Suppr超能文献

心理因素与中风后2个月的主观认知主诉相关。

Psychological factors are associated with subjective cognitive complaints 2 months post-stroke.

作者信息

Nijsse Britta, van Heugten Caroline M, van Mierlo Marloes L, Post Marcel W M, de Kort Paul L M, Visser-Meily Johanna M A

机构信息

a Department of Neurology , St Elisabeth Hospital , Tilburg , The Netherlands.

b Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience , Maastricht University , Maastricht , The Netherlands.

出版信息

Neuropsychol Rehabil. 2017 Jan;27(1):99-115. doi: 10.1080/09602011.2015.1065280. Epub 2015 Jul 24.

Abstract

The aim of this study was to investigate which psychological factors are related to post-stroke subjective cognitive complaints, taking into account the influence of demographic and stroke-related characteristics, cognitive deficits and emotional problems. In this cross-sectional study, 350 patients were assessed at 2 months post-stroke, using the Checklist for Cognitive and Emotional consequences following stroke (CLCE-24) to identify cognitive complaints. Psychological factors were: proactive coping, passive coping, self-efficacy, optimism, pessimism, extraversion, and neuroticism. Associations between CLCE-24 cognition score and psychological factors, emotional problems (depressive symptoms and anxiety), cognitive deficits, and demographic and stroke characteristics were examined using Spearman correlations and multiple regression analyses. Results showed that 2 months post-stroke, 270 patients (68.4%) reported at least one cognitive complaint. Age, sex, presence of recurrent stroke(s), comorbidity, cognitive deficits, depressive symptoms, anxiety, and all psychological factors were significantly associated with the CLCE-24 cognition score in bivariate analyses. Multiple regression analysis showed that psychological factors explained 34.7% of the variance of cognitive complaints independently, and 8.5% (p < .001) after taking all other factors into account. Of all psychological factors, proactive coping was independently associated with cognitive complaints (p < .001), showing that more proactive coping related to less cognitive complaints. Because cognitive complaints are common after stroke and are associated with psychological factors, it is important to focus on these factors in rehabilitation programmes.

摘要

本研究旨在探讨哪些心理因素与中风后的主观认知主诉相关,并考虑人口统计学和中风相关特征、认知缺陷及情绪问题的影响。在这项横断面研究中,对350例中风后2个月的患者进行了评估,使用中风后认知和情绪后果清单(CLCE - 24)来识别认知主诉。心理因素包括:积极应对、消极应对、自我效能感、乐观、悲观、外向性和神经质。使用Spearman相关性分析和多元回归分析,研究CLCE - 24认知得分与心理因素、情绪问题(抑郁症状和焦虑)、认知缺陷以及人口统计学和中风特征之间的关联。结果显示,中风后2个月,270例患者(68.4%)报告至少有一项认知主诉。在双变量分析中,年龄、性别、复发性中风的存在、合并症、认知缺陷、抑郁症状、焦虑以及所有心理因素均与CLCE - 24认知得分显著相关。多元回归分析表明,心理因素独立解释了认知主诉变异的34.7%,在考虑所有其他因素后为8.5%(p < .001)。在所有心理因素中,积极应对与认知主诉独立相关(p < .001),表明更多的积极应对与更少的认知主诉相关。由于认知主诉在中风后很常见且与心理因素相关,因此在康复计划中关注这些因素很重要。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验