scholarly journals The Effect of Psychological Factors on Cognitive Functions in Stroke Patients With Chronic Fatigue

2021 ◽  
Vol 15 (3) ◽  
pp. 185-192
Author(s):  
Lale Lajevardi ◽  
◽  
Ghorban Taghizade ◽  
Zahra Parnain ◽  
◽  
...  

Background and Objectives: Cognitive and psychological impairments are among the disabling consequences of chronic stroke. Despite the high prevalence of these impairments in patients with chronic stroke and the significant impact of psychological factors on cognitive factors in other neurological diseases, no study was found to investigate the relationship between psychological factors and cognitive factors in chronic stroke patients with chronic fatigue. Therefore, this study aimed to investigate the relationship between psychological factors and cognitive functions in chronic stroke patients with chronic fatigue Methods: A total of 85 chronic stroke patients with chronic fatigue visited the Rehabilitation Centers of Tehran, Iran, were selected through the simple non-probability sampling method and enrolled in this correlational study. The Fatigue Severity Scale, Beck Depression Inventory, and Beck Anxiety Inventory were used to measure the levels of the fatigue, depression, and anxiety of patients with strokes, respectively. Besides, the cognitive functions of the participants were assessed using the Mini-Mental State Examination, the Montreal Cognitive Assessment, and the Pain Visual Analog Scale. Results: Based on the regression models, the Mini-Mental State Examination and the Montreal Cognitive Assessment explained up to 24.2% and 39.6% of the variance of cognitive functions, respectively. In all step-by-step models, the variables of anxiety, education level, and depression were the strongest predictors of cognitive functions. Conclusion: According to the clinical findings, psychological impairments, such as anxiety can adversely affect cognitive factors in chronic stroke patients with chronic fatigue. Therefore, therapeutic interventions focused on psychological factors may considerably improve the cognitive skills of these patients.

Author(s):  
Tiffany Tong ◽  
Jacqueline Urakami ◽  
Mark Chignell ◽  
Mary C. Tierney ◽  
Jacques S. Lee

We are developing whack-a-mole games for cognitive assessment. In prior research, we have shown that variants of the game assess cognitive speed and executive functioning (response inhibition), and can be used to screen for delirium in emergency departments. We have also found that whack-a-mole game performance is significantly correlated with overall Mini-Mental State Examination (MMSE) scores. In this paper, we report the results of a study that assessed the relationship of our serious game for cognitive assessment with specific components of the MMSE. We found that game performance is correlated most strongly with the orientation to time items component of MMSE and that the combination of three elements of the MMSE (attention and calculation; orientation to time; repetition) accounted for almost half of the variance in game performance in our sample.


2019 ◽  
Vol 22 (77) ◽  
pp. 174-182
Author(s):  
E. Lendraitienė ◽  
U. Buraitytė ◽  
D. Petruševičienė ◽  
L. Varžaitytė

Background. There is growing evidence that cognitive and motor functions after traumatic brain injury (TBI) are actually related. However, we failed to find any concrete evidence proving the interrelationship between balance and cognitive functions therefore the effects of TBI on cognitive and motor functions remain not fully evaluated. Objective. The aim of the study was to evaluate the relationship between the recovery of balance and cognitive functions during physiotherapy in patients with TBI. The methods of the study. The study included 25 individuals who had sustained TBI. The subjects were distributed into two groups: Group 1 consisted of 15 subjects with moderate TBI, and Group 2 – of 10 subjects with severe TBI. The cognitive functions were evaluated using the Mini Mental State Examination, the level of cognitive functioning (consciousness) was evaluated using the Rancho Los Amigos scale, and balance was assessed with the help of the Fullerton Advanced Balance Scale. Results and conclusions. After physiotherapy, improvement was observed in the balance of subjects with moderate and severe TBI. Physiotherapy improved cognitive functions in subjects with moderate and severe TBI. The search for correlations between individual items of the Fullerton Advanced Balance Scale and Mini Mental State Examination revealed relationship between some items in both groups.


Psico-USF ◽  
2021 ◽  
Vol 26 (3) ◽  
pp. 571-583
Author(s):  
Jucelaine Bier Di Domenico Grazziotin ◽  
Silvana Alba Scortegagna

Abstract This study sought evidence of validity of the Zulliger method to evaluate cognitive processes in elderly and long-lived adults and to verify the relationship between cognition and external variables. Participated 142 subjects, aged between 18 and 96 years old. The Zulliger Comprehensive System (ZSC), Mini-Mental State Examination and sociodemographic protocols were used as of data collection. The older and long-lived adults presented a significant decrease in mediation (X-%, XA%, P) and abstract reasoning (M) when compared to young and middle-aged adults. Education and socioeconomic status (SES) demonstrated significant and positive correlations with cognitive processes (R, ZF, W, M, DQ+ and Intellectualization). The findings are fundamental to psychological practice and to directing measures for cognitive preservation in human aging.


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