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101.
Noortje A. M. M. Maaijwee Pauline Schaapsmeerders Loes C. A. Rutten-Jacobs Renate M. Arntz Hennie C. Schoonderwaldt Ewoud J. van Dijk Roy P. C. Kessels Frank-Erik de Leeuw 《Journal of neurology》2014,261(7):1300-1308
Few studies exist on subjective cognitive failures after a stroke in young adults (≤50 years) and their relation to objective cognitive performance is unknown. Therefore, we investigated the prevalence of subjective cognitive failures in patients with a stroke in young adulthood and their relation with objective cognitive impairment. This study is part of the “Follow-Up of Transient ischemic attack and stroke patients and Unelucidated Risk factor Evaluation”-study (FUTURE study), including patients, aged 18–50 years, admitted to our hospital between 1980 and 2010 with a first-ever TIA or ischemic stroke. The prevalence of subjective cognitive failures in patients was determined and compared with 146 age- and sex-matched stroke-free controls. The relation of subjective failures with objective cognitive performance was investigated with linear and logistic regression analysis. 160 patients with a TIA and 277 with an ischemic stroke were included. After a mean follow-up of 10.1 (SD 8.3) years, the prevalence of subjective memory failures was 86.4 % and that of subjective executive failures was 67.4 % in patients, versus 69.7 % (p = 0.008) and 41.4 % (p = 0.002) in controls. A weak association between subjective memory failures and objective immediate (beta ?0.12, p = 0.011) and delayed memory performance (beta ?0.13, p = 0.010) was observed in patients. Subjective cognitive failures are prevalent after stroke in young adults, but not strongly related to objective cognitive impairment. Therefore, extensive neuropsychological assessment is essential for determination of objective cognitive impairment. However, it is important that subjective cognitive failures are recognized as they may indicate underlying psychosocial problems. 相似文献
102.
103.
Noortje Kloos Jannis Kraiss Peter ten Klooster Ernst Bohlmeijer 《Journal of clinical psychology》2023,79(11):2650-2667
Objectives
There is a growing interest in mental well-being as a vital outcome in clinical practice in addition to mental illness. The model of sustainable mental health (SMH) was recently introduced to delineate how interventions can improve mental health by targeting barriers and resources of adaptation to life stressors, improving the ability to adapt and thereby reducing mental illness and improving mental well-being. The aim of the current study is to empirically validate the conceptual model of SMH as well as the assumed indirect role of ability to adapt.Methods
This study used an existing dataset of the general population with self-reported reduced well-being due to the corona crisis (n = 849, mean age 53 years, SD = 15). Measurements of mental illness (depression and anxiety), mental well-being, ability to adapt, a specific barrier for adaptation (i.e., repetitive negative thinking), and a specific resource for adaptation (i.e., positive reframing) were included. Structural equation modeling was used to assess both the structural validity of the model and the indirect effect of ability to adapt.Results
An acceptable to good fit was found for the model of SMH and all paths between the proposed elements of the model were significant and in the hypothesized direction. Ability to adapt served as an indirect pathway trough which repetitive negative thinking (B = 0.149, 95% confidence interval [CI] = 0.016–0.028) and positive reframing (B = 0.163, 95% CI = 0.065–0.123) were linked with mental illness and mental well-being.Conclusion
The current study provides the first empirical support of the internal validity of the model of SMH in a sample of the general population with reduced well-being, suggesting that barriers and resources to adaptation have an effect on mental illness and mental well-being through the ability to adapt. The model of SMH may therefore be a good model to use in research and clinical practice for developing, implementing, and evaluating a balanced treatment approach targeting both barriers and resources for adaptation. 相似文献104.
105.
Bregje Mol Kim N. van Munster Johannes A. Bogaards Rinse K. Weersma Akin Inderson E. Joline de Groof Noortje G. M. Rossen Willemijn Ponsioen Maud Turkenburg Karel J. van Erpecum Alexander C. Poen B. W. Marcel Spanier Ulrich H. W. Beuers Cyriel Y. Ponsioen the EpiPSC study group 《Liver international》2023,43(5):1056-1067