Chiari 1000 Registry Project: assessment of surgical outcome on self-focused attention, pain, and delayed recall
| Autor: | Francis Loth, Douglas L. Delahanty, Philip A. Allen, Monica A. Garcia, Mark G. Luciano, David M. Tokar, Kevin P. Kaut, Xuan Li, Sarel J. Vorster, Jahangir Maleki, James R. Houston |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Delayed recall 050105 experimental psychology 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Humans 0501 psychology and cognitive sciences Attention Cognitive Dysfunction Registries Episodic memory Applied Psychology Chiari malformation Neck pain business.industry 05 social sciences Chronic pain Cognition medicine.disease Decompression Surgical Arnold-Chiari Malformation Psychiatry and Mental health Memory Short-Term Rumination Cognitive Rumination Mental Recall Physical therapy Female medicine.symptom Headaches Chronic Pain business 030217 neurology & neurosurgery |
| Zdroj: | Psychological medicine. 48(10) |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundPrior research has typically found a negative relationship between chronic pain and memory, and we examined whether cognitive control processes (e.g. reflection and rumination) moderated this relationship in individuals with Chiari malformation Type I (CM). CM is a neurological condition in which the cerebellar tonsils descend into the medullary and upper cervical spine regions potentially resulting in severe headaches and neck pain.MethodsCM patients who had (n = 341) and had not (n = 297) undergone decompression surgery completed the McGill Pain Questionnaire-Short Form-Revised (SF-MPQ-2), the Rey Auditory Verbal Learning Test (RAVLT), and the Rumination-Reflection Questionnaire (RRQ). Immediate recall scores were compared to those of 102 healthy controls, and delayed recall performance was compared across other variables within the CM group.ResultsCM patients performed more poorly on immediate recall than did controls. Within CM patients, we observed main effects for reflection and age, and a pain x reflection x surgical status (surgery v. no surgery) interaction in which non-decompressed individuals with low levels of pain and high levels of reflection showed superior delayed recall relative to non-decompressed individuals with higher pain and all decompressed individuals.ConclusionsCM patients show an immediate recall deficit relative to controls, regardless of surgical status. High levels of reflection were associated with better delayed recall performance in non-decompressed CM patients with lower pain levels. High levels of chronic pain may overwhelm increased focused attention abilities, but higher levels of reflection partially overcome the distracting effects of pain and this may represent a type of resilience. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|