Relevance of neurocognition in chronic pain syndrome: a systematic and methodical approach

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 objectivel...

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Main Authors: Schmidt, Janna (Author) , Fritz, Michael (Author) , Weisbrod, Matthias (Author)
Format: Article (Journal)
Language:English
Published: 2023
In: Journal of clinical and experimental neuropsychology
Year: 2023, Volume: 45, Issue: 9, Pages: 874-889
ISSN:1744-411X
DOI:10.1080/13803395.2024.2314732
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1080/13803395.2024.2314732
Verlag, lizenzpflichtig, Volltext: https://www.webofscience.com/api/gateway?GWVersion=2&SrcAuth=DynamicDOIArticle&SrcApp=WOS&KeyAID=10.1080%2F13803395.2024.2314732&DestApp=DOI&SrcAppSID=EUW1ED0B964qJQPXo78SFSFjS0JjC&SrcJTitle=JOURNAL+OF+CLINICAL+AND+EXPERIMENTAL+NEUROPSYCHOLOGY&DestDOIRegistrantName=Informa+UK+%28Taylor+%26+Francis%29
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Author Notes:Janna Schmidt, Michael Fritz, Matthias Weisbrod
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Summary: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.
Item Description:Online veröffentlicht am 26. Februar 2024
Gesehen am 28.05.2024
Physical Description:Online Resource
ISSN:1744-411X
DOI:10.1080/13803395.2024.2314732