Department of Medical Psychology, Máxima Medical Center, Veldhoven, The Netherlands.
Stichting Warande, Zeist, The Netherlands.
Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2023 May;30(3):472-485. doi: 10.1080/13825585.2022.2048786. Epub 2022 Mar 6.
Cognitive impairment, particularly slowing of information processing speed (IPS), is prevalent after stroke. However, the link between subjective cognitive complaints (SCC) and cognitive deficit remains unclear. This study evaluated the link between SCC at three months post stroke and deficit as well as objective alterations in IPS in the first year post stroke. Patients (N = 200) and healthy controls (N = 105) took part in the COMPlaints After Stroke study (COMPAS). SCC, IPS and depression were evaluated at 3 months, 1 and 2 years post stroke. The Reliable Change Index was used to assess change in IPS in the first year post. Approximately one out of three patients showed deficit in IPS irrespective of time post stroke, while a change in IPS (N = 117) over time was relatively uncommon. SCC at three months post stroke did not predict change in IPS between three months and one year post stroke, where depressive symptoms did show a link. Cross sectional data showed a deficit in IPS in a substantial number of stroke patients irrespective of the point in time. Longitudinal data revealed a further decline in a small subgroup in the first year post stroke, which was not predicted by SCC at three months post stroke. The findings show that, irrespective of time post stroke and even when stroke is relatively mild, impairment in IPS is prevalent, but cannot be predicted by the complaints patients express. The link with depressive symptoms needs more exploration.
认知障碍,尤其是信息处理速度(IPS)的减缓,在中风后很常见。然而,主观认知抱怨(SCC)与认知缺陷之间的联系仍不清楚。本研究评估了中风后三个月SCC 与缺陷以及中风后第一年 IPS 客观改变之间的联系。患者(N=200)和健康对照组(N=105)参加了中风后抱怨研究(COMPAS)。SCC、IPS 和抑郁在中风后 3 个月、1 年和 2 年进行评估。使用可靠变化指数来评估中风后第一年 IPS 的变化。大约三分之一的患者不论中风后时间如何,IPS 都存在缺陷,而 IPS 的变化(N=117)随时间相对较少。中风后三个月的 SCC 并不能预测中风后三个月至一年 IPS 的变化,而抑郁症状确实存在联系。横断面数据显示,无论在哪个时间点,大量中风患者的 IPS 都存在缺陷。纵向数据显示,在中风后第一年的一小部分亚组中进一步下降,而这不能用中风后三个月的 SCC 来预测。研究结果表明,不论中风后时间如何,即使中风相对较轻,IPS 损伤也很常见,但不能用患者表达的抱怨来预测。与抑郁症状的联系需要进一步探讨。