scholarly journals Evaluation of social cognition in post stroke patients: a hemispheric analysis

2021 ◽  
Author(s):  
Nayara Karina Ferreira Pereira ◽  
Fábio Ricardo de Oliveira Galvão ◽  
Vaneza Mirele Gomes dos Santos ◽  
Enio Walker Azevedo Cacho ◽  
Marcos Hortes Nisihara Chagas ◽  
...  

Introduction: Social cognition is an increasingly explored field of research in the study of post-acquired brain injury psychiatric disorders, encompasses a number of domains including theory of mind (ToM). The ToM refers to the ability to understand, infer emotions, and predict the behavior of others. ToM deficits can impair information processing, and the laterality of the brain injury can influence the level of impairment. Objectives: To investigate whether laterality of the post-stroke hemispheric lesion influences performance on ToM tasks. Methods: Cross-sectional observational study, with chronic post-stroke subjects, aged ≥18 years, without cognitive deficits suggestive by Mini Mental State Examination (MMSE). The volunteers were submitted to a single evaluation using the Theory of Mind Task Battery (ToM TB) in its version translated and adapted to Portuguese (Brazil). The participants were allocated into two groups: group with right hemisphere injury (RHI) and group with left hemisphere injury (LHI). Comparative statistics were performed based on the ToM TB scores between the two groups using Student’s t-test. Results: Thirty-eight participants (RHI=22 and LHI=16) were included. There was no difference between the RHI and LHI group regarding social cognition assessed by ToM TB (t=1.63; p=0.11). Conclusion: The laterality of brain injury appears to not influence the level of performance on ToM tasks in stroke survivors.

2019 ◽  
Vol 14 (12) ◽  
pp. 1285-1295 ◽  
Author(s):  
Kristen R Hoskinson ◽  
Erin D Bigler ◽  
Tracy J Abildskov ◽  
Maureen Dennis ◽  
H Gerry Taylor ◽  
...  

Abstract Childhood traumatic brain injury (TBI) affects over 600 000 children per year in the United States. Following TBI, children are vulnerable to deficits in psychosocial adjustment and neurocognition, including social cognition, which persist long-term. They are also susceptible to direct and secondary damage to related brain networks. In this study, we examine whether brain morphometry of the mentalizing network (MN) and theory of mind (ToM; one component of social cognition) mediates the effects of TBI on adjustment. Children with severe TBI (n = 15, Mage = 10.32), complicated mild/moderate TBI (n = 30, Mage = 10.81) and orthopedic injury (OI; n = 42, Mage = 10.65) completed measures of ToM and executive function and underwent MRI; parents rated children’s psychosocial adjustment. Children with severe TBI demonstrated reduced right-hemisphere MN volume, and poorer ToM, vs children with OI. Ordinary least-squares path analysis indicated that right-hemisphere MN volume and ToM mediated the association between severe TBI and adjustment. Parallel analyses substituting the central executive network and executive function were not significant, suggesting some model specificity. Children at greatest risk of poor adjustment after TBI could be identified based in part on neuroimaging of social brain networks and assessment of social cognition and thereby more effectively allocate limited intervention resources.


Author(s):  
Nayara Karina Ferreira Pereira ◽  
Gabriele Natane de Medeiros Cirne ◽  
Fábio Ricardo de Oliveira Galvão ◽  
Maria Eloiza Costa ◽  
Wellington dos Santos Lima Júnior ◽  
...  

2018 ◽  
Vol 64 (10) ◽  
pp. 922-927
Author(s):  
Maria Aparecida Scottini ◽  
Rachel Duarte Moritz ◽  
José Eduardo de Siqueira

