multiple Sclerosis Journal - Experimental, Translational and Clinica

SN - 2055-2173

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ER -