TY - JOUR
T1 - Cognitive reserve and appraisal in multiple sclerosis
AU - Schwartz, Carolyn E.
AU - Snook, Erin
AU - Quaranto, Brian
AU - Benedict, Ralph H.B.
AU - Rapkin, Bruce D.
AU - Vollmer, Timothy
N1 - Funding Information:
This work was funded in part by a National Multiple Sclerosis Society Pilot Grant to Dr. Schwartz ( PP1621 ); and by a Consortium of MS Centers/Global MS Registry Visiting Scientist Fellowship to Dr. Schwartz, which was supported through a Foundation of the Consortium of Multiple Sclerosis Centers grant from EMD Serono, Inc. CMSC/Global MS Registry is supported by the Consortium of Multiple Sclerosis Centers and its Foundation . We thank Gary Cutter, Ph.D., Stacey Cofield, Ph.D., and Rita Bode, Ph.D., for data management services early in the project; and Ruth Ann Marrie, MD, Ph.D., and Robert Fox, MD, for helpful comments on an earlier draft of this manuscript.
PY - 2013/1
Y1 - 2013/1
N2 - Background: Cognitive appraisal processes underlying self-report affect the interpretation of patient-reported outcomes. These processes are relevant to resilience and adaptability, and may relate to how cognitive reserve protects against disability in multiple sclerosis (MS). Objectives: To describe how passive and active indicators of cognitive reserve relate to QOL appraisal processes in MS. Methods: Cross-sectional data (n=860) were drawn from the North American Research Committee on MS (NARCOMS) Registry, from whom additional survey data were collected. Cognitive reserve was measured using the Stern and Sole-Padulles measures. Using the quality of life appraisal profile (QOLAP), we assessed how MS patients conceptualize their experiences and how that impacts how they report their quality of life. Multivariate analysis of variance was used to compare groups within sets of appraisal parameters, and t-tests or chi-square tests were used to compare mean item responses within appraisal parameters for continuous or dichotomous variables, respectively. Results: People high in passive or active reserve report different conceptualizations of QOL, different types of goals, and considering different types of experiences and standards of comparison in responding to QOL questionnaires, as compared to low-reserve individuals. Although item response patterns were slightly different between passive and active indicators, they generally reflect a tendency in high-reserve individuals to emphasize the positive, focus on aspects of their life that are more controllable, and less based in fantasy. Conclusions: MS patients high in cognitive reserve differ in their cognitive appraisals from their low reserve counterparts. These appraisal metrics may predict disease course and other important clinical outcomes in MS patients.
AB - Background: Cognitive appraisal processes underlying self-report affect the interpretation of patient-reported outcomes. These processes are relevant to resilience and adaptability, and may relate to how cognitive reserve protects against disability in multiple sclerosis (MS). Objectives: To describe how passive and active indicators of cognitive reserve relate to QOL appraisal processes in MS. Methods: Cross-sectional data (n=860) were drawn from the North American Research Committee on MS (NARCOMS) Registry, from whom additional survey data were collected. Cognitive reserve was measured using the Stern and Sole-Padulles measures. Using the quality of life appraisal profile (QOLAP), we assessed how MS patients conceptualize their experiences and how that impacts how they report their quality of life. Multivariate analysis of variance was used to compare groups within sets of appraisal parameters, and t-tests or chi-square tests were used to compare mean item responses within appraisal parameters for continuous or dichotomous variables, respectively. Results: People high in passive or active reserve report different conceptualizations of QOL, different types of goals, and considering different types of experiences and standards of comparison in responding to QOL questionnaires, as compared to low-reserve individuals. Although item response patterns were slightly different between passive and active indicators, they generally reflect a tendency in high-reserve individuals to emphasize the positive, focus on aspects of their life that are more controllable, and less based in fantasy. Conclusions: MS patients high in cognitive reserve differ in their cognitive appraisals from their low reserve counterparts. These appraisal metrics may predict disease course and other important clinical outcomes in MS patients.
KW - Appraisal
KW - Cognitive processes
KW - Cognitive reserve
KW - Multiple sclerosis
KW - Quality of life
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U2 - 10.1016/j.msard.2012.07.006
DO - 10.1016/j.msard.2012.07.006
M3 - Article
AN - SCOPUS:84866684516
SN - 2211-0348
VL - 2
SP - 36
EP - 44
JO - Multiple Sclerosis and Related Disorders
JF - Multiple Sclerosis and Related Disorders
IS - 1
ER -