Abstract
Aim
The Brief Repeatable Battery of Neuropsychological Tests (BRB) is frequently used to estimate cognitive function in adults with multiple sclerosis (MS), while it has been included in few studies on young MS, also because of the absence of normative values. We aim to evaluate the impact of age, gender, and education on BRB scores in a young adolescent population.
Methods
We administered the BRB to 76, 14-to-17-year-old, healthy subjects. Linear regression models were used to assess the impact of age, gender, and education on sub-test scores. When statistically significant (p < 0.05), we used the regression coefficient to correct the raw scores.
Results
Younger age was associated with better performance on SPART (β = − 2.54; p < 0.05) and SPART-D (β = − 1.06; p < 0.05). Male gender was associated with better performance on SPART (β = 3.40; p < 0.05), SPART-D (β = 1.41; p < 0.05), PASAT-3 (β = 5.58; p < 0.05), and PASAT-2 (β = 5.07; p < 0.05). Educational attainments were associated with better performance on SPART (β = 3.23; p < 0.05) and SPART-D (β = 1.28; p < 0.05). Cut-off points were suggested at the 5th lowest percentile.
Interpretation
Age, gender, and education must be accounted for when applying the BRB to young population. Present results can prove useful for future clinical and research applications in adolescent MS patients.
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Change history
05 April 2019
The published version of this article unfortunately contained a mistake in Table 2.
References
Weisbrot D, Charvet L, Serafin D, Milazzo M, Preston T, Cleary R, Moadel T, Seibert M, Belman A, Krupp L (2014) Psychiatric diagnoses and cognitive impairment in pediatric multiple sclerosis. Mult Scler 20:588–593. https://doi.org/10.1177/1352458513504249
Goretti B, Portaccio E, Ghezzi A, Lori S, Moiola L, Falautano M, Viterbo R, Patti F, Vecchio R, Pozzilli C, Bianchi V, Cappiello S, Comi G, Trojano M, Amato MP, for the Multiple Sclerosis Study Group of the Italian Neurological Society (2012) Fatigue and its relationships with cognitive functioning and depression in paediatric multiple sclerosis. Mult Scler J 18:329–334. https://doi.org/10.1177/1352458511420846
Yeh EA, Parrish JB, Weinstock-Guttman B (2011) Disease progression in pediatric multiple sclerosis: disparities between physical and neurocognitive outcomes. Expert Rev Neurother 11:433–440
Hosseini B, Flora DB, Banwell BL, Till C (2014) Age of onset as a moderator of cognitive decline in pediatric-onset multiple sclerosis. J Int Neuropsychol Soc 20:796–804. https://doi.org/10.1017/S1355617714000642
Nunan-Saah J, Paulraj SR, Waubant E, Krupp LB, Gomez RG (2015) Neuropsychological correlates of multiple sclerosis across the lifespan. Mult Scler J 21:1355–1364
Ekmekci O (2017) Pediatric multiple sclerosis and cognition: a review of clinical, neuropsychologic, and neuroradiologic features. Behav Neurol 2017:1463570–1463511. https://doi.org/10.1155/2017/1463570
Amato MP, Goretti B, Ghezzi A, Hakiki B, Niccolai C, Lori S, Moiola L, Falautano M, Viterbo RG, Patti F, Cilia S, Pozzilli C, Bianchi V, Roscio M, Martinelli V, Comi G, Portaccio E, Trojano M, On behalf of the MS Study Group of the Italian Neurological Society (2014) Neuropsychological features in childhood and juvenile multiple sclerosis: five-year follow-up. Neurology 83:1432–1438. https://doi.org/10.1212/WNL.0000000000000885
Rao S, The Cognitive Function Study Group of the National Multiple Sclerosis Society (1990) A manual for the brief repeatable battery of neuropsychological tests in multiple sclerosis. Medical College of Wisconsin
Rao SM, Leo GJ, Bernardin L, Unverzagt F (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 41:685–691. https://doi.org/10.1212/WNL.41.5.685
Bever CT, Grattan L, Panitch HS, Johnson KP (1995) The brief repeatable battery of neuropsychological tests for multiple sclerosis: a preliminary serial study. Mult Scler 1:165–169. https://doi.org/10.1177/135245859500100306
