The brief repeatable battery of neuropsychological tests (BRB-N) version a: update of Italian normative data from the Italian Neuroimaging Network Initiative (INNI).

Cognitive impairment Multiple sclerosis Neuropsychological battery Normative data

Journal

Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161

Informations de publication

Date de publication:
07 Dec 2023
Historique:
received: 10 07 2023
accepted: 09 11 2023
revised: 12 10 2023
medline: 7 12 2023
pubmed: 7 12 2023
entrez: 7 12 2023
Statut: aheadofprint

Résumé

Cognitive impairment is a common clinical manifestation in people with multiple sclerosis (PwMS) and significantly impacts patients' quality life. Cognitive assessment is crucial for treatment decisions and understanding disease progression. Several neuropsychological batteries are used in MS, including the Brief Repeatable Battery of Neuropsychological Tests (BRB-N), Minimal Assessment of Cognitive Function in MS (MACFIMS), and Brief International Cognitive Assessment for MS (BICAMS). However, normative data for BRB-N version A in Italy are outdated. To revise and update normative data for the BRB-N version A in the Italian population. From the Italian Neuroimaging Network Initiative (INNI) database, we retrospectively selected 342 healthy subjects (172 males and 170 females) evaluated at four Italian INNI-affiliated sites (Milan, Siena, Rome, Naples). The subjects underwent neuropsychological assessment using the BRB-N version A. Regression-based method relying on scaled scores was used to calculate demographic correction procedures. No significant differences were found in age, education, and sex distribution among the four sites (p ≥ 0.055). Regression analysis provided normative data to calculate demographically adjusted z-scores for each BRB-N version A test. This study provides updated normative data for the BRB-N version A in the Italian population. The use of a regression-based method and scaled scores ensures consistency with other neuropsychological batteries commonly used in Italy, namely MACFIMS and BICAMS. The availability of updated normative data increases reliability of neuropsychological assessment of cognitive function in Italian PwMS and other clinical populations using BRB-N version A, providing valuable insights for both clinical and research applications.

Sections du résumé

BACKGROUND BACKGROUND
Cognitive impairment is a common clinical manifestation in people with multiple sclerosis (PwMS) and significantly impacts patients' quality life. Cognitive assessment is crucial for treatment decisions and understanding disease progression. Several neuropsychological batteries are used in MS, including the Brief Repeatable Battery of Neuropsychological Tests (BRB-N), Minimal Assessment of Cognitive Function in MS (MACFIMS), and Brief International Cognitive Assessment for MS (BICAMS). However, normative data for BRB-N version A in Italy are outdated.
OBJECTIVES OBJECTIVE
To revise and update normative data for the BRB-N version A in the Italian population.
METHODS METHODS
From the Italian Neuroimaging Network Initiative (INNI) database, we retrospectively selected 342 healthy subjects (172 males and 170 females) evaluated at four Italian INNI-affiliated sites (Milan, Siena, Rome, Naples). The subjects underwent neuropsychological assessment using the BRB-N version A. Regression-based method relying on scaled scores was used to calculate demographic correction procedures.
RESULTS RESULTS
No significant differences were found in age, education, and sex distribution among the four sites (p ≥ 0.055). Regression analysis provided normative data to calculate demographically adjusted z-scores for each BRB-N version A test.
DISCUSSION CONCLUSIONS
This study provides updated normative data for the BRB-N version A in the Italian population. The use of a regression-based method and scaled scores ensures consistency with other neuropsychological batteries commonly used in Italy, namely MACFIMS and BICAMS. The availability of updated normative data increases reliability of neuropsychological assessment of cognitive function in Italian PwMS and other clinical populations using BRB-N version A, providing valuable insights for both clinical and research applications.

Identifiants

pubmed: 38060030
doi: 10.1007/s00415-023-12108-z
pii: 10.1007/s00415-023-12108-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Fondazione Italiana Sclerosi Multipla
ID : FISM2018/S/3

Investigateurs

Loredana Storelli (L)
Stefania Sala (S)
Paola Valsasina (P)
Elisabetta Pagani (E)
Paolo Preziosa (P)
Costanza Giannì (C)
Nikolaos Petsas (N)
Alvino Bisecco (A)
Fabrizio Esposito (F)
Alessandro Rosa (A)

