Efficacy of a short cognitive training program in patients with multiple sclerosis

María Yaiza Pérez-Martín,1 Montserrat González-Platas,1 Pablo Eguía-del Río,2 Cristina Croissier-Elías,1 Alejandro Jiménez Sosa3 1Service of Neurology, Complejo Hospitalario Universitario de Canarias, La Laguna,...

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Autores principales:	Pérez-Martín MY, González-Platas M, Eguía-del Rio P, Croissier-Elías C, Jiménez Sosa A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Multiple sclerosis cognitive training cognitive impairment rehabilitation. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/bc8e16ee4805463195590d8dbb680135
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spelling	oai:doaj.org-article:bc8e16ee4805463195590d8dbb6801352021-12-02T03:30:47ZEfficacy of a short cognitive training program in patients with multiple sclerosis1178-2021https://doaj.org/article/bc8e16ee4805463195590d8dbb6801352017-02-01T00:00:00Zhttps://www.dovepress.com/efficacy-of-a-short-cognitive-training-program-in-patients-with-multip-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021María Yaiza Pérez-Martín,1 Montserrat González-Platas,1 Pablo Eguía-del Río,2 Cristina Croissier-Elías,1 Alejandro Jiménez Sosa3 1Service of Neurology, Complejo Hospitalario Universitario de Canarias, La Laguna, 2Service of Neurology, Doctor José Molina Orosa Hospital, Arrecife, Lanzarote, 3Unit of Research, Complejo Hospitalario Universitario de Canarias, La Laguna, Spain Background: Cognitive impairment is a common feature in multiple sclerosis (MS) and may have a substantial impact on quality of life. Evidence about the effectiveness of neuropsychological rehabilitation is still limited, but current data suggest that computer-assisted cognitive training improves cognitive performance.Objective: The objective of this study was to evaluate the efficacy of combined computer-assisted training supported by home-based neuropsychological training to improve attention, processing speed, memory and executive functions during 3 consecutive months.Methods: In this randomized controlled study blinded for the evaluators, 62 MS patients with clinically stable disease and mild-to-moderate levels of cognitive impairment were randomized to receive a computer-assisted neuropsychological training program (n=30) or no intervention (control group [CG]; n=32). The cognitive assessment included the Brief Repeatable Battery of Neuropsychological Test. Other secondary measures included subjective cognitive impairment, anxiety and depression, fatigue and quality of life measures.Results: The treatment group (TG) showed significant improvements in measures of verbal memory, working memory and phonetic fluency after intervention, and repeated measures analysis of covariance revealed a positive effect in most of the functions. The control group (CG) did not show changes. The TG showed a significant reduction in anxiety symptoms and significant improvement in quality of life. There were no improvements in fatigue levels and depressive symptoms.Conclusion: Cognitive intervention with a computer-assisted training supported by home training between face-to-face sessions is a useful tool to treat patients with MS and improve functions such as verbal memory, working memory and phonetic fluency. Keywords: multiple sclerosis, cognitive training, cognitive impairment, rehabilitationPérez-Martín MYGonzález-Platas MEguía-del Rio PCroissier-Elías CJiménez Sosa ADove Medical PressarticleMultiple sclerosiscognitive trainingcognitive impairmentrehabilitation.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 245-252 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Multiple sclerosis cognitive training cognitive impairment rehabilitation. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Multiple sclerosis cognitive training cognitive impairment rehabilitation. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Pérez-Martín MY González-Platas M Eguía-del Rio P Croissier-Elías C Jiménez Sosa A Efficacy of a short cognitive training program in patients with multiple sclerosis
description	María Yaiza Pérez-Martín,1 Montserrat González-Platas,1 Pablo Eguía-del Río,2 Cristina Croissier-Elías,1 Alejandro Jiménez Sosa3 1Service of Neurology, Complejo Hospitalario Universitario de Canarias, La Laguna, 2Service of Neurology, Doctor José Molina Orosa Hospital, Arrecife, Lanzarote, 3Unit of Research, Complejo Hospitalario Universitario de Canarias, La Laguna, Spain Background: Cognitive impairment is a common feature in multiple sclerosis (MS) and may have a substantial impact on quality of life. Evidence about the effectiveness of neuropsychological rehabilitation is still limited, but current data suggest that computer-assisted cognitive training improves cognitive performance.Objective: The objective of this study was to evaluate the efficacy of combined computer-assisted training supported by home-based neuropsychological training to improve attention, processing speed, memory and executive functions during 3 consecutive months.Methods: In this randomized controlled study blinded for the evaluators, 62 MS patients with clinically stable disease and mild-to-moderate levels of cognitive impairment were randomized to receive a computer-assisted neuropsychological training program (n=30) or no intervention (control group [CG]; n=32). The cognitive assessment included the Brief Repeatable Battery of Neuropsychological Test. Other secondary measures included subjective cognitive impairment, anxiety and depression, fatigue and quality of life measures.Results: The treatment group (TG) showed significant improvements in measures of verbal memory, working memory and phonetic fluency after intervention, and repeated measures analysis of covariance revealed a positive effect in most of the functions. The control group (CG) did not show changes. The TG showed a significant reduction in anxiety symptoms and significant improvement in quality of life. There were no improvements in fatigue levels and depressive symptoms.Conclusion: Cognitive intervention with a computer-assisted training supported by home training between face-to-face sessions is a useful tool to treat patients with MS and improve functions such as verbal memory, working memory and phonetic fluency. Keywords: multiple sclerosis, cognitive training, cognitive impairment, rehabilitation
format	article
author	Pérez-Martín MY González-Platas M Eguía-del Rio P Croissier-Elías C Jiménez Sosa A
author_facet	Pérez-Martín MY González-Platas M Eguía-del Rio P Croissier-Elías C Jiménez Sosa A
author_sort	Pérez-Martín MY
title	Efficacy of a short cognitive training program in patients with multiple sclerosis
title_short	Efficacy of a short cognitive training program in patients with multiple sclerosis
title_full	Efficacy of a short cognitive training program in patients with multiple sclerosis
title_fullStr	Efficacy of a short cognitive training program in patients with multiple sclerosis
title_full_unstemmed	Efficacy of a short cognitive training program in patients with multiple sclerosis
title_sort	efficacy of a short cognitive training program in patients with multiple sclerosis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/bc8e16ee4805463195590d8dbb680135
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Efficacy of a short cognitive training program in patients with multiple sclerosis

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