94 results on '"subjective complaints"'
Search Results
2. Insomnia: An Overview
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Aguilar, Ana Carolina, Frange, Cristina, Frange, Cristina, editor, and Coelho, Fernando Morgadinho Santos, editor
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- 2022
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3. Decreased nerve conduction velocity may be a predictor of fingertip dexterity and subjective complaints.
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Fukumoto, Yuki, Wakisaka, Takuya, Misawa, Koichi, Hibi, Masanobu, and Suzuki, Toshiaki
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NEURAL conduction , *MOTOR ability , *VELOCITY , *OLDER people , *ACTIVITIES of daily living - Abstract
We examined the causes of decreased fingertip dexterity in elderly individuals with an aim to improve their quality of life by improving their activities of daily living. We calculated nerve conduction velocity, absolute error during force adjustment tasks, and fingertip dexterity test scores for 30 young (21–34 years old) and 30 elderly (60–74 years old) participants to identify age-related changes. We also assessed subjective complaints of pain, motor function, and numbness. Motor nerve (young: 55.8 ± 3.7 m/s; elderly: 52.2 ± 5.0 m/s) and sensory nerve (young: 59.4 ± 3.4 m/s; elderly: 55.5 ± 5.3 m/s) conduction velocities decreased in an age-dependent manner. Moreover, the decrease of motor nerve conduction velocity was associated with decreased fingertip dexterity (objective index), while the decrease of sensory nerve conduction velocity was associated with subjective complaints of pain and motor function (subjective index). [ABSTRACT FROM AUTHOR]
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- 2023
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4. Experimental study of standing and walking at work — What is compatible with physiological characteristics and human needs?
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Rücker, Lisa, Brombach, Johannes, and Bengler, Klaus
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MUSCLE fatigue ,PLETHYSMOGRAPHY ,ELECTROMYOGRAPHY ,LEG muscles ,WALKING ,HUMAN beings ,WORKFLOW - Abstract
Copyright of Zeitschrift für Arbeitswissenschaft is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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5. Self‐reported word‐finding complaints are associated with cerebrospinal fluid amyloid beta and atrophy in cognitively normal older adults.
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Montembeault, Maxime, Stijelja, Stefan, and Brambati, Simona M.
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OLDER people ,CEREBROSPINAL fluid ,AMYLOID ,ALZHEIMER'S disease ,FUSIFORM gyrus ,LEXICAL access - Abstract
Introduction: Self‐reported word‐finding difficulties are among the most frequent complaints in cognitively normal (CN) older adults. However, the clinical significance is still debated. Methods: We selected 239 CN from the Alzheimer's Disease Neuroimaging Initiative database who had completed the Everyday Cognition (ECog) questionnaire, as well as a lumbar puncture for amyloid beta (Aβ) and magnetic resonance imaging. Results: Word‐finding complaints, with a few other memory items, were significantly more severe compared to all other cognitive complaints. Ecog‐Lang1 (Forgetting names of objects) severity significantly predicted Aβ levels in CN, even when controlling for general cognitive complaint, demographic, and psychological variables. Individuals with high Ecog‐Lang1 complaints showed atrophy in the left fusiform gyrus and the left rolandic operculum compared to CN with low complaints. Discussion: Overall, our results support the fact that word‐finding complaints should be taken seriously. They have the potential to identify CN at risk of AD and support the need to include other cognitive domains in the investigation of subjective cognitive decline. [ABSTRACT FROM AUTHOR]
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- 2022
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6. Predictors of psychosocial functioning in euthymic patients with bipolar disorder: A model selection approach.
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Tsapekos, Dimosthenis, Strawbridge, Rebecca, Cella, Matteo, Wykes, Til, and Young, Allan H.
