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16. Personality traits and personality problems in Korsakoff syndrome patients.

Author

de Vries, Ineke Roelfina Hendrika, Oudman, Erik, and Postma, Albert

Subjects
PERSONALITY, PERSONALITY studies, VITAMIN B deficiency, INSTITUTIONALIZED persons, NEUROBEHAVIORAL disorders
Abstract

Personality research is of relevance because it provides insights into the psychological strengths and vulnerabilities of a person. Korsakoff's syndrome (KS) is a severe neuropsychiatric disorder following acute thiamine deficiency, usually as a consequence of alcohol-use disorders. Research on personality traits of KS patients is currently limited. The aim of the current exploratory study was therefore to examine the personality traits and problems of KS patients. We assessed self-reported and informant-reported personality traits and problems in institutionalized KS patients (n = 30). Results indicate that the psychotic personality organization was more frequently present in KS patients compared to a psychiatric reference population, leading to increased vulnerability for the development of severe psychiatric issues. Informants observed more premorbid and current cluster B ("emotional") and C ("anxious") personality behavior in comparison to the general population. Also, rigid- and socially avoidant behavior in KS patients was observed to increase over the years. They also observed personality problems such as emotional-, unpredictable-, dramatic-, anxious and fearful behavior in the present and in the past. KS patients reported themselves as healthy individuals, indicating a lack of self-awareness. We recommend training programs for the medical team focussed on psycho-education and supportive interventions for patients with complex personality problems concomitant to KS. [ABSTRACT FROM AUTHOR]

Published
2024
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39. Smartwatch reminders are as effective as verbal reminders in patients with Korsakoff’s syndrome: three case studies

Author

Smits, Sterre, Oudman, Erik, Altgassen, Mareike, Postma, Albert, Leerstoel Postma, Helmholtz Institute, Experimental Psychology (onderzoeksprogramma PF), Leerstoel Postma, Helmholtz Institute, and Experimental Psychology (onderzoeksprogramma PF)

Subjects
prospective memory, Memory, Episodic, Clinical Neurology, Korsakoff’s syndrome, reminders, smartwatches, case study, Korsakoff Syndrome, Arts and Humanities (miscellaneous), Mental Recall, Humans, Wernicke Encephalopathy, Neurology (clinical)
Abstract

Korsakoff’s syndrome (KS) is a neurocognitive disorder caused by severe malnutrition. KS patients typically show severe impairments in prospective memory (PM), thus, have difficulties with remembering to perform delayed intentions. The current study investigated the possible benefits of a smartwatch aid for PM tasks in patients with KS and compared its efficacy with verbal in-person reminders. Three patients participated in the present study and were asked to complete everyday PM tasks. The results of each patient were analyzed as a single-case study. The results highlight the great potential of using smartwatches as external memory aids in KS patients in everyday life.

Published
2022

40. Self-Reported Pain and Pain Observations in People with Korsakoff's Syndrome: A Pilot Study.

Author

Oudman, Erik, van der Stadt, Thom, Bidesie, Janice R., Wijnia, Jan W., and Postma, Albert

Subjects
MEDICAL personnel, LONG-term care facilities, NURSING assessment, VISUAL analog scale, SELF-expression
Abstract

Korsakoff's syndrome (KS) is a chronic neuropsychiatric disorder. The large majority of people with KS experience multiple comorbid health problems, including cardiovascular disease, malignancy, and diabetes mellitus. To our knowledge pain has not been investigated in this population. The aim of this study was to investigate self-reported pain as well as pain behavior observations reported by nursing staff. In total, 38 people diagnosed with KS residing in a long-term care facility for KS participated in this research. The Visual Analogue Scale (VAS), Pain Assessment in Impaired Cognition (PAIC-15), Rotterdam Elderly Pain Observation Scale (REPOS), and the McGill Pain Questionnaire–Dutch Language Version (MPQ-DLV) were used to index self-rated and observational pain in KS. People with KS reported significantly lower pain levels than their healthcare professionals reported for them. The highest pain scores were found on the PAIC-15, specifically on the emotional expression scale. Of importance, the patient pain reports did not correlate with the healthcare pain reports. Moreover, there was a high correlation between neuropsychiatric symptoms and observational pain reports. Specifically, agitation and observational pain reports strongly correlated. In conclusion, people with KS report less pain than their healthcare professionals indicate for them. Moreover, there is a close relationship between neuropsychiatric symptoms and observation-reported pain in people with KS. Our results suggest that pain is possibly underreported by people with KS and should be taken into consideration in treating neuropsychiatric symptoms of KS as a possible underlying cause. [ABSTRACT FROM AUTHOR]

