Yıl: 2022 Cilt: 28 Sayı: 3 Sayfa Aralığı: 162 - 168 Metin Dili: İngilizce DOI: 10.4274/tnd.2022.24992 İndeks Tarihi: 21-05-2023

Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis

Öz:
Objective: To compare patients with relapsing-remitting multiple sclerosis (RRMS) and healthy individuals in terms of short-term memory (STM), working memory (WM) and executive functions. Materials and Methods: The sample consisted of 33 patients with RRMS and 26 healthy participants. The groups were matched in terms of age, gender, level of education and hand dominance. The socio-demographic characteristics of the participants were recorded; and they were evaluated with Beck depression inventory and state/trait anxiety inventory. Visual aural digit span test B form, Wisconsin card sorting test, backward digit span task, stroop test T-BAG form, Wechsler memory scale: Revised form visual memory span subtest (WMS-R/VMS) and trail making test (TMT) for cognitive functions. Results: There was no statistically significant difference between groups in terms of depression and anxiety scores (p>0.05). Backward visual memory span calculated from WMS-R/VMS was significantly lower (p<0.05) in the RRMS group. However, there was no significant difference between groups in WMS-R/ VMS and TMT scores (p>0.05). Conclusion: Results of this study indicate that patients with RRMS have lower visuo-spatial sketchpad capacity in their WM. However, there was no significant difference between patients with RRMS and healthy controls in terms of verbal and visuo-spatial STM capacity, phonological loop capacity in WM, perseveration, conceptualization, inhibition and set shifting skills.
Anahtar Kelime:

Relapsing-remitting Multipl Sklerozlu Hastaların Kısa Süreli Bellek, Çalışma Belleği ve Yönetici İşlevlerinin Değerlendirilmesi

Öz:
Amaç: Relapsing-remitting multipl sklerozlu (RRMS) hastalar ile sağlıklı bireyleri kısa süreli bellek, çalışma belleği ve yönetici işlevler açısından karşılaştırmaktır. Gereç ve Yöntem: Araştırmaya RRMS tanısı alan 33 hasta (RRMS grubu) ile yaş, cinsiyet, eğitim düzeyi ve el tercihi bakımından eşleştirilen 26 sağlıklı katılımcı (kontrol grubu) dahil edilmiştir. Katılımcıların sosyo-demografik özellikleri kaydedilmiştir ve katılımcılara Beck depresyon envanteri ile durumluk/ sürekli kaygı envanteri uygulanmıştır. Katılımcılar bilişsel işlevler görsel-işitsel sayı dizisi testi B formu (GİSD-B), Wisconsin kart eşleme testi (WKET), geriye doğru sayı dizisi görevi (GDSD), stroop testi T-BAG formu, Wechsler bellek ölçeği geliştirilmiş formunun (WBÖGF) alt testlerinden biri olan görsel bellek uzamı alt testi (GBU) ve iz sürme testi (İST) kullanılarak değerlendirilmiştir. Bulgular: Gruplar arasında depresyon ve kaygı puanları açısından istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0,05). RRMS grubunun WBÖGF’nin GBU alt testinden hesaplanan ters görsel bellek uzamı daha düşüktür (p<0,05). Gruplar arasında GİSD-B, WKET, GDSD, WBÖGF’nin GBU alt testinden hesaplanan düz görsel bellek uzamı ve İST puanları açısından anlamlı bir fark bulunmamıştır (p>0,05). Sonuç: Mevcut araştırmada RRMS’li hastaların çalışma belleğindeki görsel-mekansal kopyalama (sözel olmayan bilgi) kapasitesinin düşük olduğu saptanmıştır. Sözel olan ve olmayan kısa süreli bellek kapasitesi, çalışma belleğindeki fonolojik döngü (sözel bilgi) kapasitesi ile yönetici işlevlerden perseverasyon yapma eğilimi, kavramsallaştırma/irdeleme, inhibisyon (bozucu etkiye karşı koyma) ve set değiştirme becerileri açısından RRMS grubu ile kontrol grubu arasında istatistiksel olarak anlamlı bir farklılık olmadığı saptanmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Fazzito MM, Jordy SS, Tilbery CP. Psychiatric disorders in multiple sclerosis patients. Arq Neuropsiquiatr 2009;67:664-667.
  • 2. Kornek B, Lassmann H. Neuropathology of multiple sclerosis-new concepts. Brain Res Bull 2003;61:321-326.
  • 3. Donmez Keklikoglu H, Yoldas TK, Zengin O, Solak EB, Keskin S. Cognitive impairment in patients with early relapsing-remitting multiple sclerosis. Noro Psikiyatr Ars 2010;47:88-90.
  • 4. Rao SM, Leo GJ, Bernardin L, Unverzagt F. Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 1991;41:685-691.
  • 5. Diamond A. Executive functions. Annu Rev Psychol 2013;64:135-168.
