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Cognitive complaints in closed-head injury: Relationship to memory test performance and emotional disturbance
- Source :
- Journal of Clinical and Experimental Neuropsychology. 19:290-299
- Publication Year :
- 1997
- Publisher :
- Informa UK Limited, 1997.
-
Abstract
- Self-appraisal of cognitive difficulties by a sample of 63 male patients with closed-head injury (CHI) was examined in relation to their performance on the Wechsler Memory Scale - Revised (WMS-R; Wechsler, 1987), WAIS-R Digit Span (Wechsler, 1981), and to their scores on MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) measures of anxiety and depression. In an initial step, the Cognitive Difficulties Scale (CDS; McNair & Kahn, 1983), consisting of 39 self-report items, was factor analyzed using a sample of 255 consecutive neuropsychological referrals with documented brain impairment. Seven orthogonal dimensions emerged: Attention and Concentration, Orientation and Memory, Praxis, Domestic Activities, Facial Recognition, Task Efficiency, and Errand and Name Recall. Within a sample subset consisting of 63 patients with CHI, subjective complaints on the CDS were predictive of WMS-R Logical Memory performance (r = -.51, p < .0005). In contrast, CDS scores were generally poor predictors of Digit Span and Visual Reproduction scores (rs < .31). Cognitive complaints were also associated with emotional distress on the MMPI-2. The CDS appears to be a useful measure of self-appraised cognitive difficulties in patients with CHI, and may assist in the assessment of their self-reflective insight.
- Subjects :
- Male
medicine.medical_specialty
Wechsler Memory Scale
Emotions
Anxiety
Neuropsychological Tests
MMPI
Memory
Head Injuries, Closed
Activities of Daily Living
medicine
Memory span
Humans
Affective Symptoms
Psychiatry
medicine.diagnostic_test
Recall
Depression
Cognitive disorder
Neuropsychology
Wechsler Adult Intelligence Scale
Cognition
Neuropsychological test
Middle Aged
medicine.disease
Clinical Psychology
Neurology
Neurology (clinical)
Cognition Disorders
Factor Analysis, Statistical
Psychology
Psychomotor Performance
Clinical psychology
Subjects
Details
- ISSN :
- 1744411X and 13803395
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical and Experimental Neuropsychology
- Accession number :
- edsair.doi.dedup.....3f708aedf78b83d6a0724abaf29f85e2