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

Références

Amato M, Morra V, Falautano M, Ghezzi A, Goretti B, Patti F, Riccardi A, Mattioli F (2018) Cognitive assessment in multiple sclerosis-an Italian consensus. Neurol Sci 39:1317–1324
doi: 10.1007/s10072-018-3427-x pubmed: 29766386
Amato MP, Portaccio E, Goretti B, Zipoli V, Ricchiu L, De Caro MF, Patti F, Vecchio R, Sorbi S, Trojano M (2006) The Rao’s Brief Repeatable Battery and Stroop test: normative values with age, education and gender corrections in an Italian population. Mult Scler 12:787–793
doi: 10.1177/1352458506070933 pubmed: 17263008
Barbizet JCE (1968) Clinical and psychometrical study of a patient with memory disturbances. Int J Neurol Neurother 7:44–54
Belsley DAKE, Welsch RE (1980) Regression diagnostics: identifying influential data and sources of collinearity. Wiley
doi: 10.1002/0471725153
Benedict RHB, Amato MP, DeLuca J, Geurt JJG (2020) Cognitive impairment in multiple sclerosis: clinical management, MRI, and therapeutic avenues. Lancet Neurol 19:860–871
doi: 10.1016/S1474-4422(20)30277-5 pubmed: 32949546 pmcid: 10011205
Benedict RHB, Fischer JS, Archibald CJ, Arnett PA, Beatty WW, Bobholz J, Chelune GJ, Fisk JD, Langdon DW, Caruso L, Foley F, LaRocca NG, Vowels L, Weinstein A, DeLuca J, Rao SM, Munschauer F (2002) Minimal neuropsychological assessment of MS patients: A consensus approach. Clin Neuropsychol 16:381–397
doi: 10.1076/clin.16.3.381.13859 pubmed: 12607150
Berrigan LI, Fisk JD, Walker LAS, Wojtowicz M, Rees LM, Freedman MS, Marrie RA (2014) Reliability of regression-based normative data for the oral symbol digit modalities test: an evaluation of demographic influences, construct validity, and impairment classification rates in multiple sclerosis samples. Clin Neuropsychol 28:281–299
doi: 10.1080/13854046.2013.871337 pubmed: 24438521
Buschke HF, PA (1974) Evaluating storage, retention, and retrieval in disordered memory and learning. Neurology 24
De Rosa AP, Esposito F, Valsasina P, d’Ambrosio A, Bisecco A, Rocca MA, Tommasin S, Marzi C, De Stefano N, Battaglini M, Pantano P, Cirillo M, Tedeschi G, Filippi M, Gallo A, Network I (2023) Resting-state functional MRI in multicenter studies on multiple sclerosis: a report on raw data quality and functional connectivity features from the Italian Neuroimaging Network Initiative. J Neurol 270:1047–1066
doi: 10.1007/s00415-022-11479-z pubmed: 36350401
Dusankova JB, Kalincik T, Havrdova E, Benedict RHB (2012) Validation of brief international cognitive assessment for multiple sclerosis (BICAMS). J Neurol 259:S193–S193
Filippi M, Tedeschi G, Pantano P, De Stefano N, Zaratin P, Rocca MA, Network I (2017) The Italian Neuroimaging Network Initiative (INNI): enabling the use of advanced MRI techniques in patients with MS. Neurol Sci 38:1029–1038
doi: 10.1007/s10072-017-2903-z pubmed: 28293740
Frndak SE, Kordovski VM, Cookfair D, Rodgers JD, Weinstock-Guttman B, Benedict RHB (2015) Disclosure of disease status among employed multiple sclerosis patients: association with negative work events and accommodations. Mult Scler J 21:225–234
doi: 10.1177/1352458514540971
Goretti B, Niccolai C, Hakiki B, Sturchio A, Falautano M, Minacapelli E, Martinelli V, Incerti C, Nocentini U, Murgia M, Fenu G, Cocco E, Marrosu MG, Garofalo E, Ambra FI, Maddestra M, Consalvo M, Viterbo RG, Trojano M, Losignore NA, Zimatore GB, Pietrolongo E, Lugaresi A, Langdon D, Portaccio E, Amato MP (2014) The brief international cognitive assessment for multiple sclerosis (BICAMS): normative values with gender, age and education corrections in the Italian population. Bmc Neurol 14
Goretti B, Patti F, Cilia S, Mattioli F, Stampatori C, Scarpazza C, Amato MP, Portaccio E (2014) The Rao’s Brief Repeatable Battery version B: normative values with age, education and gender corrections in an Italian population. Neurol Sci 35:79–82
doi: 10.1007/s10072-013-1558-7 pubmed: 24101117
Gronwall DM (1977) Paced Auditory Serial-addition Task: a measure of recovery from concussion. Percept Mot Skills 44:367–373
doi: 10.2466/pms.1977.44.2.367 pubmed: 866038
Grossi P, Portaccio E, Bellomi F, Bianchi V, Cilia S, Falautano M, Goretti B, Pietrolongo E, Viterbo RG, Uccelli MM (2020) The minimal neuropsychological assessment of MS patients (MACFIMS): normative data of the Italian population. Neurol Sci 41:1489–1496
doi: 10.1007/s10072-020-04251-6 pubmed: 31953702
Guilloton L, Camdessanche JP, Latombe D, Neuschwander P, Cantalloube S, Thomas-Anterion C, Mercier B, Roggerone S, Maucort-Boulch D, Roche S, Jacquin-Courtois S, Cognition MSgotR-AMSn, (2020) A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis. Ann Phys Rehabil Med 63:116–122
doi: 10.1016/j.rehab.2018.11.005 pubmed: 30703524
Hawley CJ, Gale TM, Sivakumaran T, Grp HNR (2002) Defining remission by cut off score on the MADRS: selecting the optimal value. J Affect Disorders 72:177–184
doi: 10.1016/S0165-0327(01)00451-7 pubmed: 12200208