SUMMARY OBJECTIVE: Evaluating the degree of cognition, functionality, presence of symptoms and medications prescribed for patients under palliative home care. METHOD: Descriptive, cross-sectional study where 55 patients under palliative home care were interviewed. Cognition was evaluated using the Mini-Mental state examination (MM), with patients being separated into two groups: with preserved cognitive ability (MM>24), or altered (MM <24). The functionality was verified by the Palliative Performance Scale (PPS) and the patients were divided into two groups: PPS≤50 and PPS≥60. The symptoms presence was evaluated by ESAS (Edmonton Symptom Assessment System) being considered as mild (ESAS 1-3), moderate (ESAS 4-6) or severe (ESAS 7-10) symptoms. Medications prescribed to control the symptoms were registered. Statistical analysis used Student's t test (p <0.05). RESULTS: Most of the 55 patients were women (63.6%), 70.9% of these had MM> 24, 83.6% had PPS <50 and 78.2% presented chronic non-neoplastic degenerative disease. There was a significant relationship between PPS≤50 and MM≤24. Symptoms were present in 98% of patients. Asthenia was more frequently reported and was not treated in 67% of the cases. Severe pain was present in 27.3%: 46% without medication and 13% with medication, if necessary. Most patients with severe dyspnea used oxygen. CONCLUSIONS: Most of the analysed patients had their cognition preserved, presented low functionality and 98% reported the presence of symptoms. Severe pain was present in almost 1/3 of the patients without effective treatment. Re-evaluate palliative home care is suggested to optimize patient's quality of life.


2019 ◽  
Vol 28 ◽  
Author(s):  
Luciana Camargo de Oliveira Melo ◽  
Ana Márcia Spanó Nakano ◽  
Juliana Cristina dos Santos Monteiro ◽  
Maria Cândida de Carvalho Furtado

ABSTRACT Objective: TO analyze the presence and extent of the Primary Health Care attributes in the breastfeeding process based on the experience of the health professionals in the services certified by the Amamenta Brasil Network in comparison with non-certified services. Method: cross-sectional and descriptive study with a quantitative approach, using the PCATool-Brazil - version for professionals, which was applied to 53 health professionals, physicians and nurses, from a city in the State of São Paulo, Brazil. Descriptive and inferential statistical analysis was applied, using Student’s t-test and the Mann-Whitney test. Results: the services certified by the Amamenta Brasil Network scored higher on Longitudinality(6.7)and Coordination-information systems (8.3).The professionals who were trained by the Amamenta Brasil Network scored higher on Coordination-information systems(8.4)and on Comprehensiveness - available services (7.0).These two groups also gave more positive answers to the other attributes. Conclusion: the services certified by and the professionals who were trained by the Amamenta Brasil Network demonstrated a higher degree of orientation towards Primary Health Care. The data appoint that the better performance on the attributes is related, among other factors, to the professionals’ being better qualified to develop practices that value the promotion, protection and support of breastfeeding, in accordance with the principles of Primary Health Care.


2018 ◽  
Vol 99 (3) ◽  
pp. 119-124
Author(s):  
A. V. Semenov ◽  
N. V. Monakov ◽  
E. I. Balkhanova ◽  
A. A. Raznobarskiy ◽  
T. A. Mamonova

Objective: to study changes in the cross sectional optic nerve diameter (OND), by using multislice computed tomography (MSCT), in patients with mild traumatic brain injury  (TBI), as well as those with severe (including mixed) TBI before and  after craniotomy; to assess whether this technique can be integrated with a whole-body MSCT protocol in severe mixed TBI (MTBI).Material and methods. OND was retrospectively studied in two  selected groups of patients with injuries (a total of 51 patients):  Group 1 (n = 40) included 2 subgroups (n = 20 in each) with mild  TBI or severe MTBI; Group 2 (n = 11) comprised 2 subgroups with  severe TBI who had undergone decompressive (n = 6) or  osteoplastic (n = 5) craniotomy with subsequent OND measurement  after 12–18 hours. Results.Primary brain MSCT showed that the average OND was  6.12±1,01 mm in severe MTBI and 4.4±0.19 mm in mild TBI (Student’s t = 5.707). After decompressive craniotomy, there  was a decrease in OND from 6.26±0.27 to 5.38±0.22 mm (Student’s t = 2.486).Conclusion. Among the patients with severe MTBI, the OND at  primary MSCT is significantly greater than that in patients with mild  TBI, which may be due to elevated intracranial pressure, as shown  by the literature data. There is a statistically significant decrease in  OND after decompressive craniotomy and removal of the brain  compressive factor. Whole-body MSCT revealed no technical  obstacles to the application of an OND measurement technique.


