Research Article

Repeated Working Memory Training Improves Task Performance and Neural Efficiency in Multiple Sclerosis Patients and Healthy Controls

Table 1

(a) Demographic and clinical data of all participants.

Results (n=15)  
(mean± SD)
(n=14)   
(mean± SD)
(n=14)   
(mean± SD)
(n=15)   
(mean± SD)
Differences

Age34.13±6.07  
(25-45)
31.21±8.72  
(24-50)
36.14±5.97  
(22-46)
35.80±7.3  
(22-46)
Training: F1,54= 0.762, p= 0.387  
Group: F1,54= 3.115, p=0.083  
Interaction: F1,54= 0.475, p=0.494

Gender (men/women)9/66/83/117/8χ2(3)=4.51, p=0.212

Educational level (1-6 levels)3.73±1.284.71±0.833.71±1.493.73±1.71Training: F1,54= 1.925, p= 0.171  
Group: F1,54= 1.925, p=0171  
Interaction: F1,54= 1.781, p=0.188

EDSS--1.80±1.701.67±1.51t27=0.19, p = 0.848
Mean years disease duration--7.54±5.128.33±5.96t27= -0.38, p = 0.850
Total lesion volume (mL)--4.39±4.882.36±3.56t27 = 1.28, p= 0.210

BPF0.86±0.00.85±0.00.84±0.020.84±0.01Training: F1,54= 0.188, p= 0.666  
Group: F1,54= 10.301, p=0.002  
Interaction: F1,54= 0.367, p=0.547

BDI7.85±5.64.50±5.214.21±7.9811.47±8.33Training: F1,54= 1.844, p= 0.181  
Group: F1,54= 8.831, p=0.005  
Interaction: F1,54= 0.018, p=0.894

FSS--47.36±16.0140.80±17.98t27=1.03, p=0.310

HCu: HC untrained group; HCt: HC trained group; MSu: MS untrained group; MSt: MS trained group; Educational level: 1= Primary education, 2=Lower secondary education, 3=Upper secondary education, 4=Post-secondary education non-tertiary, 5=First stage of tertiary education, 6=Second stage of tertiary education; EDSS: Expanded Disability Status Scale; BPF: Brain Parenchymal Fraction; BDI: Beck Depression Inventory; FSS: Fatigue Severity Scale. denotes statistically significant different from the HCu group; denotes statistically significant different from the HCt group; denotes statistically significant different from the MSu group; denotes statistically significant different from the MSt group.
(b) Neuropsychological performance data of all participants at baseline

Results (n=15)  
(mean± SD)
(n=14)   
(mean± SD)
(n=14)   
(mean± SD)
(n=15)   
(mean± SD)
Differences

BRN-B
PASAT (%)76.22±8.8778.33±17.4574.86±18.1883.44±13.01Training: F1,54= 1.398, p= 0.244  
Group: F1,54= 0.172, p=0.681  
Interaction: F1,54= 0.511, p=0.479
SDMT59.69±9.0966.17±6.3754.93±10.5660.80±10.13Training: F1,54= 3.813, p= 0.056  
Group: F1,54= 3.115, p=0.083  
Interaction: F1,54= 0.475, p=0.494
SRT Long-Term Storage58.46±8.0852.67±12.9452.07±13.5352.53±10.29Training: F1,54= 0.598, p= 0.444  
Group: F1,54= 0.895, p=0.349  
Interaction: F1,54= 0.823, p=0.369
SRT Consistent Long-Term Retrieval51.31±11.7647.83±5.7143.21 ±14.7542.07±12.32Training: F1,54= 0.314, p= 0.578  
Group: F1,54= 2.822, p=0.100  
Interaction: F1,54= 0.080, p=0.779
SRT Delayed Recall10.23±1.9210.50±1.989.50 ±2.8510.27±1.98Training: F1,54= 0.552, p= 0.462  
Group: F1,54= 0.478, p=0.493  
Interaction: F1,54= 0.127, p=0.723
SPART Long-Term Storage20.62±6.6423.33±3.2620.57±5.0620.33±5.18Training: F1,54= 0.549, p= 0.463  
Group: F1,54= 0.827, p=0.368  
Interaction: F1,54= 0.780, p=0.382
SPART Delayed-Recall7.08±2.728.67±1.757.07±2.127.27±1.83Training: F1,54= 1.748, p= 0.193  
Group: F1,54= 1.084, p=0.304  
Interaction: F1,54= 1.067, p=0.307
WLGT22.54±3.5725.17±3.6621.14±6.2921.40±5.58Training: F1,54= 0.821, p= 0.370  
Group: F1,54= 2.627, p=0.112  
Interaction: F1,54= 0.554, p=0.461
Matrix Subtest (WAIS III)105.71±14.79106.43±16.34111.15 ± 7.95106.33±12.17Training: F1,54= 0.335, p= 0.565  
Group: F1,54= 0.567, p=0.455  
Interaction: F1,54= 0.608, p=0.439

HCu: untrained group; HCt: HC trained group; MSu: MS untrained group; MSt: MS trained group. BRN-B: the Brief Repeatable Battery of Neuropsychological Test; SDMT: Symbol Digit Modalities Test; PASAT: Paced Auditory Serial Addition Test; SRT: Selective Reminding Test; SPART: Spatial Recall Test; WLGT: Word List Generation Test.