The relationship between problem-solving ability and fatigue severity in people with multiple sclerosis

  • Seyed Alireza Derakhshanrad Department of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Emily Piven University of St. Augustine for Health Sciences, St. Augustine, Florida, United States of America
Keywords: Cognition, Fatigue, Multiple Sclerosis, Problem Solving

Abstract

Background: The literature speculates that there may be a relationship between cognitive capacities and levels of fatigue in people with multiple sclerosis (MS), which has been under reported. This study has investigated one aspect of cognition by evaluating the association between problem-solving ability and the severity of fatigue.

Methods: A cross-sectional, descriptive study was used to investigate the association between levels of problem-solving ability and degrees of fatigue severity. Eighty-five participants living in the city of Shiraz, Iran, completed Cassidy Problem-Solving Inventory (PSI) and the Fatigue Severity Scale (FSS). Pearson’s Product Moment Correlation Coefficient was used to analyze the data.

Results: Problem-solving was inversely associated with fatigue (r = -0.381, P = 0.009), whereby higher levels of problem-solving ability were associated with lower degrees of fatigue.

Conclusion: The results of this study contributed to the ongoing debate about the linkage between cognition and fatigue in people with MS, suggesting an association between problem-solving ability and fatigue severity. A possible implication would be the importance of problem-solving training for people with MS.

References

1. Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol 2018; 17(2): 162-73.
2. Goretti B, Portaccio E, Ghezzi A, Lori S, Moiola L, Falautano M, et al. Fatigue and its relationships with cognitive functioning and depression in paediatric multiple sclerosis. Mult Scler 2012; 18(3): 329-34.
3. Chiaravalloti ND, DeLuca J. Cognitive impairment in multiple sclerosis. Lancet Neurol 2008; 7(12): 1139-51.
4. Rogers JM, Panegyres PK. Cognitive impairment in multiple sclerosis: Evidence-based analysis and recommendations. J Clin Neurosci 2007; 14(10): 919-27.
5. Grech LB, Kiropoulos LA, Kirby KM, Butler E, Paine M, Hester R. Executive function is an important consideration for coping strategy use in people with multiple sclerosis. J Clin Exp Neuropsychol 2017; 39(8): 817-31.
6. de Rodez Benavent SA, Nygaard GO, Harbo HF, Tonnesen S, Sowa P, Landro NI, et al. Fatigue and cognition: Pupillary responses to problem-solving in early multiple sclerosis patients. Brain Behav 2017; 7(7): e00717.
7. Cassidy T, Long C. Problem-solving style, stress and psychological illness: Development of a multifactorial measure. Br J Clin Psychol 1996; 35(2): 265-77.
8. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989; 46(10): 1121-3.
9. Azimian M, Shahvarughi Farahani A, Dadkhah A, Fallahpour M, Karimlu M. Fatigue Severity Scale: The Psychometric properties of the persian-version in patients with multiple sclerosis. Int J Biol Sci 2009; 4(9): 974-7.
10. Kinsinger SW, Lattie E, Mohr DC. Relationship between depression, fatigue, subjective cognitive impairment, and objective neuropsychological functioning in patients with multiple sclerosis. Neuropsychology 2010; 24(5): 573-80.
11. Penner IK. Evaluation of cognition and fatigue in multiple sclerosis: daily practice and future directions. Acta Neurol Scand 2016; 134(Suppl 200): 19-23.
12. Vogt A, Kappos L, Calabrese P, Stocklin M, Gschwind L, Opwis K, et al. Working memory training in patients with multiple sclerosis - comparison of two different training schedules. Restor Neurol Neurosci 2009; 27(3): 225-35.
13. Mitolo M, Venneri A, Wilkinson ID, Sharrack B. Cognitive rehabilitation in multiple sclerosis: A systematic review. J Neurol Sci 2015; 354(1-2): 1-9.
14. 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(2): 134-40.
Published
2019-12-08
How to Cite
1.
Derakhshanrad SA, Piven E. The relationship between problem-solving ability and fatigue severity in people with multiple sclerosis. Curr J Neurol. 19(1).
Section
Short Communication(s)