To investigate the status of attention in multiple sclerosis (MS) we a
dministered tests of focused and divided attention to 39 MS patients a
nd 18 age- and education-matched control subjects. In addition, a test
of vigilance and a test of automatic information processing was admin
istered. MS patients performed as well as controls on the automatic pr
ocessing task and on most measures of focused and divided attention wh
en accuracy but not speed was the dependent variable. By contrast the
MS patients Performed significantly, worse than controls on the more e
ffortful measures of attention, especially those that engaged working
memory or emphasized speeded responding These results indicate that de
ficits of attention in MS patients are most likely to be evident on ta
sks which require concentrated cognitive effort.