2019 ◽  
Vol 2 (1) ◽  
pp. 293
Author(s):  
Ahmadi NH ◽  
Elly Noerhidajati ◽  
Siti Maesaroh

Cognitive function varies in each human being, from simple to complex, requiring attention, concentration, and coordination. Cognitive is related to a person's ability to think, solve problems, organize and also to communicate and interact with others and the environment. Methods: cross-sectional research, samples involve the students of medical faculty of Unissula-Semarang with GPA less than 3 and more than 3 graduated in 2018, instrument Mini-Mental State Examination (MMSE). Descriptive analysis and Chi-square test. Results and Discussion: samples are 56 students, the highest gender is men (51%), the range of age 18-21 years old (53.6%), the number of GPA is the same as the one below and above 3 there are 28 (50%). Test Chi Square gender difference with P value of 0.422 GPA gender does not have significant difference to the GPA, based on the age of the results of T-test p-value 0.000, showed age had significant difference to the GPA, where the age is getting younger GPA is getting better, based on the scores of MMSE test, it was obtained p 1.000, MMSE score has no significant difference with the GPA. Conclusion: Gender and MMSE value have no difference with GPA, there is difference between age and GPA, the younger the students the better GPA the students achieve.


2018 ◽  
Vol 45 (3) ◽  
pp. 75-76
Author(s):  
Tais Francine de Rezende ◽  
Ana Julia de Lima Bomfim ◽  
Natália Mota de Souza Chagas ◽  
Flávia de Lima Osório ◽  
Marcos Hortes Nisihara Chagas

2021 ◽  
Vol 74 (9-10) ◽  
pp. 295-307
Author(s):  
Viktória Tamás ◽  
András Büki ◽  
Róbert Herold

A mentalizáció vagy tudatelmélet, mint a szociális kogníciónk egyik aspektusa, az a készségünk, mellyel képesek vagyunk mások mentális állapotaira (intenciók, vágyak, gondolatok, érzelmek) következtetni, és ez alapján viselkedésüket előre jelezni. Ez a funkciónk jelentősen meghatározza a szociális világban történő részvételünket és eligazodásunkat, továbbá fontos szerepet játszik a társalgási szituációkban, a szociális interakciókban, a társas integrációban és adaptációban. Traumatikus agysérülés alkalmával – mely sokszor érinti a fiatalabb populációt – károsodhatnak azok az agyi régiók, melyek az elmeolvasó funkció alapjául szolgálnak. A koponyatraumák fokális vagy diffúz cerebralis sérüléseket okozhatnak, melyek következményeként gyakran alakul ki mentalizációs deficit. A témával kapcsolatban elsősorban olyan publikációkra kerestünk rá, melyek a tudatelméleti képességet traumás agysérülést elszenvedett egyének és kontrollszemélyek között hasonlították össze (komparatív jellegű eset-kontroll vizsgálatok). A közlemények felkutatására internetes/online felület alapú keresést végeztünk a PubMed, a Web of Science, a ScienceDirect, a Google Scholar, az APA PsycNET (PsycARTICLES) és az EBSCO Host oldalak felhasználásával. A keresés a témaspecifikus kulcsszavak következő kombinációja alapján történt: theory of mind vagy mentalizing vagy social cognition és traumatic brain injury vagy head/brain injury vagy diffuse axonal injury. A keresés alapján talált és feldolgozott tanulmányok/vizsgálatok (21 db) eredményei szerint a traumás agysérülés gyakran vezet különböző fokú mentalizációs deficithez. Jelenlegi összefoglaló közleményünkkel arra próbáljuk felhívni a figyelmet, hogy az elmeolvasási diszfunkció megjelenése és mértéke nagymértékben befolyásolhatja a betegség kimenetelét, az esetleges rehabilitációs idő hosszát és végső soron a traumás agysérült egyén életkilátásait. Emellett áttekintésünkkel igyekszünk állást foglalni a tudatelméleti képesség területspecifikus vagy terület általános volta mellett, traumás agysérült páciensek mintáján végzett kutatások alapján.


2017 ◽  
Vol 98 (10) ◽  
pp. e110
Author(s):  
Eiman Alismail ◽  
Saeed Alzahrani ◽  
Fadi Abdulaziz ◽  
Maram Alrashid ◽  
Noura Almusaibeeh ◽  
...  

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