Evidence map›Paper›PMID 33951348›Full record

ArticleAnnals of clinical and translational neurology2021

Sleep disturbance and memory dysfunction in early multiple sclerosis.

James F Sumowski, Sam Horng, Rachel Brandstadter, Stephen Krieger, Victoria M Leavitt, Ilana Katz Sand, Michelle Fabian, Sylvia Klineova, Robin Graney, Claire S Riley and 3 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Assessing Shifts in Research Priority Areas From the Neurological Community Before and After the COVID-19 Pandemic.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Mediterranean diet is linked to less objective disability in multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
  7. Article
  8. Review
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

13 authors at 3 institutions in 1 country.

James F SumowskiDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0001-6111-4907
Sam HorngDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Rachel BrandstadterDepartment of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Stephen KriegerDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Victoria M LeavittDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Ilana Katz SandDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0001-5107-4761
Michelle FabianDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Sylvia KlineovaDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Robin GraneyDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Claire S RileyDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Fred D LublinDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Aaron E MillerDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Andrew W VargaIcahn School of Medicine at Mount Sinai, Division of Pulmonary, Critical Care and Sleep Medicine, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · USColumbia University Irving Medical Center · USUniversity of Pennsylvania · US

Funding

Reserve against Disability in Early Multiple Sclerosis (RADIEMS) Longitudinal Cohort StudyR01HD082176 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SUMOWSKI, JAMES FRANCIS · 2016 to 2025
$6.6M
Impact of sleep apnea and its treatment on memory and tau accumulation in the brainR01AG066870 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OSORIO, RICARDO S, VARGA, ANDREW W · 2020 to 2024
$3.7M
Role of slow waves and sleep apnea in memory and risk for Alzheimer diseaseR01AG056682 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VARGA, ANDREW W · 2017 to 2021
$3.5M
NIA NIH HHS R01 AG056682NIA NIH HHS R01 AG066870NICHD NIH HHS R01 HD082176
6 · The paper itself

Abstract

objectiveSleep-dependent memory processing occurs in animals including humans, and disturbed sleep negatively affects memory. Sleep disturbance and memory dysfunction are common in multiple sclerosis (MS), but little is known about the contributions of sleep disturbance to memory in MS. We investigated whether subjective sleep disturbance is linked to worse memory in early MS independently of potential confounders.

methodsPersons with early MS (n = 185; ≤5.0 years diagnosed) and demographically matched healthy controls (n = 50) completed four memory tests to derive a memory composite, and four speeded tests to derive a cognitive efficiency composite. Z-scores were calculated relative to healthy controls. Sleep disturbance was defined by the Insomnia Severity Index score ≥ 10. ANCOVAs examined differences in memory and cognitive efficiency between patients with and without sleep disturbance controlling for potential confounds (e.g., mood, fatigue, disability, T2 lesion volume, gray matter volume). Comparisons were made to healthy controls.

resultsSeventy-four (40%) patients reported sleep disturbance. Controlling for all covariates, patients with sleep disturbance had worse memory (z = -0.617; 95% CI: -0.886, -0.348) than patients without disturbance (z = -0.171, -0.425, 0.082, P = .003). Cognitive efficiency did not differ between groups. Relative to healthy controls, memory was worse among patients with sleep disturbance, but not among patients without sleep disturbance.

interpretationSleep disturbance contributes to MS memory dysfunction, which may help explain differential risk for memory dysfunction in persons with MS, especially since sleep disturbance is common in MS. Potential mechanisms linking sleep disturbance and memory are discussed, as well as recommendations for further mechanistic and interventional research.

Indexed as

AdultCognitive DysfunctionFemaleHumansMaleMemory DisordersMultiple SclerosisSleep Wake Disorders

Identifiers

PMID33951348
PMCPMC8164863
OpenAlexW3157676783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.