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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Normative values of the brief international cognitive assessment for multiple sclerosis (BICAMS) in an Italian young adolescent population: the influence of age, sex, and education.

Fabrizia Falco, Federica Lamagna, Martina Eliano, Cristina di Monaco, Luigi Trojano, Giacomo Lus, Marcello Moccia, Francesca Lauro, Tiziana Liccardo, Alessandro Chiodi and 3 more

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Fabrizia FalcoDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, Federico II University, Via Sergio Pansini 5, Naples, 80131, Italy.
Federica LamagnaDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Martina ElianoDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Cristina di MonacoMultiple Sclerosis Clinical Care and Research Centre, Federico II University Hospital of Naples, Naples, Italy.
Luigi TrojanoDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Giacomo LusSecond Division of Neurology, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Marcello MocciaMultiple Sclerosis Clinical Care and Research Centre, Federico II University Hospital of Naples, Naples, Italy.
Francesca LauroDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Tiziana LiccardoDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.
Alessandro ChiodiClinical Psychology Unit, Department of Neuroscience, Reproductive Science and Odontostomatology, Federico II University of Naples, Naples, Italy.
Antonio CarotenutoMultiple Sclerosis Clinical Care and Research Centre, Federico II University Hospital of Naples, Naples, Italy.
Vincenzo Brescia MorraMultiple Sclerosis Clinical Care and Research Centre, Federico II University Hospital of Naples, Naples, Italy.
Roberta LanzilloMultiple Sclerosis Clinical Care and Research Centre, Federico II University Hospital of Naples, Naples, Italy. roberta.lanzillo@unina.it.ORCID http://orcid.org/0000-0001-6388-8180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) is the most widely used in clinical practice and the least time-consuming battery to estimate cognitive function in adults with Multiple Sclerosis (MS), while it has been included in few studies on young MS, also because of the absence of normative values.

objectiveThe aim of this study is to evaluate the impact of age, sex and education on BICAMS scores in a young adolescent population.

methodsWe administered the BICAMS to 169, 11-to-18-year-old, healthy subjects. Linear regression models were used to assess the impact of age, sex, and education on sub-test scores. When statistically significant (p < 0.05), we used the regression coefficient to correct the raw scores.

resultsyounger age was associated with worse performance on SDMT (β = 1.76; p < 0.05), CVLT-II (β = 3.33; p < 0.05) and BVMT-R (β = 0.62; p < 0.05). Female sex was associated SDMT (β = 2.75 (p < 0.05) and CVLT-II (β = 2.51 (p < 0.05). Educational attainment was associated with better performance on SDMT (β = 1.79 (p = < 0.05) and BVMT-R (β = 0.61; p < 0.05). Cut-off points were suggested at the 5th lowest percentile.

conclusionAge, sex, and education must be accounted for when applying the BICAMS to young population. Its use in everyday assessment of patients with Pediatric Onset Multiple Sclerosis (POMS) could help to compare and combine data across centers, identifying patients requiring a comprehensive evaluation and ad hoc cognitive stimulation programs.

Indexed as

Multiple SclerosisNeuropsychological TestsAdolescentAge FactorsChildEducational StatusFemaleHumansItalyMaleReference ValuesSex FactorsBICAMSCognitionCognitiveMultiple sclerosisPediatric

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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.