Kessler Foundation, East Hanover, NJ 07936, USA.
Department of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
J Int Neuropsychol Soc. 2019 Nov;25(10):1035-1043. doi: 10.1017/S135561771900095X. Epub 2019 Sep 23.
Persons with multiple sclerosis (MS) often report prospective memory (PM) failures that directly impact their everyday life. However, it is not known whether PM deficits confer an increased risk of poorer everyday functioning. The aims of this study were to: (1) compare time- (Time-PM) and event-based PM (Event-PM) performance between persons with MS and healthy controls (HCs), (2) examine the neuropsychological correlates of PM in MS, and (3) examine the relationship between PM and everyday functioning in MS.
A between-subjects design was used to examine 30 adults with MS and 30 community-dwelling HC. Participants were administered the Memory for Intentions Screening Test (MIST) to assess PM skills, the Actual Reality™ (AR) to assess everyday functioning, and a battery of cognitive tests.
The MS group performed significantly worse on Time-PM compared to HC but not on Event-PM tasks. While both Time-PM and Event-PM subscales were correlated with retrospective learning and memory, the MIST Time-PM subscale was correlated with executive functions. Significant correlations were observed between AR and the MIST Time-PM, but not Event-PM, subscales.
The results highlight the role of executive functions on Time-PM. Furthermore, significant relationships with AR extend the ecological validity of the MIST to MS populations.
多发性硬化症(MS)患者常报告前瞻性记忆(PM)失败,这直接影响他们的日常生活。然而,目前尚不清楚 PM 缺陷是否会增加日常生活功能较差的风险。本研究的目的是:(1)比较多发性硬化症患者和健康对照组(HCs)的时间性 PM(Time-PM)和基于事件的 PM(Event-PM)表现,(2)探讨多发性硬化症患者 PM 的神经心理学相关性,(3)探讨多发性硬化症患者 PM 与日常功能之间的关系。
采用被试间设计,对 30 名多发性硬化症患者和 30 名社区居住的 HC 进行研究。参与者接受了意图记忆筛选测试(MIST),以评估 PM 技能,实际现实测试(AR),以评估日常功能,并进行了一系列认知测试。
与 HC 相比,MS 组在 Time-PM 任务上的表现明显较差,但在 Event-PM 任务上没有差异。虽然 Time-PM 和 Event-PM 子量表都与回溯性学习和记忆相关,但 MIST Time-PM 子量表与执行功能相关。AR 与 MIST Time-PM 子量表显著相关,但与 Event-PM 子量表不相关。
结果强调了执行功能对 Time-PM 的作用。此外,与 AR 的显著关系将 MIST 的生态有效性扩展到多发性硬化症患者群体。