Cognitive Deficits in Chronic Stroke Patients: Neuropsychological Assessment, Depression, and Self-Reports

Search: L773:1664 5464 > Cognitive Deficits ...

Nakling, AE (author)

Næss, H (author)

Wollschlaeger, D (author)

Fladby, T (author)

Hofstad, H (author)

Wehling, E (author)

(creator_code:org_t)

2017-08-29
2017
English.
In: Dementia and geriatric cognitive disorders extra. - : S. Karger AG. - 1664-5464. ; 7:2, s. 283-296

Related links:: https://www.karger.c...; show more...; http://kipublication...; https://doi.org/10.1...; show less...

Abstract Subject headings

Background: Following stroke, clinicians are challenged to detect and untangle symptoms of cognitive dysfunction and mood disorders. Additionally, they need to evaluate the informative value of self-reports to identify patients in need of further attendance. Aims: To examine the association between neuropsychological measures, symptoms of depression, and self-reported cognitive function. Methods: One-hundred and five chronic stroke patients underwent assessment covering 6 cognitive domains and answered the Hospital Anxiety and Depression Scale and the Memory and Thinking Scale from the Stroke Impact Scale 1 year after stroke. Age and gender difference in cognitive impairment were examined; linear regression was used to predict depression scores. Sensitivity and specificity analyses were used to validate self-reported functioning against performance on cognitive tests. Results: Cognitive impairment was observed in 60% of the patients in at least 1 cognitive domain. Cognitive performance was associated with symptoms of depression as well as with self-reported cognitive function. The final analyses revealed low sensitivity and specificity for the Memory and Thinking subscale from the Stroke Impact Scale. Conclusion: Cognitive impairment occurs frequently even in patients in a chronic phase after stroke and predicts symptoms of depression. Using the Stroke Impact Scale, clinicians should be aware of low sensitivity of self-reported cognitive function.

By the author/editor: Nakling, AE; Aarsland, D; Næss, H; Wollschlaeger, D; Fladby, T; Hofstad, H; show more...; Wehling, E; show less...

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