Subjective Cognitive Dysfunction in Patients with Dizziness and Vertigo

2021 ◽  
pp. 1-11
Author(s):  
Danica Xie ◽  
Miriam S. Welgampola ◽  
Laurie A. Miller ◽  
Allison S. Young ◽  
Mario D’Souza ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
Space Perception ◽  
Demographic Variables ◽  
Cognitive Difficulties ◽  
Cognitive Complaint ◽  
The Everyday ◽  
Everyday Memory Questionnaire ◽  
And Gender ◽  
The Impact ◽  
Memory Questionnaire

<b><i>Introduction:</i></b> Patients with vestibular disorders sometimes report cognitive difficulties, but there is no consensus about the type or degree of cognitive complaint. We therefore investigated subjective cognitive dysfunction in a well-defined sample of neuro-otology patients and used demographic factors and scores from a measure of depression, anxiety, and stress to control for potential confounding factors. <b><i>Methods:</i></b> We asked 126 neuro-otology clinic outpatients whether they experienced difficulties with thinking, memory, or concentration as a result of dizziness or vertigo. They and 42 nonvertiginous control subjects also completed the Neuropsychological Vertigo Inventory (NVI, which measures cognitive, emotional, vision, and motor complaints), the Everyday Memory Questionnaire (EMQ), and Depression, Anxiety, and Stress Scales (DASS). <b><i>Results:</i></b> In the initial interview questions, 60% of patients reported experiencing cognitive difficulties. Cognitive questionnaire scores were positively correlated with the overall DASS score and to a lesser extent with age and gender. Therefore, we compared patients and controls on the NVI and EMQ, using these mood and demographic variables as covariates. Linear regression analyses revealed that patients scored significantly worse on the total NVI, NVI cognitive composite, and 3 individual NVI cognition subscales (Attention, Space Perception, and Time Perception), but not the EMQ. Patients also scored significantly worse on the NVI Emotion and Motor subscales. <b><i>Conclusions:</i></b> Patients with dizziness and vertigo reported high levels of cognitive dysfunction, affecting attention, perceptions of space and time. Although perceptions of cognitive dysfunction were correlated with emotional distress, they were significantly elevated in patients over and above the impact of depression, anxiety, or stress.

scholarly journals Group cognitive rehabilitation to reduce the psychological impact of multiple sclerosis on quality of life: the CRAMMS RCT

2020 ◽  
Vol 24 (4) ◽  
pp. 1-182 ◽  
Author(s):  
Nadina B Lincoln ◽  
Lucy E Bradshaw ◽  
Cris S Constantinescu ◽  
Florence Day ◽  
Avril ER Drummond ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Confidence Interval ◽  
Usual Care ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Programme ◽  
Everyday Memory ◽  
Impact Scale ◽  
The Everyday ◽  
Everyday Memory Questionnaire ◽  
Memory Questionnaire

