Assessing Cognitive Change and Quality of Life 12 Months After Epilepsy Surgery-Development and Application of Reliable Change Indices and Standardized Regression-Based Change Norms for a Neuropsychological Test Battery in the German Language.
cognitive decline
improvement in quality of life
longitudinal follow-up after epilepsy surgery
minimal clinically important difference
reliable change index
standardized regression-based change norms
Journal
Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902
Informations de publication
Date de publication:
2020
2020
Historique:
received:
13
07
2020
accepted:
14
09
2020
entrez:
12
11
2020
pubmed:
13
11
2020
medline:
13
11
2020
Statut:
epublish
Résumé
The establishment of patient-centered measures capable of empirically determining meaningful cognitive change after surgery can significantly improve the medical care of epilepsy patients. Thus, this study aimed to develop reliable change indices (RCIs) and standardized regression-based (SRB) change norms for a comprehensive neuropsychological test battery in the German language. Forty-seven consecutive patients with temporal lobe epilepsy underwent neuropsychological assessments, both before and 12 months after surgery. Practice-effect-adjusted RCIs and SRB change norms for each test score were computed. To assess their usefulness, the presented methods were applied to a clinical sample, and binary logistic regression analyses were conducted to model the odds of achieving improvement in quality of life (QOL) after surgery. The determined RCIs at 90% confidence intervals and the SRB equations for each test score included in the test battery are provided. Cohen's kappa analyses revealed a moderate mean agreement between the two measures, varying from slight to almost perfect agreement across test scores. Using these measures, a negative association between improvement in QOL and decline in verbal memory functions after surgery was detected (adjusted odds ratio = 0.09, To the best of our knowledge, this study is the first to develop RCIs and SRB change norms necessary for the objective determination of neuropsychological change in a comprehensive test battery in the German language, facilitating the individual monitoring of improvement and decline in each patients' cognitive functioning and psychosocial situations after epilepsy surgery. The application of the described measures revealed a strong negative association between improvement in QOL and decline in verbal memory functions after surgery.
Identifiants
pubmed: 33178083
doi: 10.3389/fpsyg.2020.582836
pmc: PMC7593256
doi:
Types de publication
Journal Article
Langues
eng
Pagination
582836Informations de copyright
Copyright © 2020 Conradi, Behrens, Hermsen, Kannemann, Merkel, Schuster, Freiman, Strzelczyk and Rosenow.
Références
Epilepsy Behav. 2019 Feb;91:48-52
pubmed: 30217756
Nat Clin Pract Neurol. 2008 Feb;4(2):66-7
pubmed: 17955042
Curr Opin Neurol. 2018 Apr;31(2):192-197
pubmed: 29278548
Epilepsy Behav. 2017 Oct;75:213-217
pubmed: 28867569
Epilepsia. 2017 May;58(5):755-763
pubmed: 28332703
JAMA. 2014 Oct 1;312(13):1342-3
pubmed: 25268441
Epilepsia. 2014 Jun;55(6):886-92
pubmed: 24735200
Epilepsia. 2017 Apr;58(4):512-521
pubmed: 28276062
Lancet Neurol. 2004 Nov;3(11):663-72
pubmed: 15488459
Epilepsia. 2004 Dec;45(12):1604-12
pubmed: 15571519
J Neurol Neurosurg Psychiatry. 2002 Aug;73(2):116-20
pubmed: 12122166
JAMA. 2012 Mar 7;307(9):922-30
pubmed: 22396514
Neuroscientist. 2001 Aug;7(4):340-52
pubmed: 11488399
Psychol Med. 2015 Nov;45(15):3269-79
pubmed: 26165748
Seizure. 2020 Jan;74:81-88
pubmed: 31855714
J Consult Clin Psychol. 1991 Feb;59(1):12-9
pubmed: 2002127
Epilepsy Behav. 2015 Jun;47:45-54
pubmed: 26043163
Epilepsy Behav. 2011 Aug;21(4):441-5
pubmed: 21697015
Curr Opin Neurol. 2003 Apr;16(2):165-70
pubmed: 12644744
N Engl J Med. 2001 Aug 2;345(5):311-8
pubmed: 11484687
Epilepsy Behav. 2008 May;12(4):592-9
pubmed: 18299253
Epilepsia. 2019 Jun;60(6):1032-1039
pubmed: 30924146
Epilepsia. 2017 Mar;58(3):343-355
pubmed: 28067423
Epilepsia. 2017 Apr;58(4):522-530
pubmed: 28276060
Neurology. 2007 Jun 5;68(23):1988-94
pubmed: 17548548
Epilepsia. 1996 Oct;37(10):942-50
pubmed: 8822692
Epilepsy Behav. 2004 Feb;5 Suppl 1:S45-55
pubmed: 14725846
PLoS One. 2018 May 16;13(5):e0196274
pubmed: 29768433
Seizure. 2020 May;78:31-37
pubmed: 32155575
Epilepsia. 1995 Nov;36(11):1089-104
pubmed: 7588453
Neuropsychologia. 1971 Mar;9(1):97-113
pubmed: 5146491
Epilepsia. 2011 May;52(5):857-69
pubmed: 21426331
Epilepsia. 2016 Aug;57(8):1215-20
pubmed: 27354263
Biometrics. 1977 Mar;33(1):159-74
pubmed: 843571
Neurology. 2014 Mar 11;82(10):887-94
pubmed: 24489129
Epileptic Disord. 2019 Feb 1;21(1):1-29
pubmed: 30782582