Abstract
BackgroundCognitive problems frequently occur in patients with multiple sclerosis (MS) and profoundly affect their quality of life. So far, the best cognitive treatment options for MS patients are a matter of debate. Therefore, this study aims to investigate the effectiveness of two promising non-pharmacological treatments: cognitive rehabilitation therapy (CRT) and mindfulness-based cognitive therapy (MBCT). Furthermore, this study aims to gain additional knowledge about the aetiology of cognitive problems among MS patients, since this may help to develop and guide effective cognitive treatments.Methods/designIn a dual-centre, single-blind randomised controlled trial (RCT), 120 MS patients will be randomised into one of three parallel groups: CRT, MBCT or enhanced treatment as usual (ETAU). Both CRT and MBCT consist of a structured 9-week program. ETAU consists of one appointment with an MS specialist nurse. Measurements will be performed at baseline, post-intervention and 6 months after the interventions. The primary outcome measure is the level of subjective cognitive complaints. Secondary outcome measures are objective cognitive function, functional brain network measures (using magnetoencephalography), psychological symptoms, well-being, quality of life and daily life functioning.DiscussionTo our knowledge, this will be the first RCT that investigates the effect of MBCT on cognitive function among MS patients. In addition, studying the effect of CRT on cognitive function may provide direction to the contradictory evidence that is currently available. This study will also provide information on changes in functional brain networks in relation to cognitive function. To conclude, this study may help to understand and treat cognitive problems among MS patients.Trial registrationThis trial was prospectively registered at the Dutch Trial Registration (number NTR6459, registered on 31 May 2017).
Highlights
Cognitive problems frequently occur in patients with multiple sclerosis (MS) and profoundly affect their quality of life
Secondary outcome measures are objective cognitive function, functional brain network measures, psychological symptoms, well-being, quality of life and daily life functioning. To our knowledge, this will be the first randomised controlled trial (RCT) that investigates the effect of mindfulness-based cognitive therapy (MBCT) on cognitive function among MS patients
This study primarily aims to examine the effectiveness of cognitive rehabilitation therapy (CRT) and MBCT on subjectively experienced cognitive problems among MS patients
Summary
Cognitive problems frequently occur in patients with multiple sclerosis (MS) and profoundly affect their quality of life. The most frequently affected cognitive domains are information processing speed, memory, attention, visuospatial processing and executive function These objective cognitive deficits (i.e. assessed with cognitive tests) only show a weak relation with the cognitive complaints reported by MS patients themselves [2, 3]. Problems in social relations and work participation are likely to occur, negatively affecting the quality of life of MS patients [1, 4]. This highlights the need for effective cognitive treatment options for MS patients. To develop and guide effective cognitive treatments, knowledge about the aetiology of objective and subjective cognitive problems is essential
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
