Subjective cognitive complaints versus objective neuropsychological performance in older adults with epilepsy |
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| Affiliation: | 1. Warren Alpert Medical School of Brown University, Providence, RI 02903, USA;2. Rhode Island Hospital, Providence, RI 02903, USA;1. Child Neurology Unit, IRCCS Istituto delle Scienze Neurologiche, via Altura 3, 40139 Bologna, Italy;2. Health Medical Centre, via della Chiusetta 14, 17021 Alassio, Italy;3. DISFOR Psychology, University of Genoa, Polo M.T. Bozzo, vico S. Antonio 5/7, 16121 Genova, Italy;1. Centro de Ciências da Saúde, Departamento de Neuropsiquiatria, Universidade Federal de Santa Maria, RS, Brazil;2. Centro de Ciências Naturais e Exatas, Programa de Pós-graduação em Ciências Biológicas: Bioquímica Toxicológica, Universidade Federal de Santa Maria, RS, Brazil;3. Centro de Educação Física e Desportos, Departamento de Métodos e Técnicas Desportivas, Laboratório de Bioquímica do Exercício (BIOEX), Universidade Federal de Santa Maria, RS, Brazil;4. Centro de Ciências da Saúde, Programa de Pós-Graduação em Farmacologia, Universidade Federal de Santa Maria, RS, Brazil;5. UCLA, School of Medicine, Los Angeles, CA, United States;1. Epilepsy Centre, Neurophysiopathology Unit, Department of Systems Medicine, University of Rome “Tor Vergata”, Rome, Italy;2. Neurology Clinic, University of Perugia – S. Maria della Misericordia Hospital, Perugia, Italy;3. Neurology Unit, Department of Medicine, Rimini “Infermi” Hospital – AUSL Romagna, Italy;4. IRCCS Fondazione Santa Lucia, Rome, Italy;1. Epilepsy Unit, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy;2. Neurology Department, ASL AL, Casale Monferrato, Italy;3. Division of Clinical Neurophysiology and Epilepsy Center, IRCCS Ospedale San Martino, Largo R. Benzi 10, 16132 Genova, Italy |
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| Abstract: | Memory complaints are common among older adults with epilepsy (OAE), though discrepancy between subjective complaints and objective performance often exists. This study examined how accurately OAE and their informants reported on the participant's cognitive difficulties by comparing ratings of everyday cognition to objective performance. Thirty-seven OAE and 27 older adult controls completed a brief battery of neuropsychological tests, the Beck Depression Inventory, and the Cognitive Difficulties Scale (CDS). Each participant had an informant who completed the CDS. Older adults with epilepsy performed worse than controls on cognitive testing and reported more subjective cognitive complaints. Neither participant- nor informant-reported cognitive complaints were related to performance on any of the neuropsychological tests for either the group with epilepsy or control group, but both were related to greater depressive symptoms. Results suggest that subjective report of cognitive problems by both OAE and their informants may not reliably reflect the extent to which these problems exist. |
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