Microstructural analysis of verbal fluency performance in relapsing-remitting multiple sclerosis based on the impact of disability level.

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Title: Microstructural analysis of verbal fluency performance in relapsing-remitting multiple sclerosis based on the impact of disability level.
Authors: Altun, Melis Buse (AUTHOR), Öge-Daşdöğen, Özlem (AUTHOR), Tütüncü, Melih (AUTHOR)
Source: Applied Neuropsychology: Adult. Jan/Feb2026, Vol. 33 Issue 1, p125-135. 11p.
Subjects: Multiple sclerosis, Cognitive ability, Disability evaluation, Disease relapse, Verbal behavior testing, Disabilities, Quantitative research, Cognitive flexibility
Abstract: Verbal fluency (VF) evaluates language and cognitive abilities. This study compared VF in Relapsing-Remitting Multiple Sclerosis (RRMS) and healthy controls (HC), examining variables including correct responses (CR), mean cluster size (MCS), switches (S), and fluency difference score (FDS). RRMS participants were subgrouped by Expanded Disability Status Scale (EDSS), to explore the relationship between MS severity and VF. Twenty-four RRMS participants and matched HCs underwent Mini-Mental State Exam and VF Test. Statistical analysis compared VF between RRMS subgroups based on severity levels, and in HC. RRMS significantly impacted the CR, and S (CRSF p = 0.01, SSF p = 0.002; CRPF=0.002, SPF p = 0.002), while there was no significant difference in FDS between RRMS groups (p = 0.9). No significant relationship was found between EDSS scores, and VF subtests (CRSF p = 0.061, MCSSF p = 0.46, SSF p = 0.051, CRPF p = 0.521, MCSPF p = 0.966, SPF p = 0.599). In RRMS, our results demonstrate impairments in all VF parameters except the MCSSF+PF, and FDS. This study suggests that intact MCSSF+PF may reflect preserved verbal memory and word recall, while significant switching differences may indicate impaired cognitive flexibility. Similar FDS to those of HC suggest that no performance discrepancy in subtests in RRMS. Intact MCS might be a distinctive pattern in the early clinical stage of MS. [ABSTRACT FROM AUTHOR]
Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: Microstructural analysis of verbal fluency performance in relapsing-remitting multiple sclerosis based on the impact of disability level.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Altun%2C+Melis+Buse%22">Altun, Melis Buse</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Öge-Daşdöğen%2C+Özlem%22">Öge-Daşdöğen, Özlem</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tütüncü%2C+Melih%22">Tütüncü, Melih</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Applied+Neuropsychology%3A+Adult%22">Applied Neuropsychology: Adult</searchLink>. Jan/Feb2026, Vol. 33 Issue 1, p125-135. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Multiple+sclerosis%22">Multiple sclerosis</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Disability+evaluation%22">Disability evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+relapse%22">Disease relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Verbal+behavior+testing%22">Verbal behavior testing</searchLink><br /><searchLink fieldCode="DE" term="%22Disabilities%22">Disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Quantitative+research%22">Quantitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+flexibility%22">Cognitive flexibility</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Verbal fluency (VF) evaluates language and cognitive abilities. This study compared VF in Relapsing-Remitting Multiple Sclerosis (RRMS) and healthy controls (HC), examining variables including correct responses (CR), mean cluster size (MCS), switches (S), and fluency difference score (FDS). RRMS participants were subgrouped by Expanded Disability Status Scale (EDSS), to explore the relationship between MS severity and VF. Twenty-four RRMS participants and matched HCs underwent Mini-Mental State Exam and VF Test. Statistical analysis compared VF between RRMS subgroups based on severity levels, and in HC. RRMS significantly impacted the CR, and S (CRSF p = 0.01, SSF p = 0.002; CRPF=0.002, SPF p = 0.002), while there was no significant difference in FDS between RRMS groups (p = 0.9). No significant relationship was found between EDSS scores, and VF subtests (CRSF p = 0.061, MCSSF p = 0.46, SSF p = 0.051, CRPF p = 0.521, MCSPF p = 0.966, SPF p = 0.599). In RRMS, our results demonstrate impairments in all VF parameters except the MCSSF+PF, and FDS. This study suggests that intact MCSSF+PF may reflect preserved verbal memory and word recall, while significant switching differences may indicate impaired cognitive flexibility. Similar FDS to those of HC suggest that no performance discrepancy in subtests in RRMS. Intact MCS might be a distinctive pattern in the early clinical stage of MS. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/23279095.2024.2335534
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 11
        StartPage: 125
    Subjects:
      – SubjectFull: Multiple sclerosis
        Type: general
      – SubjectFull: Cognitive ability
        Type: general
      – SubjectFull: Disability evaluation
        Type: general
      – SubjectFull: Disease relapse
        Type: general
      – SubjectFull: Verbal behavior testing
        Type: general
      – SubjectFull: Disabilities
        Type: general
      – SubjectFull: Quantitative research
        Type: general
      – SubjectFull: Cognitive flexibility
        Type: general
    Titles:
      – TitleFull: Microstructural analysis of verbal fluency performance in relapsing-remitting multiple sclerosis based on the impact of disability level.
        Type: main
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            NameFull: Altun, Melis Buse
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            NameFull: Öge-Daşdöğen, Özlem
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            NameFull: Tütüncü, Melih
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            – D: 01
              M: 01
              Text: Jan/Feb2026
              Type: published
              Y: 2026
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            – TitleFull: Applied Neuropsychology: Adult
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