Awareness of memory functioning in patients with stroke who have a good functional outcome

H. Boosman, C.M. van Heugten, Ieke Winkens, V.A. Heijnen, J.M.A. Visser-Meily

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)

Abstract

Primary objective: To determine whether patients with stroke who have a good functional outcome show awareness of memory functioning and whether over-and under-estimation of memory performance are differentially related to neuropsychological performance. Research design: Prospective cohort study. Methods and procedures: The Barrow Neurological Institute Screen for Higher Cerebral Functions and a brief neuropsychological assessment were used to evaluate language, orientation, attention, visuospatial problem-solving, perception, reasoning, executive functioning, memory, affect and awareness of memory functioning. As for the latter, the patient's estimate of memory functioning was compared with his or her actual memory performance. Patients were divided into three groups: good-estimators (estimated performance actual performance), over-estimators (estimated performance > actual performance) and under-estimators (estimated performance < actual performance). Main outcomes and results: In total, 54 patients with stroke were included, of whom 27 patients were classified as good-estimators, 19 as over-estimators and eight as under-estimators. Compared to good-estimators, over-estimators had significantly lower scores for all cognitive domains. Under-estimators had significantly poorer affect compared to good-estimators. Conclusions: These preliminary results suggest that over-and under-estimation of memory functioning can be observed in patients with stroke who have a good functional outcome and that they may reflect distinct underlying neuropsychological processes.
Original languageEnglish
Pages (from-to)959-964
Number of pages6
JournalBrain Injury
Volume28
Issue number7
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

  • ANOSOGNOSIA
  • Anosognosia
  • BRAIN-INJURY
  • DEPRESSION
  • HIGHER CEREBRAL FUNCTIONS
  • NEUROLOGICAL-INSTITUTE SCREEN
  • PERFORMANCE
  • POPULATION
  • REHABILITATION
  • SELF-AWARENESS
  • VALIDATION
  • awareness
  • brain injury
  • cognition disorders
  • insight
  • neuropsychology

Cite this

Boosman, H. ; van Heugten, C.M. ; Winkens, Ieke ; Heijnen, V.A. ; Visser-Meily, J.M.A. / Awareness of memory functioning in patients with stroke who have a good functional outcome. In: Brain Injury. 2014 ; Vol. 28, No. 7. pp. 959-964.
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Awareness of memory functioning in patients with stroke who have a good functional outcome. / Boosman, H.; van Heugten, C.M.; Winkens, Ieke; Heijnen, V.A.; Visser-Meily, J.M.A.

In: Brain Injury, Vol. 28, No. 7, 01.01.2014, p. 959-964.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Awareness of memory functioning in patients with stroke who have a good functional outcome

AU - Boosman, H.

AU - van Heugten, C.M.

AU - Winkens, Ieke

AU - Heijnen, V.A.

AU - Visser-Meily, J.M.A.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Primary objective: To determine whether patients with stroke who have a good functional outcome show awareness of memory functioning and whether over-and under-estimation of memory performance are differentially related to neuropsychological performance. Research design: Prospective cohort study. Methods and procedures: The Barrow Neurological Institute Screen for Higher Cerebral Functions and a brief neuropsychological assessment were used to evaluate language, orientation, attention, visuospatial problem-solving, perception, reasoning, executive functioning, memory, affect and awareness of memory functioning. As for the latter, the patient's estimate of memory functioning was compared with his or her actual memory performance. Patients were divided into three groups: good-estimators (estimated performance actual performance), over-estimators (estimated performance > actual performance) and under-estimators (estimated performance < actual performance). Main outcomes and results: In total, 54 patients with stroke were included, of whom 27 patients were classified as good-estimators, 19 as over-estimators and eight as under-estimators. Compared to good-estimators, over-estimators had significantly lower scores for all cognitive domains. Under-estimators had significantly poorer affect compared to good-estimators. Conclusions: These preliminary results suggest that over-and under-estimation of memory functioning can be observed in patients with stroke who have a good functional outcome and that they may reflect distinct underlying neuropsychological processes.

AB - Primary objective: To determine whether patients with stroke who have a good functional outcome show awareness of memory functioning and whether over-and under-estimation of memory performance are differentially related to neuropsychological performance. Research design: Prospective cohort study. Methods and procedures: The Barrow Neurological Institute Screen for Higher Cerebral Functions and a brief neuropsychological assessment were used to evaluate language, orientation, attention, visuospatial problem-solving, perception, reasoning, executive functioning, memory, affect and awareness of memory functioning. As for the latter, the patient's estimate of memory functioning was compared with his or her actual memory performance. Patients were divided into three groups: good-estimators (estimated performance actual performance), over-estimators (estimated performance > actual performance) and under-estimators (estimated performance < actual performance). Main outcomes and results: In total, 54 patients with stroke were included, of whom 27 patients were classified as good-estimators, 19 as over-estimators and eight as under-estimators. Compared to good-estimators, over-estimators had significantly lower scores for all cognitive domains. Under-estimators had significantly poorer affect compared to good-estimators. Conclusions: These preliminary results suggest that over-and under-estimation of memory functioning can be observed in patients with stroke who have a good functional outcome and that they may reflect distinct underlying neuropsychological processes.

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KW - Anosognosia

KW - BRAIN-INJURY

KW - DEPRESSION

KW - HIGHER CEREBRAL FUNCTIONS

KW - NEUROLOGICAL-INSTITUTE SCREEN

KW - PERFORMANCE

KW - POPULATION

KW - REHABILITATION

KW - SELF-AWARENESS

KW - VALIDATION

KW - awareness

KW - brain injury

KW - cognition disorders

KW - insight

KW - neuropsychology

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DO - 10.3109/02699052.2014.888763

M3 - Article

VL - 28

SP - 959

EP - 964

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 7

ER -