Research Article

Longitudinal Screening Detects Cognitive Stability and Behavioral Deterioration in ALS Patients

Table 2

Change over time: comparison of baseline and follow-up scores in 134 participants with longitudinal data, using GLM-GEE procedures, controlling for age, sex, duration of symptoms, education, race, and ethnicity (adjusted means and standard errors).

Baseline mean (SE)Follow-up mean (SE)Fixed effects for interval
Wald chi-square value value

ALSFRS38.5 (39.1)27.6 (39.1)240.27<0.001
FVC%86.7 (95.0)64.5 (94.7)114.13<0.001
ALS CBS cognitive score15.6 (9.8)15.4 (9.8)0.820.450
ALS CBS behavioral score37.5 (31.0)35.5 (30.9)15.16<0.001
Verbal Fluency Index (-score converted)−0.159 (3.79)0.063 (3.74)1.510.252
FBI negative scale3.2 (20.3)4.1 (20.2)2.630.090
FBI disinhibition1.46 (13.3)2.01 (13.2)4.070.044
CNS lability score12.2 (20.2)11.9 (20.2)0.780.378

Decline in CBS behavioral score correlates with ALSFRS-R (). Decline in VFI score correlates with ALSFRS-R (). Decline in CNS-LS score correlates with ALSFRS-R () and FVC (). Significant at the Bonferroni-adjusted alpha level of 0.007.