Hubacher M, Calabrese P, Bassetti C, Carota A, Stöcklin M, Penner IK (2012) Assessment of post-stroke fatigue: the fatigue scale for motor and cognitive functions. Eur Neurol 67:377–384
doi: 10.1159/000336736 pubmed: 22614741
ISTAT (2021) Report Livelli Di Istruzione 2020.
Kutner MHN, NeterLi CJJW (2005) Applied linear statistical models. McGraw Hill, New York
Moghadasi AN, Mirmosayyeb O, Mohammadi A, Sahraian MA, Ghajarzadeh M (2021) The prevalence of cognitive impairment in patients with neuromyelitis optica spectrum disorders (NMOSD): a systematic review and meta-analysis. Mult Scler Relat Disord 49:102757
doi: 10.1016/j.msard.2021.102757 pubmed: 33486400
Noseworthy J, Paty D, Wonnacott T, Feasby T, Ebers G (1983) Multiple-sclerosis after age 50. Neurology 33:1537–1544
doi: 10.1212/WNL.33.12.1537 pubmed: 6606140
Pagani E, Storelli L, Pantano P, Petsas N, Tedeschi G, Gallo A, De Stefano N, Battaglini M, Rocca MA, Filippi M, Network I (2023) Multicenter data harmonization for regional brain atrophy and application in multiple sclerosis. J Neurol 270:446–459
doi: 10.1007/s00415-022-11387-2 pubmed: 36152049
Pagnotti RB, Hua LH, Miller JB (2022) Cognition and disease characteristics in adult onset versus late onset multiple sclerosis. Mult Scler J 28:933–941
doi: 10.1177/13524585211039112
Parmenter BA, Testa SM, Schretlen DJ, Weinstock-Guttman B, Benedict RHB (2010) The utility of regression-based norms in interpreting the minimal assessment of cognitive function in multiple sclerosis (MACFIMS). J Int Neuropsych Soc 16:6–16
doi: 10.1017/S1355617709990750
Polliack ML, Barak Y, Achiron A (2001) Late-onset multiple sclerosis. J Am Geriatr Soc 49:168–171
doi: 10.1046/j.1532-5415.2001.49038.x pubmed: 11207871
Raimo S, Trojano L, Siciliano M, Cuoco S, D’Iorio A, Santangelo F, Abbamonte L, Grossi D, Santangelo G (2016) Psychometric properties of the Italian version of the multifactorial memory questionnaire for adults and the elderly. Neurol Sci 37:681–691
doi: 10.1007/s10072-016-2562-5 pubmed: 27032401
Rao SM (1990) A manual for the brief repeatable battery of neuropsychological test in multiple sclerosis. Medical College of Wisconsin, Milwaukee
Rocca MA, Amato MP, De Stefano N, Enzinger C, Geurts JJ, Penner IK, Rovira A, Sumowski JF, Valsasina P, Filippi M, Group MS (2015) Clinical and imaging assessment of cognitive dysfunction in multiple sclerosis. Lancet Neurol 14:302–317
doi: 10.1016/S1474-4422(14)70250-9 pubmed: 25662900
Roth AK, Denney DR, Burns JM, Lynch SG (2018) Cognition in older patients with multiple sclerosis compared to patients with amnestic mild cognitive impairment and healthy older adults. Neuropsychology 32:654–663
doi: 10.1037/neu0000453 pubmed: 29939057 pmcid: 6126957
Salthouse T (2005) Developmental influences on adult intelligence: the Seattle Longitudinal Study. Intelligence 33:551–554
doi: 10.1016/j.intell.2005.05.007
Salthouse TA (2010) Influence of age on practice effects in longitudinal neurocognitive change. Neuropsychology 24:563–572
doi: 10.1037/a0019026 pubmed: 20804244 pmcid: 2933088
Salthouse TA (2010) Selective review of cognitive aging. J Int Neuropsych Soc 16:754–760
doi: 10.1017/S1355617710000706
Salthouse TA, Ferrer-Caja E (2003) What needs to be explained to account for age-related effects on multiple cognitive variables? Psychol Aging 18:91–110
doi: 10.1037/0882-7974.18.1.91 pubmed: 12641315
Smith A (1991) Symbol digit modalities test: manual. Western Psychological Services, Los Angeles
Storelli L, Rocca MA, Pantano P, Pagani E, De Stefano N, Tedeschi G, Zaratin P, Filippi M, Network I (2019) MRI quality control for the Italian Neuroimaging Network Initiative: moving towards big data in multiple sclerosis. J Neurol 266:2848–2858
doi: 10.1007/s00415-019-09509-4 pubmed: 31422457
Strober L, Chiaravalloti N, Moore N, DeLuca J (2014) Unemployment in multiple sclerosis (MS): utility of the MS Functional Composite and cognitive testing. Mult Scler J 20:112–115
doi: 10.1177/1352458513488235
Strober L, Englert J, Munschauer F, Weinstock-Guttman B, Rao S, Benedict RHB (2009) Sensitivity of conventional memory tests in multiple sclerosis: comparing the Rao Brief Repeatable Neuropsychological Battery and the Minimal Assessment of Cognitive Function in MS. Mult Scler J 15:1077–1084
doi: 10.1177/1352458509106615
Sumowski JF, Benedict RHB, Enzinger C, Filippi M, Geurts JJ, Hamalainen P, Hulst HE, Inglese M, Leavitt VM, Rocca MA, Rosti-Otajarvi EM, Rao S (2018) Cognition in multiple sclerosis. Neurology 90:278–288
doi: 10.1212/WNL.0000000000004977 pubmed: 29343470 pmcid: 5818015
Templeton GF (2011) A Two-step approach for transforming continuous variables to normal: implications and recommendations for IS research. Commun Assoc Inform Syst 28
Vaughn CB, Jakimovski D, Kavak KS, Ramanathan M, Benedict RHB, Zivadinov R, Weinstock-Guttman B (2019) Epidemiology and treatment of multiple sclerosis in elderly populations. Nat Rev Neurol 15:329–342
doi: 10.1038/s41582-019-0183-3 pubmed: 31000816

