scholarly journals Cognitive deficits in chronic pain patients, in a brief screening test, are independent of comorbidities and medication use

2016 ◽  
Vol 74 (5) ◽  
pp. 361-366 ◽  
Author(s):  
Karen dos Santos Ferreira ◽  
Gabriela Zucatto Oliver ◽  
Débora Carinhato Thomaz ◽  
Caroliny Trevisan Teixeira ◽  
Maria Paula Foss

ABSTRACT Objective To describe and analyze cognitive aspects in patients with chronic pain and a control group without pain. Method A case-control study was conducted on 45 patients with chronic pain and on 45 control subjects. Data including pain diagnosis, comorbidities and medication used, were evaluated. Cognitive tests, such as the Montreal Cognitive Assessment (MoCA), Verbal Fluency Test, Clock Drawing Test and Stroop Test, were applied. Results Patients with chronic pain showed a poorer performance, as shown by the scores of the MoCA test (p < 0.002), Verbal Fluency Test (p < 0.001), Clock Drawing Test (p = 0.022) and Stroop Test (p < 0.000). Chronic pain variable (p = 0.015, linear regression model) was an independent factor for results obtained with the MoCA. Conclusion Patients with chronic pain showed a poorer performance in a brief screening test for cognitive impairment not related to confounding variables, as comorbidities and pain-medication use.

2019 ◽  
Vol 77 (5) ◽  
pp. 330-334 ◽  
Author(s):  
Luis Felipe Scarabelot ◽  
Mariane de Moraes Monteiro ◽  
Mauren Carneiro da Silva Rubert ◽  
Viviane de Hiroki Flumignan Zetola

ABSTRACT Mini-Mental State Examination (MMSE) results are strongly influenced by educational level. The Brief Cognitive Screening Battery (BCSB) is an alternative assessment tool that provides more accurate results in individuals with less education. Objective: Our aim was to compare the MMSE and BCSB as screening tests. Methods: The MMSE and BCSB were assessed in 112 participants by two evaluators blind to the other test's result. Participants were classified according to their level of education. The influence of education level was analyzed using the Kruskal-Wallis and multiple comparison tests. Results: Scores of the MMSE (p < 0.0001) and the clock-drawing test (p < 0.0001) were influenced by education level but the delayed recall test score was not (p = 0.0804). The verbal fluency test (p = 0.00035) was influenced only by higher educational levels. It took three minutes less to apply the MMSE than to apply the BCSB (p < 0.0001). Conclusions: These findings suggest that the delayed recall test and the verbal fluency test of the BCSB are better than the MMSE and clock-drawing test as tools for evaluating cognition in people with limited education.


2015 ◽  
Vol 16 (4) ◽  
pp. 233-239 ◽  
Author(s):  
Yasushi Moriyama ◽  
Aihide Yoshino ◽  
Kaori Yamanaka ◽  
Motoichiro Kato ◽  
Taro Muramatsu ◽  
...  

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Reem Mohamed Sabry ELbedewy ◽  
Mohamed ELOKL

Abstract Background Early symptoms of dementia may not be apparent and are sometimes even concealed during short office visits initiated for other complaints. The aim of the study is to find out if the combined use of VF/CDT, VF/BNT, or CDT/BNT could improve the accuracy of detecting mild NCD in an outpatient setting, compared with either test used alone. Participants Community-dwelling older adults, attending the outpatient Geriatrics Clinic at Ain Shams University hospitals between June 1, 2017 and January 31, 2018. All participants received a comprehensive geriatric assessment (CGA) which included the mini-mental state examination test. Participants with a score of less than 24 and fulfil DSM5 criteria for mild neurocognitive disorder (NCD) are considered cognitively impaired otherwise are considered normal. Then participants were further examined by the Arabic versions of CDT, BNT, and VF animal category. Results We recruited 143 male and female participants mean age 67.17 ± 5.41, females are 56.6%, and 48.9% of all participants have mild NCD according to DSM5 criteria. AUC for individual neurocognitive tests in illiterates is 0.893 for clock drawing test, 0.907 for verbal fluency animal category, and 0.904 for Boston naming test, while AUC for neurocognitive test combinations in illiterates is 0.932 for VF + CDT, 0.917 for VF + BNT, and 0.932 for BNT + CDT. On the other hand, AUC for individual neurocognitive tests in educated participants is 0.925 for clock drawing test, 0.921 for verbal fluency animal category, and 0.907 for Boston naming test, whereas AUC for neurocognitive test combinations in educated participants is 0.958 for VF + CDT, 0.963 for VF + BNT, and 0.953 for BNT + CDT. Conclusion From the current study, we can conclude that any of the studied combinations have better diagnostic accuracy (although small) than individual test in both literate and illiterate older adults.


2002 ◽  
Vol 49 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Ker-Neng Lin ◽  
Pei-Ning Wang ◽  
Chien Chen ◽  
Yu-Hong Chiu ◽  
Chi-Chung Kuo ◽  
...  

2014 ◽  
Vol 10 ◽  
pp. P722-P722
Author(s):  
Sangsoon Kim ◽  
Yeonwook Kang ◽  
Seungmin Jahng ◽  
Kyung Ryu ◽  
Kyung-Ho Yu ◽  
...  

