Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-25T04:49:10.240Z Has data issue: false hasContentIssue false

Mild visual acuity disturbances are associated with performance on tests of complex visual attention in MS

Published online by Cambridge University Press:  20 March 2007

JARED M. BRUCE
Affiliation:
Department of Psychiatry and Human Behavior, Brown Medical School, Providence, Rhode Island
AMANDA S. BRUCE
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
PETER A. ARNETT
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania

Abstract

Because MS patients frequently report visual acuity disturbances, neuropsychologists often screen patients for severe visual acuity disturbances and tailor test batteries that minimize the need for intact vision. Less is known about how mild visual acuity disturbances may influence neuropsychological test performance. This study examined the extent to which mild visual acuity disturbances influence performance on visually-based tests of complex attention. Relapsing-remitting and secondary progressive MS patients who reported adequate vision were recruited for this study. A battery was administered that included the oral version of the Symbol Digit Modalities Test (SDMT), the Visual Elevator (VE) subtest from the Test of Everyday Attention, and a reduced near vision eye chart. Results suggested that, in addition to measuring higher order cognitive processes, visual tests of attention are sensitive to mild primary visual disturbances in MS. (JINS, 2007, 13, 544–548.)

Type
BRIEF COMMUNICATION
Copyright
© 2007 The International Neuropsychological Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Baltes, P.B. & Lindenberger, U. (1997). Emergence of a powerful connection between sensory and cognitive functions across the adult lifespan: A new window to the study of cognitive aging? Psychology and Aging, 12, 1221.Google Scholar
Benedict, R.H.B., Fischer, J.S., Archibald, C.J., Arnett, P.A., Beatty, W.W., Bobholz, J., Chelune, G.J., Fisk, J.D., Langdon, D.W., Caruso, L., Foley, F., LaRocca, N.G., Vowels, L., Weinstein, A., DeLuca, J., Rao, S.M., & Munschauer, F. (2002). Minimal neuropsychological assessment of MS patients: A consensus approach. The Clinical Neuropsychologist, 16, 381397.Google Scholar
Benedict, R.H.B., Priore, R.L., Miller, C., Munschauer, F., & Jacobs, L. (2001). Personality disorder in multiple sclerosis correlates with cognitive impairment. Journal of Neuropsychiatry and Clinical Neurosciences, 13, 7076.Google Scholar
Diaz-Olavarrieta, C., Cumming, J., Velazquez, J., & Garcia de al Cadena, C. (1999). Neuropsychiatric manifestations of multiple sclerosis. Journal of Neuropsychiatry and Clinical Neurosciences, 11, 5157.Google Scholar
Jacobs, D.A. & Galetta, S.L. (2004). Multiple sclerosis and the visual system. Ophthalmology Clinics of North America, 17, 265273.Google Scholar
Kurtzke, J.F. (1983). Rating neurological impairment in multiple sclerosis: An Expanded Disability Status Scale (EDSS). Neurology, 33, 14441452.Google Scholar
Lublin, F.D. & Reingold, S.C. (1996). Defining the clinical course of multiple sclerosis: Results of an international survey. Neurology, 46, 907911.Google Scholar
Poser, C.M., Paty, D.W., Scheinberg, L., McDonald, W.I., Davis, F.A., Ebers, G.C., Johnson, K.P., Sibley, W.A., Silberberg, D.H., & Tourtellotte, W.W. (1983). New diagnostic criteria for multiple sclerosis: Guidelines for research protocols. Annals of Neurology, 13, 227231.Google Scholar
Rao, S.M., Leo, G.J., Bernardin, L., & Unverzagt, F. (1991). Cognitive dysfunction in multiple sclerosis. 1. Frequency, patterns, and prediction. Neurology, 41, 685691.Google Scholar
Robertson, I.H., Ward, T., Ridgeway, V., & Nimmo-Smith, I. (1994). The Test of Everyday Attention. Suffolk, England: Thames Valley Testing Company.
Smith, A. (1982). Symbol Digits Modalities Test (SDMT) Manual (Revised). Los Angeles: Western Psychological Services.
Sorensen, T.L., Frederiksen, J.L., Bronnum-Hansen, H., & Petersen, H.C. (1999). Optic neuritis as onset manifestations of multiple sclerosis: A nationwide, long-term survey. Neurology, 53, 473478.Google Scholar
Thorton, A.E. & Raz, N. (1997). Memory impairment in multiple sclerosis: A quantitative review. Neuropsychology, 11, 356357.Google Scholar
Warner, J. & Lessell, S. (1994). Neuro-ophthalmology of multiple sclerosis. Clinical Neuroscience, 2, 180188.Google Scholar
Zachary, R.A. (1986). Shipley Institute of Living Scale: Revised Manual. Los Angeles: Western Psychological Services.