中风后疲劳的严重程度与慢性中风的执行功能障碍有关。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Chloe Carrick, Andrea Kusec, Nele Demeyere
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引用次数: 0

摘要

中风后,疲劳非常普遍,管理疲劳一直被中风幸存者和专业人员评为未满足的关键需求。在中风恢复的早期阶段,特定领域的认知障碍与更严重的疲劳程度有关,但目前还不清楚这些关联在慢性中风(>2 年)中是否成立。本横断面观察性研究评估了特定领域认知功能与慢性中风幸存者自我报告的疲劳严重程度之间的关系。作为中风纵向队列 OX-CHRONIC 研究的一部分,参与者(N = 105;平均年龄 = 72.92,女性占 41.90%;中风后平均年数 = 4.57)接受了注意力(红心取消测试)、语言(波士顿命名测试)、外显记忆(逻辑记忆测试)、工作记忆(数字跨度向后任务)和执行功能(集合转换:路径制作测试 B 部分)等领域的评估。疲劳采用疲劳严重程度量表进行评估。在包含上述认知领域的多元线性回归分析中,只有较差的执行功能与疲劳严重程度的增加有关。这有助于深入了解中风后长期疲劳的认知障碍特征,其中执行功能障碍是关键特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-stroke fatigue severity is associated with executive dysfunction in chronic stroke.

Following stroke, fatigue is highly prevalent and managing fatigue is consistently rated a key unmet need by stroke survivors and professionals. Domain-specific cognitive impairments have been associated with greater fatigue severity in earlier stages of stroke recovery, but it is unclear whether these associations hold in chronic (>2 years) stroke. The present cross-sectional observational study evaluates the relationship between domain-specific cognitive functioning and the severity of self-reported fatigue among chronic stroke survivors. Participants (N = 105; mean age = 72.92, 41.90% female; mean years post-stroke = 4.57) were assessed in domains of attention (Hearts Cancellation test), language (Boston Naming Test), episodic memory (Logical Memory Test), working memory (Digit Span Backwards task), and executive functioning (set-shifting: Trail Making Test, Part B), as part of the OX-CHRONIC study, a longitudinal stroke cohort. Fatigue was assessed using the Fatigue Severity Scale. In a multiple linear regression analysis inclusive of above cognitive domains, only poorer executive functioning was associated with increased fatigue severity. This provides insight into the cognitive impairment profile of post-stroke fatigue long-term after stroke, with executive functioning deficits as the key hallmark.

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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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