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BIPOLAR disorder , *COGNITIVE remediation , *MENTAL depression , *SYMPTOMS , *INTERPERSONAL relations , *PSYCHOSOCIAL functioning - Abstract
Functional impairment is a major target in the treatment of bipolar disorder (BD), but the magnitude and type of functional difficulties differ across patients. Findings on predictors of overall functioning and specific functional areas are inconsistent. We aimed to characterize functional difficulties and identify factors associated with global functioning and individual domains in euthymic patients. The Functional Assessment Short Test (FAST) was used to assess overall psychosocial functioning and specific functional domains in 80 euthymic participants with BD. Participants also completed a clinical interview and a cognitive assessment. Model selection with elastic net regression was performed to identify predictors of global functioning. We then examined the association of these predictors with individual functional domains using correlation. FAST scores indicated moderate or severe impairment for 54% of the sample, with occupational functioning showing the highest impairment rate. Elastic net regression selected a model with three variables (higher residual depressive symptoms, lower executive functioning, more perceived cognitive deficits) as predictors of overall functioning. No significant associations were found between these predictors. Depressive symptoms were associated with interpersonal relationships and leisure time, executive skills with occupational functioning, and perceived deficits with cognitive functioning. Residual depressive symptoms were the strongest predictor of overall functioning which highlights the importance of assessing and targeting subthreshold symptoms for recovery. Executive difficulties were associated with functioning, particularly occupational skills, independently of depressive symptoms. Interventions targeting these difficulties, such as cognitive and functional remediation, may be key treatment options towards facilitating functional recovery. [ABSTRACT FROM AUTHOR]
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- 2021
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7. When Alterations in Social Cognition Meet Subjective Complaints in Autism Spectrum Disorder: Evaluation With the "ClaCoS" Battery.
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Morel-Kohlmeyer, Shasha, Thillay, Alix, Roux, Sylvie, Amado, Isabelle, Brenugat, Lindsay, Carteau-Martin, Isabelle, Danset-Alexandre, Charlotte, Gaudelus, Baptiste, Graux, Jérôme, Peyroux, Elodie, Prost, Zelda, Krebs, Marie-Odile, Franck, Nicolas, Bonnet-Brilhault, Frédérique, and Houy-Durand, Emmanuelle
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AUTISM spectrum disorders ,SOCIAL perception ,SOCIAL skills ,NEUROPSYCHOLOGICAL tests ,SOCIAL adjustment ,SELF-injurious behavior - Abstract
Background: Deficit in social communication is a core feature in Autism Spectrum Disorder but remains poorly assessed in classical clinical practice, especially in adult populations. This gap between needs and practice is partly due to a lack of standardized evaluation tools. The multicentric Research group in psychiatry GDR3557 (Institut de Psychiatrie) developed a new battery for social cognitive evaluation named "ClaCoS," which allows testing the main components of social cognition: Emotion Recognition, Theory of Mind, Attributional Style, and Social Perception and Knowledge. It further provides an assessment of subjective complaints in social cognition. Methods: We compared the social cognition abilities of 45 adults with Autism Spectrum Disorder without intellectual disability and 45 neurotypically developed volunteers using the "ClaCoS" battery, in order to determine its relevance in the evaluation of social cognition impairments in autism. A correlational approach allowed us to test the links between subjective complaints and objectively measured impairments for the different components of social cognition. Results: As expected, the Autism Spectrum Disorder group showed deficits in all four components of social cognition. Moreover, they reported greater subjective complaints than controls regarding their social abilities, correlated to the neuropsychological assessments. Conclusion: The "ClaCoS" battery is an interesting tool allowing to assess social impairments in autism and to specify the altered components, for a better adjustment of tailored social cognition training programs. Our results further suggest that people with Autism Spectrum Disorder have a good social cognitive insight, i.e., awareness into social cognitive functioning, and may thus benefit from social cognitive training tools. [ABSTRACT FROM AUTHOR]
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- 2021