Amato MP, Portaccio E, Goretti B, Zipoli V, Ricchiuti L, de Caro MF, Patti F, Vecchio R, Sorbi S, Trojano M (2006) The Rao ’ s brief repeatable battery and Stroop test : normative values with age , education and gender corrections in an Italian population. Mult Scler 12:787–793
Lanzillo R, Chiodi A, Carotenuto A, Magri V, Napolitano A, Liuzzi R, Costabile T, Rainone N, Freda MF, Valerio P, Brescia Morra V (2016) Quality of life and cognitive functions in early onset multiple sclerosis. Eur J Paediatr Neurol 20:158–163. https://doi.org/10.1016/j.ejpn.2015.08.005
Amato MP, Goretti B, Ghezzi A, Lori S, Zipoli V, Moiola L, Falautano M, de Caro MF, Viterbo R, Patti F, Vecchio R, Pozzilli C, Bianchi V, Roscio M, Martinelli V, Comi G, Portaccio E, Trojano M, For the Multiple Sclerosis Study Group of the Italian Neurological Society (2008) Cognitive and psychosocial features in childhood and juvenile MS: two-year follow-up. Neurology 70:1891–1897. https://doi.org/10.1212/WNL.0b013e3181f4d821
Amato M, Goretti B, Ghezzi A et al (2010) Cognitive and psychosocial features of childhood and juvenile MS. Neurology 75:1134–1140. https://doi.org/10.1212/01.wnl.0000346320.61178.56
Portaccio E, Goretti B, Lori S, Zipoli V, Centorrino S, Ghezzi A, Patti F, Bianchi V, Comi G, Trojano M, Amato MP, for the Multiple Sclerosis Study Group of the Italian Neurological Society (2009) The brief neuropsychological battery for children: a screening tool for cognitive impairment in childhood and juvenile multiple sclerosis. Mult Scler 15:620–626. https://doi.org/10.1177/1352458508101950
Solari A, Mancuso L, Motta A, Mendozzi L, Serrati C (2002) Comparison of two brief neuropsychological batteries in people with multiple sclerosis. Mult Scler 8:169–176. https://doi.org/10.1191/1352458502ms780oa
Buschke H, Fuld PA (1974) Evaluating storage, retention, and retrieval in disordered memory and learning. Neurology 24:1019–1025
Barbizet J, Cany E (1968) Clinical and psychometrical study of a patient with memory disturbances. Int J Neurol 7:44–54
Smith A (1991) Symbol digit modalities test. Western Psychological Services
Gronwall DMA (1977) Paced auditory serial-addition task: a measure of recovery from concussion. Percept Mot Skills 44:367–373. https://doi.org/10.2466/pms.1977.44.2.367
Spinnler H, Tognoni G (1987) Standardizzazione e Taratura Italiana di Test Neuropsicologici. Ital J Neurol Sci 6:8–21
Hoenig JM, Heisey DM (2001) The abuse of power: the pervasive fallacy of power calculations for data analysis. Am Stat 55(1–6):19–24
Moccia M, Lanzillo R, Palladino R, Chang KCM, Costabile T, Russo C, de Rosa A, Carotenuto A, Saccà F, Maniscalco GT, Brescia Morra V (2016) Cognitive impairment at diagnosis predicts 10-year multiple sclerosis progression. Mult Scler 22:659–667. https://doi.org/10.1177/1352458515599075
Mous SE, Schoemaker NK, Blanken LME, Thijssen S, van der Ende J, Polderman TJC, Jaddoe VWV, Hofman A, Verhulst FC, Tiemeier H, White T (2016) The Association of gender, age, and intelligence with neuropsychological functioning in young typically developing children: the generation R study. Appl Neuropsychol Child 6:22–40. https://doi.org/10.1080/21622965.2015.1067214
Rovio SP, Pahkala K, Nevalainen J, Juonala M, Salo P, Kähönen M, Hutri-Kähönen N, Lehtimäki T, Jokinen E, Laitinen T, Taittonen L, Tossavainen P, Viikari J, Rinne JO, Raitakari OT (2016) Cognitive performance in young adulthood and midlife: relations with age, sex, and education-the cardiovascular risk in young Finns study. Neuropsychology 30:532–542. https://doi.org/10.1037/neu0000239
Fondazione Agnelli (2017) Eduscopio. https://eduscopio.it/. Accessed 3 Dec 2018
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We are thankful to teachers and school directors that allowed this study.
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Falco, F., Moccia, M., Chiodi, A. et al. Normative values of the Rao’s Brief Repeatable Battery in an Italian young adolescent population: the influence of age, gender, and education. Neurol Sci 40, 713–717 (2019). https://doi.org/10.1007/s10072-019-3712-3
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DOI: https://doi.org/10.1007/s10072-019-3712-3