Cognitive complaints by hematopoietic cell transplantation recipients and change in neuropsychological performance over time.


Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 18 12 2019
accepted: 04 04 2020
pubmed: 30 4 2020
medline: 15 12 2020
entrez: 30 4 2020
Statut: ppublish

Résumé

Hematopoietic stem cell transplant (HSCT) recipients are at risk for cognitive decline. Cross-sectional studies show patients' complaints of cognitive decline do not correlate well with concurrently measured objective neuropsychological performance, but rather with emotional variables and health-related quality of life. This longitudinal study investigated whether patient self-report of cognitive status would be concordant with objectively measured neuropsychological performance after accounting for change from their own pre-transplant objective baseline. Pre-HSCT and at 30 and 100 days post-HSCT, 46 patients underwent computerized neuropsychological testing (CogState) and completed surveys assessing patient-reported cognitive complaints, emotional symptoms (depression, anxiety), sleep quality, daytime sleepiness, and physical and functional well-being. Correlations were calculated between cognitive complaints and neuropsychological performance (at each time-point and across time-points), as well as all other patient-reported variables. Patient-reported cognitive complaints were largely independent of concurrently assessed objective neuropsychological performance. Uniquely, our longitudinal data demonstrated significant medium to large effect size associations between subjective cognitive complaints post-HSCT with objectively measured change from pre-HSCT in attention, visual learning, and working memory (p < .05-.01). Subjective cognitive complaints post-HSCT were also associated with depression, anxiety, daytime sleepiness and physical well-being (p < .05-.001). Patients appear better able to assess their cognitive functioning relative to their own baseline and changes across time rather than relative to community norms. Thus, patient complaints of cognitive compromise justify further in-depth neuropsychological, emotional, and functional assessment. Future research into relationships between cognitive complaints and neuropsychological performance should account for changes in performance over time.

Identifiants

pubmed: 32346799
doi: 10.1007/s00520-020-05458-1
pii: 10.1007/s00520-020-05458-1
pmc: PMC7606345
mid: NIHMS1589052
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

247-254

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR000043
Pays : United States
Organisme : NCI NIH HHS
ID : R21 CA198776
Pays : United States
Organisme : NIH HHS
ID : R21CA198776
Pays : United States
Organisme : Blue Cross Blue Shield of Michigan Foundation
ID : 2193.11
Organisme : Gateway for Cancer Research (US)
ID : G-15-200
Organisme : Michigan Institute for Clinical and Health Research
ID : UL1TR00043
Organisme : NIH HHS
ID : R21CA198776
Pays : United States

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Auteurs

Leah LaLonde (L)

Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA.

Kristen Votruba (K)

Department of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, F6321 UH-South, Ann Arbor, MI, 48109-5295, USA.

Rachel Kentor (R)

Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA.

Erin Gatza (E)

Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.

Sung Won Choi (SW)

Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.

Flora Hoodin (F)

Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA. fhoodin@med.umich.edu.
Department of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, F6321 UH-South, Ann Arbor, MI, 48109-5295, USA. fhoodin@med.umich.edu.

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