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4. Psychological factors are associated with subjective cognitive complaints 2 months post-stroke

Author

Nijsse, Britta, Nijsse, Britta, van Heugten, Caroline M, van Mierlo, Marloes L, Post, Marcel W M, de Kort, Paul L M, Visser-Meily, Johanna M A, Nijsse, Britta, Nijsse, Britta, van Heugten, Caroline M, van Mierlo, Marloes L, Post, Marcel W M, de Kort, Paul L M, and Visser-Meily, Johanna M A

Abstract

The aim of this study was to investigate which psychological factors are related to post-stroke subjective cognitive complaints, taking into account the influence of demographic and stroke-related characteristics, cognitive deficits and emotional problems. In this cross-sectional study, 350 patients were assessed at 2 months post-stroke, using the Checklist for Cognitive and Emotional consequences following stroke (CLCE-24) to identify cognitive complaints. Psychological factors were: proactive coping, passive coping, self-efficacy, optimism, pessimism, extraversion, and neuroticism. Associations between CLCE-24 cognition score and psychological factors, emotional problems (depressive symptoms and anxiety), cognitive deficits, and demographic and stroke characteristics were examined using Spearman correlations and multiple regression analyses. Results showed that 2 months post-stroke, 270 patients (68.4%) reported at least one cognitive complaint. Age, sex, presence of recurrent stroke(s), comorbidity, cognitive deficits, depressive symptoms, anxiety, and all psychological factors were significantly associated with the CLCE-24 cognition score in bivariate analyses. Multiple regression analysis showed that psychological factors explained 34.7% of the variance of cognitive complaints independently, and 8.5% (p < .001) after taking all other factors into account. Of all psychological factors, proactive coping was independently associated with cognitive complaints (p < .001), showing that more proactive coping related to less cognitive complaints. Because cognitive complaints are common after stroke and are associated with psychological factors, it is important to focus on these factors in rehabilitation programmes.

Published
2017

8. The relationship between social cognition and participation in the long term after stroke.

Author

Stiekema, Annemarie P.M., Nijsse, Britta, de Kort, Paul L.M., Spikman, Jacoba M., Visser-Meily, Johanna M.A., and van Heugten, Caroline M.

Subjects
*SOCIAL participation, *SOCIAL perception, *EMOTION recognition, *BIVARIATE analysis
Abstract

Social cognitive impairments may play a role in participation restrictions after stroke. Understanding their relationship could inform treatment approaches to improve participation. We investigated the relationship between social cognition and participation in the long term after stroke. Of 395 patients participating in a large prospective cohort study, cross-sectional data were available at 3-4 years post-stroke of 118 patients on tests for emotion recognition, theory of mind, empathy, and behaviour regulation. Participation was assessed with the Utrecht Scale for Evaluation of Rehabilitation - Participation (USER-P). Bivariate and multivariate regression analysis were used to examine the relationship between social cognitive domains and participation. The majority suffered from minor stroke (83.1% scored NIHSS 0-4). Only behaviour regulation was related to participation restrictions in bivariate analysis, but social cognitive impairments did not predict participation restrictions in multivariate regression in this group. To conclude, in a sample of minor stroke patients with mild impairments in theory of mind, emotion recognition and behavioural control, there were no associations with restrictions in participation. Research should examine whether a relationship is present in patients with more severe stroke. In addition, measuring social aspects of participation is necessary to further unravel this relationship, to determine treatment targets for improving participation. [ABSTRACT FROM AUTHOR]

Published
2021
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10. SOCIAL COGNITION IMPAIRMENTS ARE ASSOCIATED WITH BEHAVIOURAL CHANGES IN THE LONG TERM AFTER STROKE

Author

Nijsse, Britta

Abstract

BACKGROUND AND PURPOSE: Behavioural changes after stroke might be explained by social cognition impairments. The aim of the present study was to investigate whether performances on social cognition tests (including emotion recognition, Theory of Mind (ToM), empathy and behaviour regulation) were associated with behavioural deficits (as measured by proxy ratings) in a group of patients with relatively mild stroke.METHODS: Prospective cohort study in which 119 patients underwent neuropsychological assessment with tests for social cognition (emotion recognition, ToM, empathy, and behaviour regulation) 3-4 years post stroke. Test scores were compared with scores of 50 healthy controls. Behavioural problems were assessed with the Dysexecutive Questionnaire (DEX) self rating and proxy rating scales. Pearson correlations were used to determine the relationship between the social cognition measures and DEX scores.RESULTS: Patients performed significantly worse on emotion recognition, ToM and behaviour regulation tests than controls. Mean DEX-self score did not differ significantly from the mean DEX-proxy score. DEX-proxy ratings correlated with tests for emotion recognition, empathy, and behavioural regulation (lower scores on these items were associated with more problems on the DEX-proxy scale).CONCLUSIONS: Social cognition impairments are present in the long term after stroke, even in a group of mildly affected stroke patients. Most of these impairments also turned out to be associated with a broad range of behavioural problems as rated by proxies of the patients. This strengthens the proposal that social cognition impairments are part of the underlying mechanism of behavioural change. Since tests for social cognition can be administered in an early stage, this would allow for timely identification of patients at risk for behavioural problems in the long term.

Published
2017

15. Carpal tunnel syndrome caused by remitting seronegative symmetrical synovitis with pitting oedema.

Author

Nijsse, Britta and Roks, Gerwin

Subjects
CARPAL tunnel syndrome, EDEMA, SYNOVITIS, DISEASE complications
Abstract

The article describes the case of a 73-year-old man who experienced paresthesias of the fingertips and weakness of the abductor pollicis brevis muscle and the opponens pollicis muscle of both hands. Electromyography has confirmed carpal tunnel syndrome (CTS) and the diagnosis of remitting seronegative symmetrical synovitis with pitting oedema was made with the presence of swelling and pitting oedema of both hands.

Published
2012
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