Deciphering components of impaired working memory in multiple sclerosis

Cogn Behav Neurol. 2003 Mar;16(1):28-39. doi: 10.1097/00146965-200303000-00004.

Abstract

Objective: To identify working memory (WM) impairment by examining components of auditory working memory with the same sample of individuals with multiple sclerosis (MS).

Background: Although individuals with MS have consistently demonstrated WM impairments, the specific components involved (i.e., central executive versus storage/maintenance) remain unclear.

Method: Individuals with MS with and without cognitive impairment and healthy controls were administered a task primarily assessing storage and rehearsal/maintenance (auditory n-back) and a task with a significant central executive component (Paced Auditory Serial Addition Task).

Results: Results indicate when the phonological loop is minimally challenged, maintenance of information is generally efficient. However, the addition of a central executive component to processing appears to be the key factor in differentiating individuals with MS with cognitive impairment from those without cognitive impairment and healthy controls.

Conclusions: Results indicated that the primary WM impairment in MS is within the central executive rather than the phonological loop.

Publication types

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

MeSH terms

  • Acoustic Stimulation
  • Adult
  • Analysis of Variance
  • Cognition Disorders / complications*
  • Cognition Disorders / psychology
  • Female
  • Humans
  • Male
  • Memory Disorders / complications
  • Memory Disorders / diagnosis*
  • Memory Disorders / psychology
  • Mental Processes / physiology*
  • Middle Aged
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / psychology
  • Neuropsychological Tests
  • Reference Values
  • Verbal Learning / physiology*