Article

The aim of this study was to investigate which psychological factors are related
to post-stroke subjective cognitive complaints, taking into account the influence
of demographic and stroke-related characteristics, cognitive deficits and
emotional problems. In this cross-sectional study, 350 patients were assessed at
2 months post-stroke, using the Checklist for Cognitive and Emotional
consequences following stroke (CLCE-24) to identify cognitive complaints.
Psychological factors were: proactive coping, passive coping, self-efficacy,
optimism, pessimism, extraversion, and neuroticism. Associations between CLCE-24
cognition score and psychological factors, emotional problems (depressive
symptoms and anxiety), cognitive deficits, and demographic and stroke
characteristics were examined using Spearman correlations and multiple regression
analyses. Results showed that 2 months post-stroke, 270 patients (68.4%) reported
at least one cognitive complaint. Age, sex, presence of recurrent stroke(s),
comorbidity, cognitive deficits, depressive symptoms, anxiety, and all
psychological factors were significantly associated with the CLCE-24 cognition
score in bivariate analyses. Multiple regression analysis showed that
psychological factors explained 34.7% of the variance of cognitive complaints
independently, and 8.5% (p < .001) after taking all other factors into account.
Of all psychological factors, proactive coping was independently associated with
cognitive complaints (p < .001), showing that more proactive coping related to
less cognitive complaints. Because cognitive complaints are common after stroke
and are associated with psychological factors, it is important to focus on these
factors in rehabilitation programmes.

Langue : ANGLAIS