Introspective capacities in patients with cognitive deficits after subarachnoid hemorrhage.
Examined 58 patients after subarachnoid hemorrhage by means of neuropsychological tests, a self-report questionnaire, proxy ratings, and personality forms. The degree of cognitive impairment showed only a slight association with an impairment self-rating scale (r = .32, p > .01). On the other hand, the proxy impairment ratings correlated well with the degree of cognitive disturbance (r = .68, p < .001). Self-rated impairment correlated substantially with depression (r = .63, p < .001). A 2 x 2 analysis of variance showed a significant two-way interaction (p = .014) between depression and cognitive disturbance explaining the subjective impairment rating. Depressive patients tended to maximize their actual degree of impairment. Patients with right parietal and/or frontal infarcts showed significantly less depression and illness concern than did patients with infarcts at other locations, although both groups had a comparable degree of cognitive and self-rated impairment.
Hütter
B O
BO
Department of Neurosurgery, Technical University (RWTH) Aachen, Germany.
Gilsbach
J M
JM
D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D001364:Awareness / Q000502:physiology; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D001931:Brain Mapping; D002544:Cerebral Infarction / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D003863:Depression / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010296:Parietal Lobe / Q000503:physiopathology; D010555:Personality Inventory; D012803:Sick Role; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000503:physiopathology / Q000523:psychology*