Validity of the California Verbal Learning Test-II in multiple sclerosis

Clin Neuropsychol. 2010 Feb;24(2):189-202. doi: 10.1080/13854040903266910. Epub 2009 Nov 26.

Abstract

Multiple sclerosis (MS) is a disease of the central nervous system where roughly 50% of patients exhibit cognitive impairment. Episodic memory defects are particularly common in MS and the California Verbal Learning Test: 2nd Edition (CVLT-II) was recommended for assessment in MS in a recently published consensus position paper. We investigated the validity of the CVLT-II in 351 MS patients and 69 demographically matched normal controls. MS patients performed significantly more poorly on 18 of the 23 measures examined. In addition to a general memory factor, factor analysis revealed five distinct factors conforming to measures of consolidation, primary/recency effect, proactive interference, and learning asymptote. The external validity of the CVLT-II was also supported by logistic regression analysis, which separated employed from work-disabled MS patients. We conclude that the CVLT-II is a valid test in MS and provides a rich constellation of verbal memory measures.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / etiology*
  • Female
  • Humans
  • Male
  • Memory, Short-Term
  • Middle Aged
  • Multiple Sclerosis / complications*
  • Neuropsychological Tests*
  • Reproducibility of Results
  • Retention, Psychology
  • Severity of Illness Index
  • Verbal Learning*
  • Young Adult