  • 6. Lezak MD. Neuropsychological Assessment. 3rd ed. New York: Oxford University Press, 1995.
  • 7. Aksoy S, Timer E, Mumcu S, et al. Screening for cognitive impairment in multiple sclerosis with MOCA test. Turk J Neurol 2013;19:52-55.
  • 8. Kouvatsou Z, Masoura E, Kiosseoglou G, Kimiskidis VK. Working memory profiles of patients with multiple sclerosis: Where does the impairment lie? J Clin Exp Neuropsychol 2019;41:832-844.
  • 9. Bergendal G, Fredrikson S, Almkvist O. Selective decline in information processing in subgroups of multiple sclerosis: an 8-year longitudinal study. Eur Neurol 2007;57:193-202.
  • 10. Kuscu DY, Kandemir M, Unal A, Topcular B, Kirbas D. Longitudinal study of cognitive impairment in multiple sclerosis: a 5-year follow-up. Noro Psikiyatr Ars 2012;49:29-32.
  • 11. Nathalie E, Diana O, Amaya S, et al. Short-term memory impairment sparing the central executive in relapsing-remitting multiple sclerosis? J Neurol Neurophysiol 2014;5:3.
  • 12. Yılmaz T. Evaluation of visual evoked potentials and cognitive i̇mpairment in relapsing-remitting multiple sclerosis patients (Specialization Thesis in Medicine). Erzurum: Atatürk University; 2013.
  • 13. Foong J, Rozewicz L, Quaghebeur G, et al. Executive function in multiple sclerosis. The role of frontal lobe pathology. Brain 1997;120:15-26.
  • 14. Grigsby J, Ayarbe SD, Kravcisin N, Busenbark D. Working memory impairment among persons with chronic progressive multiple sclerosis. J Neurol 1994;241:125-131.
  • 15. Miyake A, Friedman NP. The nature and organization of individual differences in executive functions: four general conclusions. Curr Dir Psychol Sci 2012;21:8-14.
  • 16. Öktem Ö. Nöropsikolojik testler ve nöropsikolojik değerlendirme. Turkish Journal of Psychology 1994;9:33-44.
  • 17. Parmenter BA, Zivadinov R, Kerenyi L, et al. Validity of the Wisconsin card sorting and Delis-Kaplan executive function system (DKEFS) sorting tests in multiple sclerosis. J Clin Exp Neuropsychol 2007;29:215-223.
  • 18. Till C, Ho C, Dudani A, et al. Magnetic resonance imaging predictors of executive functioning in patients with pediatric-onset multiple sclerosis. Arch Clin Neuropsychol 2012;27:495-509.
  • 19. Hisli N. Beck depresyon envanterinin geçerliği üzerine bir çalışma. Turkish Journal of Psychology 1988;6:188-126.
  • 20. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Turkish Journal of Psychology 1989;7:3-13.
  • 21. Öner N. Türkiye’de Kullanılan Psikolojik Testlerden Örnekler: Bir Başvuru Kaynağı. 7th ed. İstanbul: Boğaziçi Üniversitesi Yayınevi, 2012.
  • 22. Karakaş S, Erdoğan-Bakar E, Doğutepe-Dinçer E. Nöropsikolojik Testlerin Yetişkinler İçin Araştırma ve Geliştirme Çalışmaları Bilnot-Yetişkin. 3rd ed. Konya: Eğitim Yayınevi, 2013.
  • 23. Karakaş S, Yalın A. Görsel İşitsel Sayı Dizileri Testi B Formu Kullanım Kılavuzu. Ankara: Eryılmaz Ofset Matbaacılık Gazetecilik, 2009.
  • 24. Stroop JR. Studies of interference in serial verbal reactions. J Exp Psychol 1935;18:643-662.
  • 25. Karakaş S, Erdoğan E, Sak L, et al. Stroop Test TBAG Form: Standardisation for Turkish culture, reliability and validity. Turkish Journal of Clinical Psychiatry 1999;2:75-88.
  • 26. Karakaş S, Irak M, Kurt M, Erzengin ÖU. Wisconsin card sorting test and stroop test TBAG version: comparative analysis of the measured properties. 3P Dergisi 1999;7:179-192.
  • 27. Karakaş S, Kafadar, H, Eski R. Wechsler bellek ölçeği geliştirilmiş formunun test-tekrar test güvenirliği. Turkish Journal of Psychology 1996;11:46-52.
  • 28. Pirkola T, Tuulio-Henriksson A, Glahn D, et al. Spatial working memory function in twins with schizophrenia and bipolar disorder. Biol Psychiatry 2005;58:930-936.
  • 29. Cangöz B, Karakoç E, Selekler K. Standardization study of “Trail Making Test” for Turkish adults and elderly people (ages 50 and over). Turk Geriatri Derg 2007;10:73-82.
  • 30. Strauss E, Sherman EMS, Spreen O. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. 3rd ed. New York: Oxford University Press, 2006.
