Cognitive Failure in Adults with Spinal Cord Injury: A Valuable Adjunct Measure for Enhancing Cognitive Assessment and Rehabilitation Outcomes

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2023-11-08 DOI:10.3390/neurolint15040087
Ilaria Pozzato, Mohit Arora, Candice McBain, Nirupama Wijesuriya, Yvonne Tran, James W. Middleton, Ashley R. Craig
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Abstract

Cognitive impairment is common in persons with spinal cord injury (SCI), impacting their daily functioning and rehabilitation. This study assesses the extent of self-reported cognitive failures in everyday life in persons with SCI and its relationships with objective neurocognitive measures and psychosocial factors, including depressive mood, anxiety, perceived control, and fatigue. The differences between forty-one adults with a chronic SCI and forty-one able-bodied controls were examined. The participants completed the Cognitive Failures Questionnaire (CFQ) to assess cognitive failure and neurocognitive tests assessing attention and executive functions, as well as a psychosocial assessment. The SCI group reported higher cognitive failure rates than the able-bodied group (31.7% versus 19%, p > 0.05). Objective neurocognitive tests did not significantly correlate with the CFQ scores in either group. However, the CFQ scores were positively associated with most psychosocial factors, even after controlling for covariates. The CFQ scores were significantly associated with depressive mood in persons with SCI. These findings highlight the importance of incorporating self-reported cognitive measures into neurocognitive assessments and rehabilitation planning for adults with SCI. Self-reports capture everyday cognitive challenges that objective tests may miss. Additionally, this study highlights the strong connections between cognitive failures and psychosocial issues, particularly mood disorders, emphasizing the need for comprehensive rehabilitation and psychosocial support post-SCI, addressing both cognitive and emotional wellbeing.
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成人脊髓损伤的认知功能障碍:一种有价值的辅助措施,以加强认知评估和康复结果
认知障碍在脊髓损伤(SCI)患者中很常见,影响他们的日常功能和康复。本研究评估了脊髓损伤患者日常生活中自我报告的认知失败程度及其与客观神经认知测量和社会心理因素(包括抑郁情绪、焦虑、感知控制和疲劳)的关系。研究了41名慢性脊髓损伤成人和41名健全对照者的差异。参与者完成了认知失败问卷(CFQ)来评估认知失败和评估注意力和执行功能的神经认知测试,以及心理社会评估。脊髓损伤组的认知失败率高于健全组(31.7%比19%,p >0.05)。两组的客观神经认知测试与CFQ得分无显著相关性。然而,即使在控制了协变量之后,CFQ得分与大多数社会心理因素呈正相关。CFQ得分与脊髓损伤患者的抑郁情绪显著相关。这些发现强调了将自我报告的认知测量纳入脊髓损伤成人神经认知评估和康复计划的重要性。此外,本研究强调了认知失败与心理社会问题(尤其是情绪障碍)之间的密切联系,强调了脊髓损伤后需要全面的康复和心理社会支持,以解决认知和情感健康问题。
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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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