التفاصيل البيبلوغرافية
العنوان: |
Prevalence and clinical correlates of poststroke Behavioral Dysexecutive Syndrome |
المؤلفون: |
Tang, Wai Kwong, Lau, Chieh Grace, Liang, Yan, Wang, Lisha, Mok, Vincent, Soo, Oi Yan Yannie, Leung, Wai Hong Thomas, Ungvari, Gabor S, Uchiyama, Shinchiro, Kim, Jong S |
المصدر: |
Medical Papers and Journal Articles |
بيانات النشر: |
ResearchOnline@ND |
سنة النشر: |
2019 |
مصطلحات موضوعية: |
anxiety, behavioral dysexecutive syndrome, depression, executive functioning, stroke, Medicine and Health Sciences, psy, socio |
الوصف: |
Background: Behavioral dysexecutive syndrome (BDES) is a common phenomenon following stroke. To date, research has focused mainly on individual behavioral symptoms rather than a more comprehensive characterization of goal-directed behavior in stroke survivors. This cross-sectional study evaluated the prevalence and clinical correlates of BDES in Hong Kong stroke survivors. Methods and Results: A total of 369 stroke survivors were recruited from a regional hospital at 3 months after their index stroke. Patients’ demographic and clinical characteristics were extracted from a comprehensive stroke database. BDES was measured with the Chinese version of the Dysexecutive Questionnaire. Four neurocognitive batteries assessed domains of cognitive executive functions. The prevalence of BDES 3 months poststroke was 18.7%. At that time point, the Hospital Anxiety Depression Scale and Mini-Mental State Examination scores and the presence of depression were significant predictors of BDES in a multivariate logistic regression analysis. These parameters remained significant predictors of the Dysexecutive Questionnaire score in a linear stepwise regression analysis and together accounted for 28.5% of the variance. Current depression was predictive of the Dysexecutive Questionnaire score in patients with BDES, with a variance of 9.7%. Furthermore, compared with the non-BDES group, patients with BDES exhibited poor performance-based executive function in the Chinese version of the Frontal Assessment Battery and color trails, arrow, and category fluency tests. Conclusions: Symptoms of anxiety, current depression, and global cognitive function may be independent predictors of the presence and severity of BDES 3 months poststroke. Stroke survivors with BDES exhibit poor executive functioning, including goal maintenance and semantic memory. (J Am Heart Assoc. 2019;8:e013448. DOI:10.1161/JAHA.119.013448.) |
نوع الوثيقة: |
article in journal/newspaper |
اللغة: |
unknown |
العلاقة: |
https://researchonline.nd.edu.au/med_article/1099Test |
الإتاحة: |
https://researchonline.nd.edu.au/med_article/1099Test |
حقوق: |
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رقم الانضمام: |
edsbas.2C8A8291 |
قاعدة البيانات: |
BASE |