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8. When Alterations in Social Cognition Meet Subjective Complaints in Autism Spectrum Disorder: Evaluation With the 'ClaCoS' Battery
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Shasha Morel-Kohlmeyer, Alix Thillay, Sylvie Roux, Isabelle Amado, Lindsay Brenugat, Isabelle Carteau-Martin, Charlotte Danset-Alexandre, Baptiste Gaudelus, Jérôme Graux, Elodie Peyroux, Zelda Prost, Marie-Odile Krebs, Nicolas Franck, Frédérique Bonnet-Brilhault, and Emmanuelle Houy-Durand
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Autism Spectrum Disorder ,adults ,social cognition ,assessment ,subjective complaints ,Psychiatry ,RC435-571 - Abstract
Background: Deficit in social communication is a core feature in Autism Spectrum Disorder but remains poorly assessed in classical clinical practice, especially in adult populations. This gap between needs and practice is partly due to a lack of standardized evaluation tools. The multicentric Research group in psychiatry GDR3557 (Institut de Psychiatrie) developed a new battery for social cognitive evaluation named “ClaCoS,” which allows testing the main components of social cognition: Emotion Recognition, Theory of Mind, Attributional Style, and Social Perception and Knowledge. It further provides an assessment of subjective complaints in social cognition.Methods: We compared the social cognition abilities of 45 adults with Autism Spectrum Disorder without intellectual disability and 45 neurotypically developed volunteers using the “ClaCoS” battery, in order to determine its relevance in the evaluation of social cognition impairments in autism. A correlational approach allowed us to test the links between subjective complaints and objectively measured impairments for the different components of social cognition.Results: As expected, the Autism Spectrum Disorder group showed deficits in all four components of social cognition. Moreover, they reported greater subjective complaints than controls regarding their social abilities, correlated to the neuropsychological assessments.Conclusion: The “ClaCoS” battery is an interesting tool allowing to assess social impairments in autism and to specify the altered components, for a better adjustment of tailored social cognition training programs. Our results further suggest that people with Autism Spectrum Disorder have a good social cognitive insight, i.e., awareness into social cognitive functioning, and may thus benefit from social cognitive training tools.
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- 2021
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9. Subjective Complaints of Respiratory Disorders Due to Silica Dust Exposure to Workers at PT Bumi Saran Beton Kalla Block.
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Baharuddin, Alfina, Fachrin, Suharni A., and Rufaedah Amir, Astrid Pratiwi
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SILICA dust ,RESPIRATORY protective devices ,SMOKING ,CONCRETE ,DUST ,EMPLOYMENT tenure - Abstract
Purpose: The aims to analyze the effect of exposure to silica dust and individual characteristics on subjective complaints of workers’ Methods: The study design used a cross sectional approach. This research was conducted at PT. Bumi Sarana Beton Kalla Block, samples in this study were workers in the ballmill, mixing and packing as many as 27 people using the total sampling method. Data analysis using chi-square test and multiple regression test. Results: the results showed that the effect of age on subjective complaints of respiratory disorders was p 0.904> 0.05, the effect of smoking on subjective complaints of respiratory disorders p 0.485> 0.05, the effect of working tenure on subjective complaints of respiratory disorders p 0.728> 0.05, the effect of The use of respiratory protective equipment against subjective complaints of respiratory disorders p 0.820> 0.05, the effect of work history on subjective complaints of respiratory disorders p 0.647> 0.05, the effect of exposure to silica dust on subjective complaints of respiratory disorders p 0.529> 0.05. Conclusion: exposure to silica dust and individual characteristic factors such as age, smoking habits, years of service, use of respiratory protective equipment, and work history are not significant to the subjective complaints of respiratory [ABSTRACT FROM AUTHOR]
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- 2021
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10. Response inhibition in Veterans with a history of mild traumatic brain injury: The role of self-reported complaints in objective performance.
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Holiday, Kelsey A., Clark, Alexandra L., Merritt, Victoria C., Nakhla, Marina Z., Sorg, Scott, Delano-Wood, Lisa, and Schiehser, Dawn M.
