Influence of neuropsychological features of patients with acute ischemic stroke on the functional prognosis
Year: 2021, volume 17 Issue: №1 Pages: 142-148
Heading: Тhematic supplement Article type: Original article
Authors: Repina L.A., Romanova T.V., Poverennova I.E., Persteneva N.P.
Organization: Samara State Economic University, Samara State Medical University
Heading: Тhematic supplement Article type: Original article
Authors: Repina L.A., Romanova T.V., Poverennova I.E., Persteneva N.P.
Organization: Samara State Economic University, Samara State Medical University
Summary:
The aim is to identify the relationship between the neuropsychological state of the patient and the recovery of his motor deficits due to acute cerebrovascular accident. Material and Methods. The study involved 103 patients with ischemic stroke in the basins of the middle and anterior cerebral arteries. We gave a clinical and neurological assessment of the patient's condition, and conducted neuropsychological testing: Beck Hopelessness Inventory (BHI), the Montreal Cognitive Assessment (MoCA), SF-36, and the Visual-Analog Scale (VAS). The examination was carried out three times: in the acute period of cerebral circulatory disorders, after 2 weeks and 24-36 months. After a long follow-up, all patients were divided into groups: with a favorable and unfavorable outcome. We analyzed which values of these scales are most typical for the selected groups. Results. The indicators of general physical health from the SF-36 (p=0.007), the results of the BHI (p=0.003 and 0.002), and of the VAS (p=0.025) collected after acute ischemic stroke were prognostically significant. For both groups, the most important indicators for the prognosis of the disease were MoCA (p=0.038), BHI (p=0.009), SF-36 (OFZ) (p=0.002), regardless of the period of stroke. Conclusion. The connection between the neuropsychological state of the patient and the restoration of his motor function after stroke was revealed. The considered questionnaires can be included in the multivariate forecast model of the prognosis of stroke as one of the criteria for the outcome of the disease.
Bibliography:
1. Tychinina EV, Khabarova TYu. Psychodiagnostics and correction of the emotional state of patients with cerebral circulatory disorders. Young Scientist 2016; (1): 101-4.
2. Charikova IA, Akhtyamov NN, Volkova LI. Emotional disorders in patients with acute ischemic stroke. Neurology, Neuropsychiatry, Neurosomatics 2013; (3): 36-40.
3. Dobrokhotova ТА. Emotional pathology in focal brain damage. Moscow: Meditsina, 1974; 159 p.
4. Luria AR. Higher cortical functions of a person. SPb.: Peter, 2018; 768 p.
5. Chomskaya ED. Neuropsychology: Textbook. SPb.: Peter 2021; 496 p.
6. Grigorieva VN, Kovyazina MS, Tostov ASh. Cognitive rehabilitation of patients with stroke and traumatic brain injury. Nizhny Novgorod: Publishing House of the Nizhny Novgorod State Medical Academy, 2013; 324 p.
7. Putilina MV. Anxiety and depressive disorders and stroke: Possible etiological and pathogenetic correlations. S.S. Korsakov Journal of Neurology and Psychiatry 2014; 114 (6): 86-92.
8. Gureeva IL, Golikov KV, Gomzyakova NA. Cognitive and emotional disorders in patients with acute cerebrovascular accident. Medical Psychology in Russia: electronic scientific journal. 2017; vol. 9, 2 (43): 9 p. URL: mprj.ru (March 11, 2021).
9. Neuropsychological diagnostics and rehabilitation of patients with impaired consciousness after brain damage (Moscow, 2016).
10. Elshansky SP, Anufriev AF, Efimova OS, Semenov DV. Features of retest reliability of the depression scale. Psychology Sociology and Pedagogy 2016; 4 (55): 91-5.
11. Zakharov VV, Vakhnina NV. Cognitive disorders in cerebrovascular diseases. Effective Pharmacotherapy 2014; 1: 36-44.
12. Kukshina АА, Kotelnikova AV, Vereshchagina DA, Tkachenko GA. Predictors of inclusion of patients with motor function disorders in various programs of psychocorrection. Bulletin of Psychotherapy 2017; 63 (68): 64-76.
13. Hackett М. Depression after stroke and cerebrovascular disease: The behavioral and cognitive neurology of stroke. Cambridge: Cambridge University Press 2013;50 (3): 363-74.
14. Lukyanchikova LV. Influence of the quality of life on the rehabilitation potential of patients with ischemic stroke: PhD diss. Chelyabinsk, 2018; 156 p.
15. Grishina DA, Zakharov VV. Stroke and cognitive disorders. Effective Pharmacotherapy 2019; 15 (19): 16-23).
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