Pain Influences Neuropsychological Performance Following Electrical Injury: A Cross-Sectional Study.
| Autor: | Dorociak KE; Department of Psychology, VA Palo Alto Health Care System, Palo Alto, CA, USA., Soble JR; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL, USA.; Department of Neurology, University of Illinois College of Medicine, Chicago, IL, USA., Rupert PA; Department of Psychology, Loyola University Chicago, Chicago, IL, USA., Fink JW; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA.; Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA., Lee RC; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA.; Department of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA.; Department of Surgery, Medicine, Anatomy and Organismal Biology, University of Chicago, Chicago, IL, USA., Anitescu M; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA.; Department of Anesthesia and Critical Care, University of Chicago Medicine, Chicago, IL, USA., Weiss D; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA.; Department of Organismal Biology and Anatomy, University of Chicago, Chicago, IL, USA., Cooke G; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA.; Department of Rehabilitation Medicine, U.S. Physiatry, LLC, Riverforest, IL, USA., Resch ZJ; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL, USA., Pliskin NH; Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL, USA.; Department of Neurology, University of Illinois College of Medicine, Chicago, IL, USA.; The Chicago Electrical Trauma Rehabilitation Institute, Chicago, IL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the International Neuropsychological Society : JINS [J Int Neuropsychol Soc] 2023 Jan; Vol. 29 (1), pp. 35-45. Date of Electronic Publication: 2022 Jan 18. |
| DOI: | 10.1017/S1355617721001478 |
| Abstrakt: | Objective: Electrical injury (EI) is a significant, multifaceted trauma often with multi-domain cognitive sequelae, even when the expected current path does not pass through the brain. Chronic pain (CP) research suggests pain may affect cognition directly and indirectly by influencing emotional distress which then impacts cognitive functioning. As chronic pain may be critical to understanding EI-related cognitive difficulties, the aims of the current study were: examine the direct and indirect effects of pain on cognition following EI and compare the relationship between pain and cognition in EI and CP populations. Method: This cross-sectional study used data from a clinical sample of 50 patients with EI (84.0% male; M Results: Higher pain levels were associated with poorer attention/processing speed and executive functioning performance among patients with EI. Depression was significantly correlated with pain and mediated the relationship between pain and attention/processing speed in patients with EI. When comparing the patients with EI and CP, the relationship between pain and cognition was similar for both clinical groups. Conclusions: Findings indicate that pain impacts mood and cognition in patients with EI, and the influence of pain and its effect on cognition should be considered in the assessment and treatment of patients who have experienced an electrical injury. |
| Databáze: | MEDLINE |
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