Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11716
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dc.contributor.authorLamb, Fionaen
dc.contributor.authorAnderson, Jacquelineen
dc.contributor.authorSaling, Michael Men
dc.contributor.authorDewey, Helen Men
dc.date.accessioned2015-05-16T01:20:25Z
dc.date.available2015-05-16T01:20:25Z
dc.date.issued2013-03-22en
dc.identifier.citationArchives of Physical Medicine and Rehabilitation 2013; 94(9): 1747-52en
dc.identifier.govdoc23529143en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11716en
dc.description.abstractTo investigate the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in a postacute (mean=6.64±1.32mo) sample of patients with ischemic stroke.Cross-sectional study.Specialized stroke units at major metropolitan hospitals.Patients with first-ever ischemic stroke (N=25) aged between 50 and 85 years with relatively good neurologic recovery (National Institutes of Health Stroke Scale score ≤7) during the postacute period. Participants were excluded from the study if there was a documented history of psychiatric illness, neurologic disease, dementia, or a moderate or severe aphasia.Not applicable.Cognitive complaint as measured by the A-B Neuropsychological Assessment Schedule.Ninety percent of the patients reported some level of cognitive difficulty in everyday life. Fatigue, cognitive slowing, memory difficulties, and poor concentration were the most frequently reported complaints. More than half of all participants had significant impairment in at least 1 cognitive domain after their stroke. A standard multiple regression was performed to evaluate the relative impact of negative affect, fatigue, and objective cognitive functioning on subjective cognitive complaint. This model accounted for 61% of the variance in total subjective cognitive complaint (R=.78, F3,21=10.96, P<.001), with depression being the only variable to make a significant independent contribution to the prediction of subjective cognitive complaint.Cognitive complaints are reported by almost all patients after a stroke. Although 50% of the participants had objective evidence of a cognitive impairment, neither objective cognitive impairment nor fatigue predicted cognitive complaint independently of negative affect. Clinicians who receive reports of cognitive complaints in the postacute period after stroke should be alert to the possibility of psychological distress in their patient.en
dc.language.isoenen
dc.subject.otherA-B Neuropsychological Assessment Scheduleen
dc.subject.otherABNASen
dc.subject.otherAffective symptomsen
dc.subject.otherCognition disordersen
dc.subject.otherCognitive symptomen
dc.subject.otherDepressionen
dc.subject.otherFatigueen
dc.subject.otherMemoryen
dc.subject.otherNIHSSen
dc.subject.otherNational Institutes of Health Stroke Scaleen
dc.subject.otherNeuropsychological testsen
dc.subject.otherPsychological factorsen
dc.subject.otherRBANSen
dc.subject.otherRehabilitationen
dc.subject.otherRepeatable Battery for the Assessment of Neuropsychological Statusen
dc.subject.otherStrokeen
dc.subject.otherAffecten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAnxiety.epidemiologyen
dc.subject.otherAttentionen
dc.subject.otherCognition Disorders.epidemiologyen
dc.subject.otherDepression.epidemiologyen
dc.subject.otherEducational Statusen
dc.subject.otherFatigue.epidemiologyen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMemory Disorders.epidemiologyen
dc.subject.otherMental Healthen
dc.subject.otherMiddle Ageden
dc.subject.otherPatient Acuityen
dc.subject.otherStroke.psychologyen
dc.titlePredictors of subjective cognitive complaint in postacute older adult stroke patients.en
dc.typeJournal Articleen
dc.identifier.journaltitleArchives of Physical Medicine and Rehabilitationen
dc.identifier.affiliationMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.doi10.1016/j.apmr.2013.02.026en
dc.description.pages1747-52en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23529143en
dc.type.austinJournal Articleen
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.cerifentitytypePublications-
crisitem.author.deptMolecular Imaging and Therapy-
crisitem.author.deptClinical Neuropsychology-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
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