Multitasking in Multiple Sclerosis: Can It Inform Vocational Functioning?

• Published in: Archives of physical medicine and rehabilitation Vol. 94; no. 12; pp. 2509 - 2514
• Main Authors: Morse, Chelsea L., MS, Schultheis, Maria T., PhD, McKeever, Joshua D., MS, Leist, Thomas, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2013
• Subjects: Adult; Attention - physiology; Cognition; Employment; Executive Function - physiology; Fatigue - physiopathology; Female; Humans; Logistic Models; Male; Middle Aged; Multiple sclerosis; Multiple Sclerosis - physiopathology; Neuropsychological Tests; Neuropsychology; Physical Medicine and Rehabilitation; Rehabilitation; Multiple sclerosis; Global Deficit Score; SET; Beck Depression Inventory-II; MS; FSS; modified Six Elements Test; COWA; Cognition; Paced Auditory Serial Addition Test; PASAT; Employment; Controlled Oral Word Association; GDS; BDI-II; Neuropsychology; Rehabilitation; Symbol Digit Modalities Test; Fatigue Severity Scale; SDMT
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2013.06.033

Abstract Objective To examine associations between multitasking ability defined by performance on a complex task integrating multiple cognitive domains and vocational functioning in multiple sclerosis (MS). Design Survey data collection. Setting Laboratory with referrals from an outpatient clinic. Participants Community-dwelling individuals with MS (N=30) referred between October 2011 and June 2012. Interventions Not applicable. Main Outcome Measures The modified Six Elements Test (SET) to measure multitasking ability, Fatigue Severity Scale to measure fatigue, several neuropsychological measures of executive functioning, and vocational status. Results Among the sample, 60% of individuals have reduced their work hours because of MS symptoms (cutback employment group) and 40% had maintained their work hours. Among both groups, SET performance was significantly associated with performance on several measures of neuropsychological functioning. Individuals in the cutback employment group demonstrated significantly worse overall performance on the SET ( P =.041). Logistic regression was used to evaluate associations between SET performance and vocational status, while accounting for neuropsychological performance and fatigue. The overall model was significant (χ23 =8.65, P =.032), with fatigue [Exp(B)=.83, P =.01] and multitasking ability [Exp(B)=.60, P =.043] retained as significant predictors. Conclusions Multitasking ability may play an important role in performance at work for individuals with MS. Given that multitasking was associated with vocational functioning, future efforts should assess the usefulness of incorporating multitasking ability into rehabilitation planning.