Auteurs

Nicolò Tedone (N)

Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.

Carmen Vizzino (C)

Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.

Alessandro Meani (A)

Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.

Antonio Gallo (A)

Department of Advanced Medical and Surgical Sciences, and 3T MRI-Center, University of Campania "Luigi Vanvitelli", Naples, Italy.

Manuela Altieri (M)

Department of Advanced Medical and Surgical Sciences, and 3T MRI-Center, University of Campania "Luigi Vanvitelli", Naples, Italy.

Alessandro D'Ambrosio (A)

Department of Advanced Medical and Surgical Sciences, and 3T MRI-Center, University of Campania "Luigi Vanvitelli", Naples, Italy.

Patrizia Pantano (P)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
IRCCS NEUROMED, Pozzilli, Italy.

Claudia Piervincenzi (C)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
IRCCS NEUROMED, Pozzilli, Italy.

Silvia Tommasin (S)

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
IRCCS NEUROMED, Pozzilli, Italy.

Nicola De Stefano (N)

Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.

Rosa Cortese (R)

Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.

Maria L Stromillo (ML)

Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.

Maria A Rocca (MA)

Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Neurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Vita-Salute San Raffaele University, Milan, Italy.

Massimo Filippi (M)

Neuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy. filippi.massimo@hsr.it.
Neurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.
Neurorehabilitation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.
Neurophysiology Service, IRCCS San Raffaele Scientific Institute, Milan, Italy. filippi.massimo@hsr.it.
Vita-Salute San Raffaele University, Milan, Italy. filippi.massimo@hsr.it.

Classifications MeSH