Prevalence and profile of poststroke subjective cognitive complaints

M.W.A. van Rijsbergen, R.E. Mark, Paul L M de Kort, M.M. Sitskoorn

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Abstract

Background
Subjective cognitive complaints (SCCs) are common after stroke, but detailed information about how SCCs differ between patients with stroke versus stroke-free individuals is not available. We evaluated the prevalence and profile of the 2 SCC components (content and worry) in patients 3 months after stroke versus controls using both a generic and a stroke-specific instrument.
Methods
Using a cross-sectional design, 142 patients were compared to 135 controls (matched at group level on age, sex, and estimate of premorbid intelligence quotient). SCC-content and SCC-worry were assessed using the Cognitive Failures Questionnaire (CFQ) and the Checklist of Cognitive and Emotional Consequences after stroke (CLCE-24). Univariate and multivariate linear (for continuous scores) and logistic (for dichotomous scores) regression analyses were used to explore differences between patients and controls on both instruments.
Results
Based on the CLCE, patients reported more SCC-content (standardized β = .21, p.001) and SCC-worry (standardized β = .18, p.02) than controls in multivariate analyses. Profiles indicated that stroke was associated in particular with SCC-content on the domains of memory, attention, executive functioning, expressive language, and with attention-related SCC-worry. In contrast, no group differences were found on SCC-content and SCC-worry assessed by the CFQ.
Conclusions
The prevalence and profile of SCC-content and SCC-worry differ between patients and controls 3 months after stroke. The instrument used may, however, determine prevalence estimates. Stroke-specific inventories that differentiate between SCC-content and SCC-worry are preferable when attempting to determine SCC after stroke.
Keywords: Stroke, subjective cognitive complaints, Cognitive Failures Questionnaire, CFQ, Checklist for Cognitive and Emotional Consequences after stroke, CLCE-24
Original languageEnglish
Pages (from-to)1823–1831
JournalJournal of Stroke and Cerebrovascular Diseases
Volume24
Issue number8
DOIs
Publication statusPublished - 2015

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@article{ee0e38353e7f4ab3852494497cb2da98,
title = "Prevalence and profile of poststroke subjective cognitive complaints",
abstract = "BackgroundSubjective cognitive complaints (SCCs) are common after stroke, but detailed information about how SCCs differ between patients with stroke versus stroke-free individuals is not available. We evaluated the prevalence and profile of the 2 SCC components (content and worry) in patients 3 months after stroke versus controls using both a generic and a stroke-specific instrument.MethodsUsing a cross-sectional design, 142 patients were compared to 135 controls (matched at group level on age, sex, and estimate of premorbid intelligence quotient). SCC-content and SCC-worry were assessed using the Cognitive Failures Questionnaire (CFQ) and the Checklist of Cognitive and Emotional Consequences after stroke (CLCE-24). Univariate and multivariate linear (for continuous scores) and logistic (for dichotomous scores) regression analyses were used to explore differences between patients and controls on both instruments.ResultsBased on the CLCE, patients reported more SCC-content (standardized β = .21, p.001) and SCC-worry (standardized β = .18, p.02) than controls in multivariate analyses. Profiles indicated that stroke was associated in particular with SCC-content on the domains of memory, attention, executive functioning, expressive language, and with attention-related SCC-worry. In contrast, no group differences were found on SCC-content and SCC-worry assessed by the CFQ.ConclusionsThe prevalence and profile of SCC-content and SCC-worry differ between patients and controls 3 months after stroke. The instrument used may, however, determine prevalence estimates. Stroke-specific inventories that differentiate between SCC-content and SCC-worry are preferable when attempting to determine SCC after stroke.Keywords: Stroke, subjective cognitive complaints, Cognitive Failures Questionnaire, CFQ, Checklist for Cognitive and Emotional Consequences after stroke, CLCE-24",
author = "{van Rijsbergen}, M.W.A. and R.E. Mark and {de Kort}, {Paul L M} and M.M. Sitskoorn",
year = "2015",
doi = "10.1016/j.jstrokecerebrovasdis.2015.04.017",
language = "English",
volume = "24",
pages = "1823–1831",
journal = "Journal of Stroke and Cerebrovascular Diseases",
issn = "1052-3057",
publisher = "W.B. Saunders Ltd",
number = "8",

}

Prevalence and profile of poststroke subjective cognitive complaints. / van Rijsbergen, M.W.A.; Mark, R.E.; de Kort, Paul L M; Sitskoorn, M.M.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 24, No. 8, 2015, p. 1823–1831.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Prevalence and profile of poststroke subjective cognitive complaints

AU - van Rijsbergen, M.W.A.

