Search

Objective. To describe the relationship between neuropsychological variables and serum cortisol levels as a measure of physiological stress in patients with fibromyalgia.Methodology. A sample of 60 women was intentionally selected: 30 with Fibromyalgia diagnosis and 30 with normal controls. Cortisol levels were determined using two blood samples (AM and PM) and a neuropsychological and emotional battery was applied with a standardized protocol in Colombian population to evaluate different cognitive domains. Comparative and correlational non-parametric analyzes were performed, a multiple regression analysis to determine influences between variables.Results. Significant differences between the study groups in the neuropsychological variables (attention, memory, language, visual-constructive praxis and executive functions (EF), (p

Objetivo. Describir la relación entre variables neuropsicológicas y niveles de cortisol sérico; como una medida de estrés fisiológico; en pacientes con fibromialgia. Metodología. Se seleccionó intencionalmente una muestra de 60 mujeres: 30 con diagnóstico de Fibromialgia y 30 controles normales. Se determinaron los niveles de cortisol mediante dos muestras de sangre (AM y PM) y se realizó una batería neuropsicológica y emocional, con un protocolo estandarizado en población colombiana para evaluar diferentes dominios cognitivos. Se hicieron análisis comparativo y correlacional no paramétrico, un análisis de regresión múltiple para determinar influencias entre las variables. Resultados. Se encontraron diferencias significativas entre los grupos de estudio en las variables neuropsicológicas (atención, memoria, lenguaje, praxis viso-constructiva y funciones ejecutivas (FE), (p

Introduction: There are few batteries of episodic verbal memory adapted to our environment. The Signoret Mnesic efficiency battery (BEM 144) allows observing the overall functioning of episodic memory and learning ability, and quantifying mnemonic deficits. Objective: To present the normative data of the verbal subtests of the BEM 144 and to analyze the discriminative validity for the detection of verbal episodic memory disorders in patients with mild cognitive impairment (MCI). Materials and methods: A total of 227 normal subjects aged 20-93 years old were selected. Their results were compared with 95 subjects who fulfilled criteria for MCI. Normative data were obtained for the subtests of the BEM 144. Positive (PPV) and negative predictive values (NPV) and positive/negative likelihood ratio (LR+/LR-) were calculated. Receiver Operator Characteristics (ROC) and Area under the curve (ABC) curves were also obtained. Results: Within the normal subjects, the age factor presented the highest correlation with the mnesic variables. There was no significant correlation (P>.05) between the mnesic and formal education variables. We performed scales for 6 age groups. The group over 86 years old scored the lowest. Regarding the patients with MCI, the ROC curves presented a good diagnostic accuracy (AUC 0.83) for clue recall variable and recognition by clue and election. Conclusion: The Argentine version of the BEM 144 is a valid and effective detection instrument for the diagnosis of patients with MCI.

Objetivo: La Fibromialgia (FM) es un síndrome de dolor crónico generalizado, asociado a alteraciones emocionales y comportamentales. El objetivo del estudio fue identificar los síntomas afectivo-conductuales y las estrategias cognitivas de afrontamiento en la percepción de dolor de pacientes con FM. Material y Métodos: Se realizó un estudio de corte transversal, con análisis de casos y controles, con una muestra de dos grupos de mujeres, en la ciudad de Barranquilla (Colombia): 34 con diagnóstico de FM y 30 controles, a quienes se les realiza evaluación de síntomas psicológicos y de percepción de dolor. Resultados: los pacientes con FM presentan significativamente mayores síntomas afectivo-conductuales (ansiedad, depresión, insomnio, somatización y disfunción social), que los sujetos controles (p