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癫痫成人患者的记忆主诉、临床特征及自尊

Memory complaints, clinical aspects, and self-esteem in adult people with epilepsy.

作者信息

Tedrus Glória Maria de Almeida Souza, Lange Laura Annoni

机构信息

Postgraduate Program in Health Sciences, Pontifícia Universidade Católica de Campinas - Campinas, SP, Brazil.

School of Medicine, Pontificia Universidade Católica de Campinas - Campinas, SP, Brazil.

出版信息

Dement Neuropsychol. 2021 Jul-Sep;15(3):357-360. doi: 10.1590/1980-57642021dn15-030007.

DOI:10.1590/1980-57642021dn15-030007
PMID:34630923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8485644/
Abstract

UNLABELLED

Memory complaints are common in adult people with epilepsy (PWEs). However, the associated clinical aspects are not yet fully understood.

OBJECTIVE

This study aims to relate the occurrence of memory complaints in PWEs with clinical aspects and self-esteem.

METHODS

To relate the data obtained from the Memory Complaint Questionnaire (MAC-Q) with clinical aspects, 71 PWEs were assessed using the Rosenberg Self-Esteem Scale (SES), the Mini Mental State Examination (MMSE), and the Brief Cognitive Battery-Edu. These data were compared with 55 individuals in a control group (CG).

RESULTS

Memory complaints (MAC-Q≥25) were significantly higher in PWEs, when compared with individuals in the CG [35 (49.3%) vs. 15 (27.2%); Student's -test; p=0.012]. Objective cognitive performance was lower in PWEs. Memory complaints were associated with a lower educational level, the presence of depression, SES, MMSE, incidental memory, and the clock-drawing test scores in PWEs.

CONCLUSIONS

Memory complaints were more frequent in PWEs than in individuals in the CG, and there was a relationship with cognitive deficit, educational level, depression, and low self-esteem.

摘要

未标注

记忆障碍在成年癫痫患者(PWEs)中很常见。然而,相关的临床特征尚未完全明确。

目的

本研究旨在探讨PWEs记忆障碍的发生与临床特征及自尊之间的关系。

方法

为了将从记忆障碍问卷(MAC-Q)获得的数据与临床特征相关联,使用罗森伯格自尊量表(SES)、简易精神状态检查表(MMSE)和简易认知成套测验-教育版对71名PWEs进行了评估。将这些数据与对照组(CG)的55名个体进行比较。

结果

与CG组个体相比,PWEs的记忆障碍(MAC-Q≥25)明显更高[35(49.3%)对15(27.2%);学生t检验;p=0.012]。PWEs的客观认知表现较低。记忆障碍与PWEs的较低教育水平、抑郁的存在、SES、MMSE、附带记忆以及画钟测验分数相关。

结论

PWEs的记忆障碍比CG组个体更频繁,并且与认知缺陷、教育水平、抑郁和低自尊有关。

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本文引用的文献

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Evaluating subjective cognitive impairment in the adult epilepsy clinic: Effects of depression, number of antiepileptic medications, and seizure frequency.评估成人癫痫门诊中的主观认知障碍:抑郁、抗癫痫药物数量及癫痫发作频率的影响。
Epilepsy Behav. 2018 Apr;81:18-24. doi: 10.1016/j.yebeh.2017.10.011. Epub 2018 Feb 16.
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The relationship between memory complaints and age in normal aging.正常衰老过程中记忆主诉与年龄的关系。
Dement Neuropsychol. 2009 Apr-Jun;3(2):94-100. doi: 10.1590/S1980-57642009DN30200005.
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Current Concepts of Memory Disorder in Epilepsy: Edging Towards a Network Account.癫痫记忆障碍的当前概念:迈向网络学说
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Subjective Memory Complaints in healthy older adults: Fewer complaints associated with depression and perceived health, more complaints also associated with lower memory performance.健康老年人的主观记忆抱怨:较少的抱怨与抑郁和感知健康相关,较多的抱怨也与较低的记忆表现相关。
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