Predictors of subjective versus objective cognitive functioning in patients with stable grades II and III glioma
Gehring,K. Taphoorn,Martin J B Sitskoorn,M.M. Aaronson,Neil K
Gehring,K.
Taphoorn,Martin J B
Sitskoorn,M.M.
Aaronson,Neil K
Abstract
Background Studies in cancer and noncancer populations demonstrate lower than expected correlations between subjective cognitive symptoms and cognitive functioning as determined by standardized neuropsychological tests. This paper systematically examines the association between subjective and objective cognitive functioning in patients with low-grade glioma and the associations of these indicators of cognitive function with clusters of sociodemographic, clinical, and self-reported physical and mental health factors. Methods Multiple regression analyses with the subjective and 2 objective indicators of cognitive functioning as dependent variables and 4 clusters of predictor variables were conducted in 169 patients with predominantly low-grade glioma. Results Correlations between the subjective and the 2 objective cognitive indicators were negligible (0.04) to low (0.24). Objective cognitive deficits were predominantly associated with sociodemographic (older age, lower education, male sex) and clinical (left hemisphere tumor) variables, while lower ratings of subjective cognitive function were more closely related to self-reported mental health symptoms (fatigue, lower mental well-being), physical (motor) dysfunction and female sex. Self-reported communication deficits were associated significantly with both subjective and objective dysfunction. Conclusions We recommend that both subjective and objective measures of cognitive functioning, together with a measure of psychological distress, be used for comprehensive neuropsychological assessments of patients with glioma to determine which areas are most affected and which specific intervention strategies are most appropriate.
Description
Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
SDG 3 - Good Health and Well-being
Citation
Gehring, K, Taphoorn, M J B, Sitskoorn, M M & Aaronson, N K 2015, 'Predictors of subjective versus objective cognitive functioning in patients with stable grades II and III glioma', Neuro-Oncology Practice, vol. 2, no. 1, pp. 20-31. https://doi.org/10.1093/nop/npu035
License
info:eu-repo/semantics/closedAccess