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BRAIN injuries , *VETERANS - Abstract
Although objective deficits in response inhibition (RI) have been detected in civilians with mild traumatic brain injury (mTBI), it remains unclear whether objective RI is worse in military Veterans with mTBI despite the prevalence of self-reported disinhibition. Assessing RI in Veterans is critical due to their unique characteristics, including combat and blast exposure, in addition to the prevalence of psychiatric comorbidity. Therefore, the aims of this study were to (1) examine RI performance in Veterans with mTBI compared to non-mTBI Veterans and (2) compare RI performance in well-defined subgroups of mTBI Veterans with and without self-reported complaints of disinhibition to non-mTBI Veterans. 53 mTBI Veterans and 37 non-mTBI Veterans completed a Go/No-Go RI task and measures of self-reported disinhibition (Frontal Systems Behavior Scale) and psychiatric symptoms. ANCOVAs covarying for mood and demographics compared RI performances of the non-mTBI Veterans to (1) the total sample of mTBI Veterans (n= 53) and to (2) mTBI Veterans with elevated (t-score ≥ 60; mTBI-SubjDis; n= 23) and low (t-score < 60; mTBI-NoSubjDis; n= 30) levels of self-reported disinhibition. There were no significant differences in RI between the mTBI group as a whole and the non-mTBI Veterans group. However, when Veterans with mTBI were divided into groups by clinically-significant concern about their disinhibition, the mTBI-SubjDis group demonstrated significantly worse RI than the mTBI-NoSubjDis and non-mTBI Veteran groups. No significant differences in RI performance were observed between the mTBI-NoSubjDis and non-mTBI Veteran groups. Results indicate that mTBI Veterans with elevated levels of self-reported disinhibition show diminished performance on objective measures of RI, independent of mood. Findings highlight the unique contribution of subjective complaints on executive functioning in mTBI, and they underscore the importance of assessing cognitive complaints in order to identify those most at risk for poor-long term outcomes. [ABSTRACT FROM AUTHOR]
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- 2020
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11. Effects of Cognitive Rehabilitation on Cognition, Apathy, Quality of Life, and Subjective Complaints in the Elderly: A Randomized Controlled Trial.
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Montoya-Murillo, Genoveva, Ibarretxe-Bilbao, Naroa, Peña, Javier, and Ojeda, Natalia
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Objective: To determine the efficacy of a new-generation integrative cognitive rehabilitation (CR) program (Rehacop) on cognition, clinical symptoms, quality of life (QoL), and subjective complaints in the elderly.Design: A randomized controlled trial study with a cohort of elderly people over 55 years of age.Setting: Communities of the Basque Country (Spain).Participants: A total of 124 elderly participants (aged 79.00 ± 8.85 years) were randomized in the Rehacop group (RG) (n = 62) and control group (CG) (n = 62).Intervention: The RG attended 39 CR sessions for 3 months (3 sessions/week, 60-minute/session) with the Rehacop program. The CG performed occupational tasks with the same frequency and duration as the RG.Methods: Participants underwent a neuropsychological assessment at baseline and post-treatment which included cognitive, clinical, and functional tests. In addition, participants and their formal caregivers completed a subjective complaints questionnaire. The data were analyzed according to the intention to treat analysis and with participants who completed the study. This study was registered at clinicaltrials.gov (NCT03435029).Results: The RG showed significant improvements compared to the CG in neurocognition (ANCOVA timexgroup interaction effect size (ηp2)=0.05, 90% confidence interval (CI) = 0.00-0.12). The RG also reduced apathy (ηp2=0.06, 90% CI = 0.01-0.15) and participants' subjective complaints (ηp2=0.11, 90% CI = 0.03-0.21) and improved QoL (ηp2=0.08, 90% CI = 0.01-0.17).Conclusions: Participants who attended the intervention improved their cognition, QoL, and reduced apathy and subjective complaints after treatment. These findings provide a new understanding of the benefits of CR in the elderly. [ABSTRACT FROM AUTHOR]- Published
- 2020
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12. Problemas de memoria en pacientes con afección posterior a la COVID-19
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Corral Varela, María Montserrat, Universidade de Santiago de Compostela. Facultade de Psicoloxía, García Miró, Ana, Corral Varela, María Montserrat, Universidade de Santiago de Compostela. Facultade de Psicoloxía, and García Miró, Ana