2019 ◽  
Vol 32 ◽  
Author(s):  
Carlos Eduardo Viana Santos ◽  
Alex de Oliveira Ribeiro ◽  
Luciana Crepaldi Lunkes

Abstract Introduction: With the increasing number of elderly people, greater care is required for this population, and zeal for health and quality of life becomes an important goal in healthy aging. Elderly people can achieve excellent results involving cognitive training based on brain plasticity. Objective: To verify the effectiveness of cerebral gymnastics in the cognitive state and well-being of institutionalized elderly women. Method: Clinical trial performed with nine institutionalized elderly women, mean age of 80.2 years old (± 9.1). The Subjective Well-being Scale and tests (clock, verbal fluency, figure recognition) were administered before and after ten weeks of the exercise program (eight exercises performed in two weekly meetings, involving figures, words and objects). The data normality was verified using the Shapiro-Wilk test, followed by Student t tests for analysis of SWB and Wilcoxon for analysis of figure recognition, clock-drawing test and verbal fluency. Results: Significant improvement in the incidental and immediate memory 1 and 2 (p = 0.007), verbal fluency (p = 0.011, p = 0.025 and p = 0.007) and the clock-drawing test (p value = 0.046). No significant results were found for SWB (p = 0.357 and p = 0.389). Conclusion: Brain gymnastics beneficially modified cognitive performance. Well-being did not show significant improvements.


2014 ◽  
Vol 29 (6) ◽  
pp. 526-527 ◽  
Author(s):  
M. Ortiz-Blanco ◽  
N. Torres-Garcia ◽  
M. Laureano ◽  
M. Neris-Rodriguez ◽  
M. Diaz-Soler ◽  
...  

2017 ◽  
Vol 11 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Mônica Sanches Yassuda ◽  
Henrique Salmazo da Silva ◽  
Thais Bento Lima-Silva ◽  
Meire Cachioni ◽  
Deusivania Vieira da Silva Falcão ◽  
...  

ABSTRACT Introduction: Diagnosing neurocognitive disorders is challenging in low-educated individuals. Objective: To report normative data for the Brief Cognitive Screening Battery (BCSB) and to assess the association of age and education with performance on the BCSB in 240 community-dwelling elderly from Ermelino Matarazzo, São Paulo city. Methods: The inclusion criteria were scoring above the education-adjusted cut-off points on the Mini-Mental State Examination (MMSE) and below six points on the Geriatric Depression Scale (GDS). Results: Age was associated with performance on the Naming, Incidental Memory, Verbal Fluency, Clock Drawing Test, Delayed Recall and Recognition subtests. Education was associated with performance on Naming, Recognition, Verbal Fluency and the Clock Drawing Test. Conclusion: The normative values reported are relevant for diagnosing neurocognitive disorders in low-educated elderly.


2017 ◽  
Vol 29 (9) ◽  
pp. 1507-1513 ◽  
Author(s):  
Filipi Leles da Costa Dias ◽  
Antônio Lúcio Teixeira ◽  
Henrique Cerqueira Guimarães ◽  
Maira Tonidandel Barbosa ◽  
Elisa de Paula França Resende ◽  
...  

ABSTRACTBackground:Individuals with late-life depression (LLD) may present cognitive symptoms. We sought to determine whether a brief cognitive battery (BCB) could identify cognitive and functional deficits in oldest-old individuals with LLD and a low level of education.Methods:We evaluated 639 community-dwelling individuals aged 75+ years in Caeté (MG), Brazil. We used the MINI and GDS-15 to diagnose major depression and evaluate its severity, respectively. The cognitive evaluation comprised the Mini-Mental State Examination (MMSE), BCB, clock-drawing test, category fluency test (animals) and Pfeffer's Functional Activities Questionnaire (FAQ).Results:Fifty-four (11.6%) of the included individuals were diagnosed with LLD; on average, these participants were aged 81.0 ± 4.8 years and had 3.9 ± 3.4 years of schooling, and 77.8% of the subjects with LLD were female. Depressed individuals scored lower than subjects without dementia/depression on the MMSE overall (p < 0.001) and on several of the MMSE subscales, namely, time (p < 0.001) and spatial orientation (p = 0.021), attention/calculation (p = 0.019), and language (p = 0.004). Individuals with LLD performed worse on the incidental and (p = 0.011) immediate memory (p = 0.046) and learning tasks (p = 0.039) of the BCB. Individuals with LLD also performed worse on the category fluency test (p = 0.006), clock-drawing test (p = 0.011) and FAQ (p < 0.001). Depression severity was negatively correlated with incidental memory (ρ = −0.412; p = 0.003) and positively correlated with FAQ score (ρ = 0.308; p = 0.035). In the multiple regression analysis, only temporal orientation and FAQ score remained independently associated with LLD.Conclusion:Individuals with depression and a low level of education presented several cognitive and functional deficits. Depression severity was negatively correlated with incidental memory and functionality. Our findings serve as a description of the presence of cognitive dysfunction in individuals with LLD and suggest that these deficits may be identified based on the results of a BCB.


Sign in / Sign up

Export Citation Format

Share Document