Published
2023
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43. Lifelogging as a rehabilitation tool in patients with amnesia: A narrative literature review on the effect of lifelogging on memory loss

Author

van Teijlingen, Tijmen, Oudman, Erik, Postma, Albert, Leerstoel Postma, Experimental Psychology (onderzoeksprogramma PF), Helmholtz Institute, Leerstoel Postma, Experimental Psychology (onderzoeksprogramma PF), and Helmholtz Institute

Subjects
medicine.medical_specialty, Daily life activities, medicine.medical_treatment, Data_MISCELLANEOUS, Wearable computer, Amnesia, Sensecam, Physical medicine and rehabilitation, amnesia, Arts and Humanities (miscellaneous), ComputerApplications_MISCELLANEOUS, medicine, Narrative, In patient, Applied Psychology, Rehabilitation, business.industry, memory recollection, Lifelogging, Lifelog, Clothing, Neuropsychology and Physiological Psychology, neuropsychological rehabilitation, medicine.symptom, business, Psychology, Alzheimer’s disease
Abstract

Visual lifelogging is the procedure that enables individuals to visually record daily life activities by means of small wearable cameras, which can be worn around the neck or on the clothing. Lifelogging devices automatically take pictures or videos after pre-set time intervals or after dynamic input changes. Although some studies have shown effectivity of reviewing lifelogging images in brain-damaged individuals with forms of amnesia as a rehabilitation tool, systematic endeavours to overview this literature is yet missing. The aim of this narrative literature review was to review all the available case-studies, experimental studies and group studies in brain-damaged individuals applying lifelogging devices in a clinical context. The included studies showed efficacy for both subjective and objective measures of memory. In mild to severe amnesia, reviewing images recorded by the lifelogging device was beneficial to subjective and objective measures of memory. Lifelogging is demonstrated to have a great potential in helping people who are suffering from memory loss. It can offer an excellent alternative to currently more frequently used memory rehabilitation techniques and can be applied more in clinical settings.

Published
2021

49. Behavioural effects of light intervention in people with Korsakoff Syndrome: A pilot study

Author

Oey, Misha J., Postma, Albert, Hoes, Sarah, Oudman, Erik, Leerstoel Postma, Experimental Psychology (onderzoeksprogramma PF), Helmholtz Institute, Leerstoel Postma, Experimental Psychology (onderzoeksprogramma PF), and Helmholtz Institute

Subjects
030506 rehabilitation, media_common.quotation_subject, Apathy, Pilot Projects, Behavioral Symptoms, 24-hour care facility, 03 medical and health sciences, 0302 clinical medicine, Arts and Humanities (miscellaneous), Emotional distress, Intervention (counseling), Humans, Medicine, Dawn simulation, Eating behaviour, Applied Psychology, Light intervention, media_common, business.industry, Rehabilitation, Appetite, Neuropsychiatric symptoms, Care facility, Korsakoff Syndrome, Neuropsychology and Physiological Psychology, Caregivers, Disinhibition, medicine.symptom, 0305 other medical science, business, 030217 neurology & neurosurgery, Clinical psychology
Abstract

Korsakoff Syndrome (KS) is commonly associated with behavioural symptoms such as agitation, apathy, and disinhibition. People with KS often reside in long-term care facilities, which reduces their exposure to natural light. Little is known regarding positive effects of light intervention in KS. Our objective was to evaluate the influence of a dawn simulation therapy on behavioural symptoms in KS. 38 patients residing in a 24-hour care facility were exposed for 6 weeks to a dawn simulation system in their bedrooms, which gradually increased from 0 lux to 290 lux. Behavioural symptoms were measured over 9 weeks. Weeks 1–3 consisted of the baseline phase and weeks 3–9 consisted of the light intervention phase. Our study showed that total severity of neuropsychiatric symptoms was less prominent during light intervention. More specifically, a decrease on the apathy, disinhibition, behaviour at night and appetite and eating behaviour subscales was found during the light intervention phase compared to the baseline phase. Additionally, a significant effect was found on decreasing emotional distress for caregivers. Results suggest that light intervention therapy has a positive effect on reducing behavioural symptoms in KS as well as the levels of stress experienced by the patients’ caregivers.

Published
2021

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