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INTRODUCCIÓN. La afección posterior a la COVID-19 se caracteriza por la experimentación de sintomatología cognitiva y psicológica tras el periodo de infección aguda, siendo frecuentes los problemas de memoria y concentración, así como la sintomatología ansioso-depresiva. OBJETIVOS. Analizar las quejas subjetivas de memoria en pacientes con afección posterior a la COVID-19 y su rendimiento objetivo en función de la sintomatología neurológica durante la infección, y determinar la contribución de variables clínicas y psicopatológicas a estas quejas. MÉTODO. Se evaluó el rendimiento cognitivo de 100 personas hospitalizadas por COVID-19, con especial interés en la memoria, y se valoró el estado psicológico, 6 meses después del alta. RESULTADOS. Un 43,4% de la muestra manifestó tener problemas de memoria (MFE-30). Sin embargo, no se encontró relación entre estas quejas y su rendimiento objetivo en tests de aprendizaje verbal (MoCA_MIS, FCSRT), ni diferencias en función de la presencia de sintomatología neurológica. No se encontró relación entre las variables clínicas y las quejas de memoria, pero sí entre estas y la sintomatología psicológica. CONCLUSIONES. Los datos parecen indicar que las quejas subjetivas de memoria responden al malestar psicológico más que a deterioro de la memoria por daño neural, INTRODUCTION. Post-COVID-19 condition is characterized by the experience of cognitive and psychological symptomatology after the acute infection period, being frequent memory and concentration problems, as well as anxious-depressive symptomatology. OBJECTIVES. To analyze subjective memory complaints in patients with post-VOCID-19 involvement and their objective performance as a function of neurological symptomatology during infection, and to determine the contribution of clinical and psychopathological variables to these complaints. METHOD. The cognitive performance of 100 persons hospitalized for COVID-19 was evaluated, with special interest in memory, and psychological status was assessed, 6 months after discharge. RESULTS. A 43.4% of the sample reported having memory problems (MFE-30). However, no relationship was found between these complaints and their objective performance in verbal learning tests (MoCA_MIS, FCSRT), nor differences according to the presence of neurological symptomatology. No relationship was found between clinical variables and memory complaints, but there was a relationship between these and psychological symptomatology. CONCLUSIONS. The data seem to indicate that subjective memory complaints respond to psychological distress rather than to memory impairment due to neurological damage
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- 2023
13. Experimental study of standing and walking at work — What is compatible with physiological characteristics and human needs?
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Johannes Brombach, Klaus Bengler, and Lisa Rücker
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medicine.medical_specialty ,Muscle fatigue ,medicine.diagnostic_test ,Subjective rating ,Significant difference ,Work (physics) ,General Medicine ,Electromyography ,Muscle damage ,ddc ,Leg muscle ,Physical medicine and rehabilitation ,Muscular fatigue ,medicine ,Psychology ,Wissenschaftliche Beiträge ,Water plethysmography ,Surface electromyography ,Subjective complaints ,Static/dynamic muscle strain ,Wasserplethysmographie ,Oberflächen-Elektromyographie ,Subjektive Beschwerden ,Statische/dynamische Muskelbeanspruchung - Abstract
An experimental study with two scenarios S1 and S2 was conducted, in which the standing and walking proportions as well as movement dynamics were varied. Eleven participants have taken part in the study for 2.5 h each (cycle time: 90 s). By means of surface electromyography, the static and dynamic components of muscle strain as well as the muscle fatigue were recorded and compared with the results of water plethysmography and a structured subjective rating survey. The results of the EMG study showed significantly higher dynamic components of the EA at S2 compared to S1, while the static components for the same activities did not show any significant difference, as expected. S1 and S2 always led to an increase in volume of the lower leg. Standing with less walking (S1) resulted in a significantly higher increase than standing with a higher proportion of walking and stronger dynamic movements (S2). In scenario S2, compared to scenario S1, the participants reported weaker subjective complaints which were also reported later in time. The results on muscular fatigue indicated only partially significant differences between S1 and S2. The results make clear that the dynamics of movement are a decisive criterion for assessing standing activities.Practical Relevance: To relieve strain during standing work, “real” walking movement must be integrated into the workflow. It could be shown that only a small step to the side or a few “shuffling” steps are not sufficient. In contrast, it is compatible with human physiological characteristics to make correct steps and dynamically activate the leg muscles.
