Social Cognition, Executive Functioning, Mood, and Disability in Cervical Dystonia.

IF 1.3 4区 医学 Q4 BEHAVIORAL SCIENCES
Madeleine Diepman, Christina Seery, Shameer Rafee, Rachel Somers, Séan O'Riordan, Michael Hutchinson, Fiadhnait O'Keeffe
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引用次数: 0

Abstract

Background: Individuals with idiopathic adult-onset isolated cervical dystonia (CD) may have cognitive difficulties and increased mood challenges. Social cognition and executive functioning may be particularly affected.

Objective: To explore social cognition and executive functioning performance in individuals with CD, using the Cambridge Neuropsychological Test Automated Battery (CANTAB), as previous research has used traditional, nondigital neuropsychological assessments. We sought to investigate the relationships between social cognition, executive functioning, mood, and disability in individuals with CD.

Methods: We recruited 37 individuals with CD, including 26 women with an age range of 33 to 69 years (M = 56.64, SD = 8.31) from a dystonia clinic in a hospital neurology department. The individuals completed selected tasks from the CANTAB measuring social cognition and executive functioning. We compared the individuals' performance with CANTAB normative data. Depression, anxiety, disease severity, and disability were measured.

Results: The individuals with CD had significantly lower scores than the CANTAB normative data in both social cognition and executive functioning tasks, with the largest differences evident in problem-solving, attention, and positive emotion bias tasks. Poorer emotion recognition was associated with increased difficulties in problem-solving tasks. The individuals demonstrated a bias toward identifying happiness in facial affect, which was related to a poorer recognition of emotions. Cognitive performance was not related to CD severity or disability or to current mood symptoms.

Conclusion: Difficulties with both social cognition and executive functioning were identified in the individuals with CD, and are likely important targets for clinical interventions.

颈性肌张力障碍患者的社交认知、执行功能、情绪和残疾。
背景:特发性成人孤立性颈肌张力障碍(CD)患者可能会出现认知困难和情绪问题。社交认知和执行功能可能尤其受到影响:由于之前的研究使用的是传统的非数字神经心理学评估方法,因此我们使用剑桥神经心理学测试自动化电池(CANTAB)来探索 CD 患者的社交认知和执行功能表现。我们试图研究 CD 患者的社会认知、执行功能、情绪和残疾之间的关系:我们从一家医院神经内科的肌张力障碍诊所招募了 37 名 CD 患者,其中包括 26 名女性,年龄在 33 岁至 69 岁之间(M = 56.64,SD = 8.31)。这些患者完成了 CANTAB 中测量社会认知和执行功能的部分任务。我们将他们的表现与 CANTAB 常模数据进行了比较。我们还对抑郁、焦虑、疾病严重程度和残疾情况进行了测量:结果:CD患者在社会认知和执行功能任务中的得分明显低于CANTAB常模数据,其中在问题解决、注意力和积极情绪偏差任务中的差异最大。较差的情绪识别能力与问题解决任务的难度增加有关。这些人在面部情绪中表现出一种识别快乐的偏向,这与较差的情绪识别能力有关。认知能力的高低与抑郁症的严重程度、残疾程度或当前的情绪症状无关:结论:CD患者在社会认知和执行功能方面都存在困难,这可能是临床干预的重要目标。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
68
审稿时长
>12 weeks
期刊介绍: Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.
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