{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:48:21Z","timestamp":1790797701104,"version":"4.1.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Multiple Sclerosis Journal - Experimental, Translational and Clinical"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Cognitive impairment in people with multiple sclerosis (pwMS) negatively impacts daily function and quality of life (QoL). Prior studies of cognitive rehabilitation in pwMS have shown limited benefit but many focused on cognitive function scores rather than QoL measures. Studies using QoL metrics primarily evaluated group cognitive rehabilitation, which may be less appropriate due to variable cognitive profiles in pwMS. This study assesses the impact of an individualized cognitive rehabilitation approach on QoL in MS. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We performed a retrospective chart review of NeuroQoL assessments done by pwMS (n\u2009=\u200912, mean age 47.9\u2009\u00b1\u20094.0\u2009years, 75% female, 100% White, 75% RRMS) before and after participation in an individualized compensatory cognitive program. We used a comparison group of pwMS who were candidates for the program but did not participate (n\u2009=\u20099, mean age 48.9\u2009\u00b1\u20094.4\u2009years, 88.9% female, 100% White, 66.7% RRMS) <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> PwMS who participated in the rehabilitation program saw improvements in Sleep Disturbance (50.5 from 55.5, p\u2009=\u20090.005), Fatigue (52.5 from 57.0, p\u2009=\u20090.024), Anxiety (49.8 from 55.4, p\u2009=\u20090.011), and Cognitive Function (39.3 from 36.7, p\u2009=\u20090.049). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Individualized compensatory cognitive rehabilitation appears effective for improving QoL measures in pwMS with cognitive complaints, supporting the need for further randomized controlled prospective analysis of this intervention. <\/jats:p><\/jats:sec>","DOI":"10.1177\/20552173211040239","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T01:29:18Z","timestamp":1630027758000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The impact of cognitive rehabilitation on quality of life in multiple sclerosis: A pilot study"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2581-9293","authenticated-orcid":false,"given":"Kathleen C","family":"Munger","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Rochester Medical Center Rochester, NY, USA"},{"name":"Department of Neurology, University of Rochester Medical Center Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Pacos","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Rochester Medical Center, University of Rochester Medical Center, Rochester, NY, USA"},{"name":"Department of Neurology, University of Rochester Medical Center Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan H","family":"Hyland","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Rochester Medical Center Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,8,26]]},"reference":[{"key":"bibr1-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0b013e328346a43b"},{"key":"bibr2-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.02.011"},{"key":"bibr3-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.07.021"},{"key":"bibr4-20552173211040239","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-151275"},{"key":"bibr5-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9958-8"},{"key":"bibr6-20552173211040239","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2020.00632"},{"key":"bibr7-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1198430"},{"key":"bibr8-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1159\/000478726"},{"key":"bibr9-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1111\/ane.12420"},{"key":"bibr10-20552173211040239","doi-asserted-by":"publisher","DOI":"10.3310\/hta24040"},{"key":"bibr11-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2017.08.005"},{"key":"bibr12-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2018.1479275"},{"key":"bibr13-20552173211040239","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.12.010"},{"key":"bibr14-20552173211040239","unstructured":"Griffith SD, Miller DM, Katzan IL. How much change is enough to matter? Determining minimally clinically important differences, https:\/\/consultqd.clevelandclinic.org\/how-much-change-is-enough-to-matter\/ (2014, accessed 11 January 2021)."}],"container-title":["Multiple Sclerosis Journal - Experimental, Translational and Clinical"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552173211040239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20552173211040239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20552173211040239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T20:29:31Z","timestamp":1741033771000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20552173211040239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/20552173211040239"],"URL":"https:\/\/doi.org\/10.1177\/20552173211040239","relation":{},"ISSN":["2055-2173","2055-2173"],"issn-type":[{"value":"2055-2173","type":"print"},{"value":"2055-2173","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]},"article-number":"20552173211040239"}}