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- 2021
14. Trends in Multiple Health Complaints in Polish Adolescents in Light of Data from 30 European Countries and Canada (2002–2018)
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Mazur, Joanna, Klanšček, Helena Jeriček, Augustine, Lilly, Porwit, Katarzyna, Sigmund, Erik, and Šmigelskas, Kastytis
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trends ,Male ,Sweden ,Original Paper ,Schools ,Adolescent ,subjective complaints ,Europe ,Adolescent Behavior ,Humans ,Female ,international data ,Poland ,Child ,mental health - Abstract
Background Adolescence is a sensitive period accompanied by rapid developmental changes that can result in health complaints. The aim of the study was to describe the trend of subjective health complaints (HBSC-SCL) of Polish adolescents compared to their peers from 30 other countries and to rank all countries based on a proposed standardised measure. Material and Methods Data from the Health Behaviour in School-Aged Children (HBSC) study collected from 2002 to 2018 were used. The overall number of respondents from 30 countries in the combined sample from five quadrennial rounds was 773,356, including 49.2% boys and 50.8% girls. The HBSC-SCL is a non-clinical measure consisting of eight health complaints, usually analysed in two dimensions of psychological and somatic symptoms. Linear regression analysis was applied to assess the significance of trends of the total index and two subindices in the combined sample and individual countries. Results A significant increasing trend for the eight-item index appeared in Poland only in 13- and 15-year-olds, while only among 15-year-olds in the combined sample from 30 countries. Standardised country rank varied between -1.85 and 2.48 (worst). The countries that achieved extreme negative values (>=1) are France, Hungary, Italy, and Sweden, and the rank for Italy is considerably higher than for other countries. In Poland, the standardised rank for psychological symptoms exceeded the threshold of +1 in 2018. Conclusions The HBSC-SCL index could be useful for monitoring change in adolescent mental health. The proposed method of ranking may allow a broader view of the differences and similarities between countries and help to identify those performing unfavourably against cross-country patterns.
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- 2021
15. Biased neurocognitive self-perception in depressive and in healthy persons.
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Schwert, Christine, Stohrer, Maren, Aschenbrenner, Steffen, Weisbrod, Matthias, and Schröder, Annette
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COGNITIVE ability , *MENTAL depression , *NEUROPSYCHOLOGICAL tests , *CLINICAL neuropsychology , *AFFECTIVE disorders - Abstract
Background: Cognitive deficits across several domains and subjective complaints about cognition are prevalent in major depression disorder (MDD). Nevertheless, subjective and objective cognitive functions show no associations. However, research concerning the extent and direction of discrepancy is rare. The present study examined the relationship and discrepancy between subjective and objective cognitive deficits both in patients with MDD and healthy individuals.Method: Outpatients with MDD (n = 102) and a healthy control group (n = 88) were assessed with a neuropsychological test battery and completed a questionnaire for the self-assessment of cognitive performance (FLei) concerning the domains of attention, memory, and executive functions.Results: There were no associations between subjective and objective cognitive deficits in any domain in both the MDD group and the healthy control group. The groups did not differ regarding the extent of the discrepancy between subjective and objective cognition. However, depressed outpatients' subjective cognitive complaints significantly exceeded their neuropsychological deficits, whereas healthy individuals reported significantly higher subjective cognitive functioning than objectively measured.Limitations: The cross-sectional study design does not allow for causal conclusions. Due to concerns regarding the suitability of the subjective measure of cognitive deficits used in this study, the findings should be interpreted cautiously.Conclusions: The current study reveals a discrepancy between subjective and objective cognitive function not only in the MDD group, but also in the control group. Whereas depressed outpatients tend to underestimate their objective cognitive abilities, healthy individuals tend to overestimate them. [ABSTRACT FROM AUTHOR]- Published
- 2018
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16. Frequency and Correlates of Subjective Memory Complaints in Parkinson's Disease with and without Mild Cognitive Impairment: Data from the Parkinson's Disease Cognitive Impairment Study.
