Evidence map›Paper›PMID 33006048›Full record

ArticleIrish journal of medical science2021

The relationship between cognition, depression, fatigue, and disability in patients with multiple sclerosis.

Pinar Yigit, Ayla Acikgoz, Zaur Mehdiyev, Ayfer Dayi, Serkan Ozakbas

Abstract read
PubMed Publisher
In one paragraph

Article in Irish journal of medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Invisible symptoms and associated factors in multiple sclerosis patients.Journal of education and health promotion · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Association between CD20European journal of neurology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Cognitive impairment in multiple sclerosis: from phenomenology to neurobiological mechanisms.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  15. Depression and anxiety in multiple sclerosis. Review of a fatal combination.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Establishing the consistency of a voice recognition symbol digit modalities test analogue.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pinar YigitDepartment of Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. pinar.yigitpy@gmail.com.ORCID https://orcid.org/0000-0002-1461-069X
Ayla AcikgozVocational School of Health Services, Dokuz Eylul University, Izmir, Turkey.ORCID https://orcid.org/0000-0001-7749-705X
Zaur MehdiyevDepartment of Neurology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.ORCID https://orcid.org/0000-0002-0917-0036
Ayfer DayiDepartment of Physiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID https://orcid.org/0000-0002-4102-1399
Serkan OzakbasDepartment of Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID https://orcid.org/0000-0003-2140-4103

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) is a chronic, progressive, and neurodegenerative central nervous system disorder. MS usually causes disability, cognitive deficiency, fatigue, and depression symptoms.

objectivesTo assess cognitive functions of people with MS (pwMS) and investigate the impact of depression, fatigue, and disability on cognitive functions.

methodsWe administered the Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) battery to assess 200 pwMS. The Expanded Disability Status Scale (EDSS) was used to evaluate disability levels. Fatigue Severity Scale (FSS) and the Beck Depression Inventory (BDI) were used, respectively, for fatigue and depression levels.

resultsEDSS and FSS scores were significantly higher in those with a disease duration of 5 years or more. Those with the EDSS ≥ 4 were found to have lower BICAMS performances and higher FSS scores. There was a significant difference in Symbol Digit Modalities Test (SDMT) performances between the groups with and without fatigue (FSS ≥ 4 and FSS < 4, respectively). When depression and fatigue symptoms concur or in the existence of just one of them or none of them, significant differences in terms of SDMT performances have been shown.

conclusionThe level of disability and fatigue adversely affects the cognitive functions of pwMS; depression has no significant effect. BICAMS that is specific for MS can be beneficial to assess the cognitive state of pwMS.

Indexed as

Multiple SclerosisCognitionDepressionFatigueHumansNeuropsychological TestsCognitive functionsDepressionDisabilityFatigueMultiple sclerosis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.