Relevance of neurocognition in chronic pain syndrome

• Verfasst von: Schmidt, Janna [VerfasserIn]
• Verfasst von: Fritz, Michael [VerfasserIn]
• Verfasst von: Weisbrod, Matthias [VerfasserIn]
• Titel: Relevance of neurocognition in chronic pain syndrome
• Titelzusatz: a systematic and methodical approach
• Verf.angabe: Janna Schmidt, Michael Fritz, Matthias Weisbrod
• Jahr: 2023
• Umfang: 16 S.
• Fussnoten: Online veröffentlicht am 26. Februar 2024 ; Gesehen am 28.05.2024
• Titel Quelle: Enthalten in: Journal of clinical and experimental neuropsychology
• Ort Quelle: Abingdon, Oxon : Taylor & Francis, 1985
• Jahr Quelle: 2023
• Band/Heft Quelle: 45(2023), 9 vom: Sept., Seite 874-889
• ISSN Quelle: 1744-411X
• DOI: doi:10.1080/13803395.2024.2314732
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Chronical pain
• Sach-SW: COGNITIVE PERFORMANCE
• Sach-SW: DEFICITS
• Sach-SW: DEPRESSION SCALE
• Sach-SW: FIBROMYALGIA
• Sach-SW: IMPACT
• Sach-SW: IMPAIRMENT
• Sach-SW: interdisciplinary multimodal pain therapy
• Sach-SW: MEMORY COMPLAINTS
• Sach-SW: METAANALYSIS
• Sach-SW: neurocognition
• Sach-SW: NEUROPSYCHOLOGICAL PERFORMANCE
• Sach-SW: neuropsychological therapy
• Sach-SW: PSYCHOMOTOR PERFORMANCE
• Sach-SW: subjective cognitive deficits
• K10plus-PPN: 1890129380

Abstract

IntroductionSubjective and objective deficits in neurocognitive domains are well-documented in patients with chronic pain. However, neurocognitive deficits have not been investigated consistently. The main objective of this study was to conduct a comprehensive assessment of self-rated and objectively assessed cognitive differences between patients with chronic pain (CP) and healthy controls (HC).MethodThe cognitive functioning of 40 CP and 41 HC was assessed using a standardized computer-based test battery, enabling a comparison of subjective and objective neurocognitive factors. To achieve this, the Vienna Test System (VTS) was utilized, incorporating standardized tests from the Cognitive Basic Assessment Battery (COGBAT) with the advantage of objectivity, reliability, validity, efficiency, utility, and standardization. This approach enables the evaluation of cognitive functioning across all pertinent domains.ResultsCP reported cognitive deficits in overall performance as well as specific functions, such as attention, memory, and executive functions. Across all neurocognitive domains, CP showed a poorer performance. Affected subdomains of attention were intensity and selectivity of attention. Lower performance was found also in concentration performance, obtaining and overview, visual orientation performance and reactive stress tolerance. Regarding memory, CP performed worse in figural episodic memory and recognition tasks. In addition, CP exhibited poorer performance in mental flexibility, working memory, planning ability, and inhibition as components of executive functioning, when compared to HC.ConclusionsCP expressed subjective cognitive deficits and demonstrated impaired neurocognitive performance.