  • 31. Rao SM, Grafman J, DiGiulio D, et al. Memory dysfunction in multiple sclerosis: Its relation to working memory, semantic encoding, and implicit learning. Neuropsychology 1993;7:364-374.
  • 32. Ruchkin DS, Grafman J, Krauss GL, et al. Event-related brain potential evidence for a verbal working memory deficit in multiple sclerosis. Brain 1994;117:289-305.
  • 33. Diamond BJ, DeLuca J, Kim H, Kelley SM. The question of disproportionate impairments in visual and auditory information processing in multiple sclerosis. J Clin Exp Neuropsychol 1997;19:34-42.
  • 34. Rao SM, Leo GJ, St Aubin-Faubert P. On the nature of memory disturbance in multiple sclerosis. J Clin Exp Neuropsychol 1989;11:699-712.
  • 35. Doğan M. Multipl sklerozda kognitif etkilenmenin değerlendirilmesi (Specialization Thesis in Medicine). Isparta: Süleyman Demirel University; 2012.
  • 36. Rao SM. Neuropsychology of multiple sclerosis: a critical review. J Clin Exp Neuropsychol 1986;8:503-542.
  • 37. Thornton AE, Raz N. Memory impairment in multiple sclerosis: a quantitative review. Neuropsychology 1997;11:357-366.
  • 38. Ruano L, Portaccio E, Goretti B, et al. Age and disability drive cognitive impairment in multiple sclerosis across disease subtypes. Mult Scler 2017;23:1258-1267.
  • 39. Beatty WW, Monson N. Problem solving by patients with multiple sclerosis: comparison of performance on the Wisconsin and California Card Sorting Tests. J Int Neuropsychol Soc 1996;2:134-140.
  • 40. Drew M, Tippett LJ, Starkey NJ, Isler RB. Executive dysfunction and cognitive impairment in a large community-based sample with Multiple Sclerosis from New Zealand: a descriptive study. Arch Clin Neuropsychol 2008;23:1-19.
  • 41. Macniven JA, Davis C, Ho MY, et al. Stroop performance in multiple sclerosis: information processing, selective attention, or executive functioning? J Int Neuropsychol Soc 2008;14:805-814.
  • 42. Leavitt VM, Wylie G, Krch D, et al. Does slowed processing speed account for executive deficits in multiple sclerosis? Evidence from neuropsychological performance and structural neuroimaging. Rehabil Psychol 2014;59:422- 428.
APA DUMAN F, Can H, Leventoglu A (2022). Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. , 162 - 168. 10.4274/tnd.2022.24992
Chicago DUMAN FURKAN,Can Handan,Leventoglu Alev Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. (2022): 162 - 168. 10.4274/tnd.2022.24992
MLA DUMAN FURKAN,Can Handan,Leventoglu Alev Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. , 2022, ss.162 - 168. 10.4274/tnd.2022.24992
AMA DUMAN F,Can H,Leventoglu A Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. . 2022; 162 - 168. 10.4274/tnd.2022.24992
Vancouver DUMAN F,Can H,Leventoglu A Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. . 2022; 162 - 168. 10.4274/tnd.2022.24992
IEEE DUMAN F,Can H,Leventoglu A "Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis." , ss.162 - 168, 2022. 10.4274/tnd.2022.24992
ISNAD DUMAN, FURKAN vd. "Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis". (2022), 162-168. https://doi.org/10.4274/tnd.2022.24992
APA DUMAN F, Can H, Leventoglu A (2022). Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. Türk Nöroloji Dergisi, 28(3), 162 - 168. 10.4274/tnd.2022.24992
Chicago DUMAN FURKAN,Can Handan,Leventoglu Alev Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. Türk Nöroloji Dergisi 28, no.3 (2022): 162 - 168. 10.4274/tnd.2022.24992
MLA DUMAN FURKAN,Can Handan,Leventoglu Alev Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. Türk Nöroloji Dergisi, vol.28, no.3, 2022, ss.162 - 168. 10.4274/tnd.2022.24992
AMA DUMAN F,Can H,Leventoglu A Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. Türk Nöroloji Dergisi. 2022; 28(3): 162 - 168. 10.4274/tnd.2022.24992
Vancouver DUMAN F,Can H,Leventoglu A Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis. Türk Nöroloji Dergisi. 2022; 28(3): 162 - 168. 10.4274/tnd.2022.24992
IEEE DUMAN F,Can H,Leventoglu A "Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis." Türk Nöroloji Dergisi, 28, ss.162 - 168, 2022. 10.4274/tnd.2022.24992
ISNAD DUMAN, FURKAN vd. "Evaluation of Short-term Memory, Working Memory, and Executive Functions in Patients with Relapsing-remitting Multiple Sclerosis". Türk Nöroloji Dergisi 28/3 (2022), 162-168. https://doi.org/10.4274/tnd.2022.24992