Predictors of subjective cognitive complaint in postacute older adult stroke patients

Big Whoopee.
A much better use of time and brainpower would be to solve the cognition problem, not just write papers on how it affects patients. A great stroke association would never sponsor such lazy research.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67141&phrase=no&rec=122736
Archives of Physical Medicine and Rehabilitation , Volume 94(9) , Pgs. 1747-1752.

NARIC Accession Number: J67141.  What's this?
ISSN: 0003-9993.
Author(s): Lamb, Fiona; Anderson, Jacqueline; Saling, Michael; Dewey, Helen.
Publication Year: 2013.
Number of Pages: 6.
Abstract: Study investigated the impact of objective cognitive impairment, negative affect, and fatigue on cognitive complaint in 25 patients with first-ever ischemic stroke, aged between 50 and 85 years, with relatively good neurologic recovery during the postacute period. Cognitive complaint was measured by the A-B Neuropsychological Assessment Schedule. Cognitive impairment was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status. The Hospital Anxiety and Depression Scale was used to assess current symptoms of depression and anxiety (negative affect) and fatigue was measured using the Multidimensional Fatigue Inventory. Results showed that 90 percent of the patients reported some level of cognitive difficulty in everyday life. Fatigue, cognitive slowing, memory difficulties, and poor concentration were the most frequently reported complaints. More than half of all participants had significant impairment in at least 1 cognitive domain after their stroke. A standard multiple regression was performed to evaluate the relative impact of negative affect, fatigue, and objective cognitive functioning on subjective cognitive complaint. This model accounted for 61 percent of the variance in total subjective cognitive complaint, with depression being the only variable to make a significant independent contribution to the prediction of subjective cognitive complaint. Although half of the participants had objective evidence of a cognitive impairment, neither objective cognitive impairment nor fatigue predicted cognitive complaint independently of negative affect. Findings suggest that clinicians who receive reports of cognitive complaints in the postacute period after stroke should be alert to the possibility of psychological distress in their patient.
Descriptor Terms: ANXIETY DISORDERS, CHRONIC FATIGUE SYNDROME, CLIENT CHARACTERISTICS, COGNITIVE DISABILITIES, DEPRESSION, OLDER ADULTS, OUTCOMES, POSTACUTE CARE, PREDICTION, PSYCHOLOGICAL EVALUATION, STROKE.

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