Background People with multiple sclerosis have problems with memory and attention. The effectiveness of cognitive rehabilitation has not been established. Objectives The objectives were to assess the clinical effectiveness and cost-effectiveness of a cognitive rehabilitation programme for people with multiple sclerosis. Design This was a multicentre, randomised controlled trial in which participants were randomised in a ratio of 6 : 5 to receive cognitive rehabilitation plus usual care or usual care alone. Participants were assessed at 6 and 12 months after randomisation. Setting The trial was set in hospital neurology clinics and community services. Participants Participants were people with multiple sclerosis who had cognitive problems, were aged 18–69 years, could travel to attend group sessions and gave informed consent. Intervention The intervention was a group cognitive rehabilitation programme delivered weekly by an assistant psychologist to between four and six participants for 10 weeks. Main outcome measures The primary outcome was the Multiple Sclerosis Impact Scale – Psychological subscale at 12 months. Secondary outcomes included results from the Everyday Memory Questionnaire, the 30-Item General Health Questionnaire, the EuroQol-5 Dimensions, five-level version and a service use questionnaire from participants, and the Everyday Memory Questionnaire – relative version and the Modified Carer Strain Index from a relative or friend of the participant. Results Of the 449 participants randomised, 245 were allocated to cognitive rehabilitation (intervention group) and 204 were allocated to usual care (control group). Of these, 214 in the intervention group and 173 in the control group were included in the primary analysis. There was no clinically important difference in the Multiple Sclerosis Impact Scale – Psychological subscale score between the two groups at the 12-month follow-up (adjusted difference in means –0.6, 95% confidence interval –1.5 to 0.3; p = 0.20). There were no important differences between the groups in relation to cognitive abilities, fatigue, employment, or carer strain at follow-up. However, there were differences, although small, between the groups in the Multiple Sclerosis Impact Scale – Psychological subscale score at 6 months (adjusted difference in means –0.9, 95% confidence interval –1.7 to –0.1; p = 0.03) and in everyday memory on the Everyday Memory Questionnaire as reported by participants at 6 (adjusted difference in means –5.3, 95% confidence interval –8.7 to –1.9) and 12 months (adjusted difference in means –4.4, 95% confidence interval –7.8 to –0.9) and by relatives at 6 (adjusted difference in means –5.4, 95% confidence interval –9.1 to –1.7) and 12 months (adjusted difference in means –5.5, 95% confidence interval –9.6 to –1.5) in favour of the cognitive rehabilitation group. There were also differences in mood on the 30-Item General Health Questionnaire at 6 (adjusted difference in means –3.4, 95% confidence interval –5.9 to –0.8) and 12 months (adjusted difference in means –3.4, 95% confidence interval –6.2 to –0.6) in favour of the cognitive rehabilitation group. A qualitative analysis indicated perceived benefits of the intervention. There was no evidence of a difference in costs (adjusted difference in means –£574.93, 95% confidence interval –£1878.93 to £729.07) or quality-adjusted life-year gain (adjusted difference in means 0.00, 95% confidence interval –0.02 to 0.02). No safety concerns were raised and no deaths were reported. Limitations The trial included a sample of participants who had relatively severe cognitive problems in daily life. The trial was not powered to perform subgroup analyses. Participants could not be blinded to treatment allocation. Conclusions This cognitive rehabilitation programme had no long-term benefits on quality of life for people with multiple sclerosis. Future work Future research should evaluate the selection of those who may benefit from cognitive rehabilitation. Trial registration Current Controlled Trials ISRCTN09697576. Funding This project was funded by the National Institute for Health Research Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 4. See the National Institute for Health Research Journals Library website for further project information.

Subjective experience of cognitive function in affective disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 234-234
Author(s):  
K. Miskowiak ◽  
M. Vinberg ◽  
E.M. Christensen ◽  
L.V. Kessing
Keyword(s):  
Cognitive Function ◽  
Cognitive Dysfunction ◽  
Subjective Experience ◽  
Unipolar Depression ◽  
University Hospital ◽  
Attention And Memory ◽  
Cognitive Difficulties ◽  
Affective Symptoms ◽  
Patients Experience ◽  
The Impact

IntroductionCognitive dysfunction in unipolar depression (UD) and bipolar disorder (BD) may persist into periods of remission and affect psychosocial function. Attention and memory deficits may be more pronounced during remission in BD compared with UD. However, patients’ subjective experience of cognitive difficulties is poorly understood, and it is unclear whether this differs between BD and UD.Aims and objectivesTo examine self-reported cognitive function in remitted patients with BD and UD.MethodsPatients with BD (n = 54) and UD (n = 45) were referred to the outpatient clinic at Department of Psychiatry, Copenhagen University Hospital, following hospital discharge.Affective symptoms and patients’ experience of cognitive symptoms were assessed at their initial consultation at the clinic.ResultsPatients in remission experienced mild to moderate impairment of cognitive function with greatest difficulties in motivation, energy, attention and memory. Subjective experience of cognitive function were similar for BD and UD and were predicted by affective symptoms rather than by diagnosis, age, gender or comorbid alcohol misuse.ConclusionsThe absence of differences between UD and BD in the subjective experience of cognitive difficulties contrasts with evidence of greater objective cognitive dysfunction in BD. This highlights a potential discord between subjective and objective measures of cognitive function. The impact of affective symptoms on the subjectively experienced cognitive difficulties suggests that they reflect mood symptoms rather than objective cognitive deficits. Further investigation of the relation between objective and subjective measures of cognitive function and the influence of affective symptoms is warranted.

scholarly journals Cognitive consequences of COVID-19: results of a cohort study from South America

2021 ◽  
Author(s):  
Lucía Crivelli ◽  
Ismael Calandri ◽  
Nicolás Corvalán ◽  
María Agostina Carello ◽  
Greta Keller ◽  
...  
Keyword(s):  
Executive Functions ◽  
Cognitive Dysfunction ◽  
Psychiatric Symptomatology ◽  
Cohen’S D ◽  
Cognitive Risk ◽  
Cognitive Complaint ◽  
Visuospatial Skills ◽  
Before And After ◽  
Cohen's D ◽  
The Impact

