Fatigue and its relation to general cognition, social cognition and social activity in multiple sclerosis and stroke

Cogn Neuropsychiatry. 2023 May;28(3):165-180. doi: 10.1080/13546805.2023.2178399. Epub 2023 Feb 13.

Abstract

Introduction: The relationship between fatigue and (socio-)cognitive deficits in neurological diseases has sparked increasing research interest in the past years. So far, findings are inconsistent. Most studies focused on general cognitive functioning in specific disorders, particularly cancer or multiple sclerosis (MS).

Methods: This study aims to examine the relationship between fatigue, social cognition and social activity, also taking into account general cognition, more closely, including a stroke patient group (n = 57), a MS patient group (n = 31) and a healthy control group (n = 20). The participants underwent a comprehensive (socio-)cognitive test battery and completed questionnaires on fatigue and psychopathology which, in addition to fatigue, can also affect (socio-)cognitive performance.

Results: In both MS and stroke patients high fatigue scores were observed. Irrespective of aetiology, patients with high and low fatigue did not differ with regard to general cognition and social cognition. However, high fatigue scores were associated with a reduction of social activities in both patient groups. No other significant relationships were observed between fatigue and (socio-)cognitive measures.

Conclusions: Future studies ought to further explore the potentially complex nature of fatigue symptoms and their relationship with (socio-)cognitive performance and social activity in neurological populations.

Keywords: Fatigue; general cognition; multiple sclerosis; social cognition; stroke.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cognition
  • Fatigue / diagnosis
  • Fatigue / etiology
  • Fatigue / psychology
  • Humans
  • Multiple Sclerosis* / complications
  • Multiple Sclerosis* / diagnosis
  • Multiple Sclerosis* / psychology
  • Neuropsychological Tests
  • Social Cognition
  • Stroke* / complications