Minimal neuropsychological assessment of MS patients: A consensus approach

被引:486
作者
Benedict, RHB
Fischer, JS
Archibald, CJ
Arnett, PA
Beatty, WW
Bobholz, J
Chelune, GJ
Fisk, JD
Langdon, DW
Caruso, L
Foley, F
LaRocca, NG
Vowels, L
Weinstein, A
DeLuca, J
Rao, SM
Munschauer, F
机构
[1] SUNY Buffalo, Dept Neurol, Buffalo, NY 14260 USA
[2] Jacobs Neurol Inst, Buffalo, NY USA
[3] Independent Consulting Practice, Chicago, IL USA
[4] Foothills Med Ctr, Calgary, AB, Canada
[5] Penn State Univ, Dept Psychol, University Pk, PA 16802 USA
[6] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat, Oklahoma City, OK USA
[7] Med Coll Wisconsin, Dept Neurol, Milwaukee, WI 53226 USA
[8] Mellen Ctr MS Treatment & Res, Cleveland, OH USA
[9] Queen Elizabeth 2 Hlth Sci Ctr, Dept Psychol, Halifax, NS, Canada
[10] Univ London, Dept Psychol, Surrey, England
[11] NYU, Sch Med, Dept Neurol, New York, NY USA
[12] Yeshiva Univ, Dept Psychol, Bronx, NY USA
[13] Natl MS Soc, New York, NY USA
[14] Univ Rochester, Med Ctr, Dept Neurol, Rochester, NY 14642 USA
[15] Kessler Med Rehabil Res & Educ Corp, W Orange, NJ USA
关键词
D O I
10.1076/clin.16.3.381.13859
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Cognitive impairment is common in multiple sclerosis (MS), yet patients seen in MS clinics and neurologic practices are not routinely assessed neuropsychologically. In part, poor utilization of NP services may be attributed to a lack of consensus among neuropsychologists regarding the optimal approach for evaluating MS patients. An expert panel composed of neuropsychologists and psychologists from the United States, Canada, United Kingdom, and Australia was convened by the Consortium of MS Centers (CMSC) in April, 2001. Our objectives were to: (a) propose a minimal neuropsychological (NP) examination for clinical monitoring of MS patients and research, and (b) identify strategies for improving NP assessment of MS patients in the future. The panel reviewed pertinent literature on MS-related cognitive dysfunction, considered psychometric factors relevant to NP assessment, defined the purpose and optimal characteristics of a minimal NP examination in MS, and rated the psychometric and practical properties of 36 candidate NP measures based on available literature. A 90-minute NP battery, the Minimal Assessment of Cognitive Function in MS (MACFIMS), emerged from this discussion. The MACFIMS is composed of seven neuropsychological tests, covering five cognitive domains commonly impaired in MS (processing speed/working memory, learning and memory, executive function, visual-spatial processing, and word retrieval). It is supplemented by a measure of estimated premorbid cognitive ability. Recommendations for assessing other factors that may potentially confound interpretation of NP data (e.g., visual/sensory/motor impairment, fatigue, and depression) are offered, as well as strategies for improving NP assessment of MS patients in the future.
引用
收藏
页码:381 / 397
页数:17
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