Self-report of cognitive abilities in temporal lobe epilepsy: cognitive, psychosocial, and emotional factors.
Self-report of cognitive functioning using the Multiple Abilities Self-Report Questionnaire (MASQ) was examined in 57 left (LTLE) and 36 right (RTLE) temporal lobe epilepsy patients. The MASQ is a 38-item self-report measure assessing five domains of self-perceived cognitive functioning: Language, Visual-Perceptual Abilities, Verbal Memory, Visual-Spatial Memory, and Attention/Concentration. Overall, LTLE patients self-reported more cognitive difficulties across all domains. Language was the only domain to emerge as a robust indicator of seizure lateralization (LTLE patients reporting more problems). Neuropsychological test performance did not emerge as a significant predictor for any domain, whereas measures of psychosocial and emotional functioning accounted for a significant but modest amount of variance in all of them. The results suggest caution in using such self-report measures as an ecological extension of objective testing, but suggest a role in assessing self-appraisal of deficits.
Baños
James H
JH
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL 35249, USA. banos@uab.edu
LaGory
Jason
J
Sawrie
Stephen
S
Faught
Edward
E
Knowlton
Robert
R
Prasad
Avinash
A
Kuzniecky
Ruben
R
Martin
Roy C
RC
D000293:Adolescent; D000328:Adult; D003071:Cognition / Q000502:physiology*; D004644:Emotions / Q000502:physiology*; D004833:Epilepsy, Temporal Lobe / Q000523:psychology*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011584:Psychology; D012647:Self-Assessment; D011795:Surveys and Questionnaires