ABSTRACT Background: Neurological and psychiatric manifestations associated with SARS-CoV-2 infection have been reported throughout the scientific literature. However, studies on post-COVID cognitive impairment in people with no previous cognitive complaint are scarce. Objective: We aim to investigate the impact of COVID-19 on cognitive functions in adults without cognitive complaints before infection and to study cognitive dysfunction according to disease severity and cognitive risk factors. Methods: Forty-five post-COVID-19 patients and forty-five controls underwent extensive neuropsychological evaluation, which assessed cognitive domains such as memory, language, attention, executive functions, and visuospatial skills, including psychiatric symptomatology scales. Data were collected on the severity of infection, premorbid medical conditions, and functionality for activities of daily living before and after COVID-19. Results: Significant differences between groups were found in cognitive composites of memory (p=0.016, Cohen’s d= 0.73), attention (p<0.001, Cohen’s d=1.2), executive functions (p<0.001, Cohen’s d=1.4), and language (p=0.002, Cohen’s d=0.87). The change from premorbid to post-infection functioning was significantly different between severity groups (WHODAS, p=0.037). Self-reported anxiety was associated with the presence of cognitive dysfunction in COVID-19 subjects (p=0.043). Conclusion: Our results suggest that the presence of cognitive symptoms in post-COVID-19 patients may persist for months after disease remission and argue for the inclusion of cognitive assessment as a protocolized stage of the post-COVID examination. Screening measures may not be sufficient to detect cognitive dysfunction in post-COVID-19 patients.

Policing Belonging

2018 ◽  
Author(s):  
Alpa Parmar
Keyword(s):  
Migration Policy ◽  
Economic Resources ◽  
Police Custody ◽  
Race And Gender ◽  
Minority Ethnic Groups ◽  
The Everyday ◽  
And Gender ◽  
The Uk ◽  
The Impact ◽  
Minority Ethnic

This chapter considers the impact of the police’s increased involvement in migration control. How (and with what consequences) do criminalization, migration, race, and gender intersect when the police are asked to respond to migration and fears about migrants? Drawing on empirical research on police custody suites, the piece discusses how the policing of migration questions the presence of minority ethnic groups in the UK, the wider implications for those who cannot belong, and how procedures are racialized. It also highlights the widening reach of the police, whose work is increasingly carried out in conjunction with other actors including those who have been enlisted to surveil, report, and help enforce migration policy. The chapter brings to light the everyday forms of racism renewed through the policing of migrants while exploring how those who are deemed risky, not belonging, criminal, or a threat to social and economic resources are racialized.

Use of the Everyday Memory Questionnaire With Children

2004 ◽  
Vol 10 (2) ◽  
pp. 67-75 ◽  
Author(s):  
Karen Drysdale ◽  
Arthur Shores ◽  
Wayne Levick
Keyword(s):  
Everyday Memory ◽  
The Everyday ◽  
Everyday Memory Questionnaire ◽  
Memory Questionnaire

scholarly journals IMPACT OF THE VIRTUAL REALITY MIRROR IN INDIAN RETAIL STORES

2021 ◽  
Vol 9 (1) ◽  
pp. 720-728
Author(s):  
Aditya Iyer
Keyword(s):  
Virtual Reality ◽  
User Experience ◽  
Qualitative Interview ◽  
Retail Store ◽  
Demographic Variables ◽  
Retail Stores ◽  
Age And Gender ◽  
Purchasing Decision ◽  
And Gender ◽  
The Impact

The research paper focuses on the impact of Virtual Reality Mirror on the Indian retail store, which is dependent on functions such as user experience, purchasing decision and demographic variables. The user experience is dependent on the immersive experience like VR mirror and the average time spent for the trial of clothes. The purchasing decision is dependent on look and feel of fabric, long queues in stores and average shopping time. The demographic variables used in the research are age and gender. A qualitative interview with an experiential store manager was conducted to get insights about the impact of immersive technologies on the retail industry. A survey was also conducted to gather the above-mentioned variables and trends were plotted graphically which depicted demographic sectors that can be targeted by retail stores to increase sales.  

Sign in / Sign up

Export Citation Format

Share Document