AU - Mark, R.E.

AU - de Kort, Paul L M

AU - Sitskoorn, M.M.

PY - 2015

Y1 - 2015

N2 - BackgroundSubjective cognitive complaints (SCCs) are common after stroke, but detailed information about how SCCs differ between patients with stroke versus stroke-free individuals is not available. We evaluated the prevalence and profile of the 2 SCC components (content and worry) in patients 3 months after stroke versus controls using both a generic and a stroke-specific instrument.MethodsUsing a cross-sectional design, 142 patients were compared to 135 controls (matched at group level on age, sex, and estimate of premorbid intelligence quotient). SCC-content and SCC-worry were assessed using the Cognitive Failures Questionnaire (CFQ) and the Checklist of Cognitive and Emotional Consequences after stroke (CLCE-24). Univariate and multivariate linear (for continuous scores) and logistic (for dichotomous scores) regression analyses were used to explore differences between patients and controls on both instruments.ResultsBased on the CLCE, patients reported more SCC-content (standardized β = .21, p.001) and SCC-worry (standardized β = .18, p.02) than controls in multivariate analyses. Profiles indicated that stroke was associated in particular with SCC-content on the domains of memory, attention, executive functioning, expressive language, and with attention-related SCC-worry. In contrast, no group differences were found on SCC-content and SCC-worry assessed by the CFQ.ConclusionsThe prevalence and profile of SCC-content and SCC-worry differ between patients and controls 3 months after stroke. The instrument used may, however, determine prevalence estimates. Stroke-specific inventories that differentiate between SCC-content and SCC-worry are preferable when attempting to determine SCC after stroke.Keywords: Stroke, subjective cognitive complaints, Cognitive Failures Questionnaire, CFQ, Checklist for Cognitive and Emotional Consequences after stroke, CLCE-24

AB - BackgroundSubjective cognitive complaints (SCCs) are common after stroke, but detailed information about how SCCs differ between patients with stroke versus stroke-free individuals is not available. We evaluated the prevalence and profile of the 2 SCC components (content and worry) in patients 3 months after stroke versus controls using both a generic and a stroke-specific instrument.MethodsUsing a cross-sectional design, 142 patients were compared to 135 controls (matched at group level on age, sex, and estimate of premorbid intelligence quotient). SCC-content and SCC-worry were assessed using the Cognitive Failures Questionnaire (CFQ) and the Checklist of Cognitive and Emotional Consequences after stroke (CLCE-24). Univariate and multivariate linear (for continuous scores) and logistic (for dichotomous scores) regression analyses were used to explore differences between patients and controls on both instruments.ResultsBased on the CLCE, patients reported more SCC-content (standardized β = .21, p.001) and SCC-worry (standardized β = .18, p.02) than controls in multivariate analyses. Profiles indicated that stroke was associated in particular with SCC-content on the domains of memory, attention, executive functioning, expressive language, and with attention-related SCC-worry. In contrast, no group differences were found on SCC-content and SCC-worry assessed by the CFQ.ConclusionsThe prevalence and profile of SCC-content and SCC-worry differ between patients and controls 3 months after stroke. The instrument used may, however, determine prevalence estimates. Stroke-specific inventories that differentiate between SCC-content and SCC-worry are preferable when attempting to determine SCC after stroke.Keywords: Stroke, subjective cognitive complaints, Cognitive Failures Questionnaire, CFQ, Checklist for Cognitive and Emotional Consequences after stroke, CLCE-24

U2 - 10.1016/j.jstrokecerebrovasdis.2015.04.017

DO - 10.1016/j.jstrokecerebrovasdis.2015.04.017

M3 - Article

C2 - 25997979

VL - 24

SP - 1823

EP - 1831

JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

SN - 1052-3057

IS - 8

ER -