Department of Rehabilitation Medicine, National Rehabilitation Center, Ministry of Health and Welfare, Seoul, Republic of Korea.
Department of Neurology, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seoul, Republic of Korea.
Dement Geriatr Cogn Disord. 2020;49(3):279-285. doi: 10.1159/000509083. Epub 2020 Aug 11.
Subjective memory complaints (SMCs) among stroke patients are common. To date, reports on SMCs using the Subjective Memory Complaint Questionnaire (SMCQ) are limited. We provided descriptive information on SMCs using the SMCQ alongside objective neuropsychological function assessment in stroke patients and established the sensitivity of SMCQ for post-stroke dementia.
In total, 419 consecutive stroke patients who were admitted to a stroke unit for younger populations (age <65 years) at a rehabilitation hospital from June 1, 2014, to January 1, 2020, were reviewed. SMCs were measured using the SMCQ. Objective neuropsychological function was assessed using protocols of the Vascular Cognitive Impairment Harmonization Standards.
SMCs were significantly correlated with objective neuropsychological functions including memory, executive function, language, and depression. SMCs were not significantly correlated with visuospatial function. The SMCQ exhibited comparable sensitivity to that of Mini-Mental Status Examination for evaluating post-stroke dementia.
The SMCQ may be a valid measure of cognitive function among patients with stroke, is sensitive for post-stroke dementia, and may assume a complementary role for assessing patients with stroke.
脑卒中患者常出现主观记忆主诉(SMCs)。迄今为止,使用主观记忆主诉问卷(SMCQ)报告 SMCs 的研究有限。我们在脑卒中患者中使用 SMCQ 提供了 SMCs 的描述性信息,并结合客观神经心理学功能评估,确定了 SMCQ 对脑卒中后痴呆的敏感性。
本研究回顾性分析了 2014 年 6 月 1 日至 2020 年 1 月 1 日期间,一家康复医院脑卒中单元收治的 419 例年龄<65 岁的连续脑卒中患者。使用 SMCQ 测量 SMCs,使用血管性认知障碍协调标准的方案评估客观神经心理学功能。
SMCs 与记忆、执行功能、语言和抑郁等客观神经心理学功能显著相关。SMCs 与视空间功能无显著相关性。SMCQ 评估脑卒中后痴呆的敏感性与简易精神状态检查相当。
SMCQ 可能是脑卒中患者认知功能的有效测量工具,对脑卒中后痴呆敏感,可作为评估脑卒中患者的补充手段。