Executive functions in multiple sclerosis: an analysis of temporal ordering, semantic encoding, and planning abilities

Neuropsychology. 1997 Oct;11(4):535-44. doi: 10.1037//0894-4105.11.4.535.

Abstract

Previous studies have consistently demonstrated impairments in conceptual reasoning and set-shifting abilities in patients with multiple sclerosis (MS). Other executive functions have been less frequently examined. We compared 44 MS patients and 48 demographically matched controls on a temporal-ordering and semantic-encoding task and on a test of planning (Tower of Hanoi). Compared with controls, MS patients experienced deficient semantic encoding and planning but unimpaired temporal-order memory. For both tasks, post hoc analyses indicated that chronic-progressive MS patients contributed most to the group differences. A combination of poor planning and slowed information-processing speed was hypothesized to have contributed to MS patients' impaired Tower of Hanoi performance. Further research is needed to explore the possible relationship between semantic-encoding and planning deficits in MS and social and occupational disabilities.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cues
  • Female
  • Humans
  • Male
  • Mental Processes / physiology*
  • Middle Aged
  • Multiple Sclerosis / psychology*
  • Neuropsychological Tests
  • Psychomotor Performance / physiology
  • Time Perception / physiology*
  • Verbal Behavior / physiology*