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Baschi, Roberta, Nicoletti, Alessandra, Restivo, Vincenzo, Recca, Deborah, Zappia, Mario, and Monastero, Roberto
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MILD cognitive impairment , *PARKINSON'S disease , *ANXIETY , *REGRESSION analysis , *MOTOR ability , *ATTENTION , *COGNITION disorders , *COMPARATIVE studies , *NEUROPSYCHOLOGICAL tests , *RESEARCH methodology , *MEDICAL cooperation , *MEMORY disorders , *NONPARAMETRIC statistics , *QUESTIONNAIRES , *RESEARCH , *VISUAL perception , *EVALUATION research , *CROSS-sectional method , *RETROSPECTIVE studies , *EXECUTIVE function , *DISEASE complications - Abstract
Subjective memory complaints (SMC) may represent the preclinical phase of mild cognitive impairment (MCI) due to Alzheimer's disease. Dementia/MCI have been described with a high prevalence in Parkinson's disease (PD), but whether SMC may predict the development of cognitive impairment has been barely explored. To evaluate the frequency and clinical correlates of isolated SMC (PD-SMC) or within the construct of MCI in subjects with PD, 147 PD patients from the PArkinson's disease COgnitive impairment Study (PACOS) were consecutively recruited for the study. This is a multicenter study involving two Movement Disorder Centers in south Italy. All subjects underwent comprehensive neuropsychological evaluation and PD-MCI was diagnosed according to Litvan's criteria. The Memory Assessment Clinics Questionnaire was used to assess SMC. Logistic regression analysis, adjusted for demographics and significant covariates, was used to evaluate clinical differences between groups. Forty-two (28.6%) individuals presented with PD without SMC and/or MCI (PDw), 40 (27,2%) with PD-SMC, 48 (32,6%) PD-SMC-MCI, and 17 (11,6%) PD-MCI without SMC (PD-MCI). When compared to PDw, PD-SMC was significantly associated with anxiety (OR = 3.93, 95% CI = 1.18-13.03), while PD-SMC-MCI related to motor progression (OR = 5.29, 95% CI = 1.12-24.86), and instrumental disability (OR = 6.98, 95% CI = 2.08-23.38). About 60% of patients showed SMC, in isolation or within the MCI frame. The role of SMC in PD seems to have a different etiology depending on the presence/absence of MCI. In particular, PD-SMC would represent a subjective reaction to the disease, while PD-SMC-MCI would depict motor progression and disability. [ABSTRACT FROM AUTHOR]
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- 2018
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17. Psychological and cognitive effects of laser printer emissions: A controlled exposure study.
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Herbig, B., Jörres, R. A., Schierl, R., Simon, M., Langner, J., Seeger, S., Nowak, D., and Karrasch, S.
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REGRESSION analysis , *INDOOR air pollution , *MEDICAL care , *PUBLIC health , *AEROSOLS - Abstract
The possible impact of ultrafine particles from laser printers on human health is controversially discussed although there are persons reporting substantial symptoms in relation to these emissions. A randomized, single-blinded, cross-over experimental design with two exposure conditions (high-level and low-level exposure) was conducted with 23 healthy subjects, 14 subjects with mild asthma, and 15 persons reporting symptoms associated with laser printer emissions. To separate physiological and psychological effects, a secondary physiologically based categorization of susceptibility to particle effects was used. In line with results from physiological and biochemical assessments, we found no coherent, differential, or clinically relevant effects of different exposure conditions on subjective complaints and cognitive performance in terms of attention, short-term memory, and psychomotor performance. However, results regarding the psychological characteristics of participants and their situational perception confirm differences between the participants groups: Subjects reporting symptoms associated with laser printer emissions showed a higher psychological susceptibility for adverse reactions in line with previous results on persons with multiple chemical sensitivity or idiopathic environmental intolerance. In conclusion, acute psychological and cognitive effects of laser printer emissions were small and could be attributed only to different participant groups but not to differences in exposure conditions in terms of particle number concentrations. [ABSTRACT FROM AUTHOR]
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- 2018
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18. The risk of subjective symptoms in mobile phone users in Poland – An epidemiological study
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Agata Szyjkowska, Elżbieta Gadzicka, Wiesław Szymczak, and Alicja Bortkiewicz
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electromagnetic fields ,feeling of warmth ,headaches ,cell phone ,subjective complaints ,Medicine - Abstract
Objectives: To assess the type and incidence of subjective symptoms related to the use of mobile phones in Polish users. Material and Methods: The study was conducted in 2005 using a questionnaire survey. Although it has been quite a long time, up to now, no such data have been published for Poland. The questionnaire consisted of 53 questions concerning sex, age, education, general health, characteristics of a mobile phone (hand-held, loud-speaking unit) as well as the habits associated with its use (frequency and duration of calls, text messages, etc.) and complaints associated with using a mobile phone. Results: As many as 1800 questionnaires were sent. The response was obtained from 587 subjects aged 32.6±11.3 (48.9% women, 51.1% men); the age did not differ significantly between men and women. The subjects owned a cell phone for an average of 3 years. Majority of the respondents used the phone intensively, i.e. daily (74%) or almost daily (20%). Headaches were reported significantly more often by the people who talked frequently and long in comparison with other users (63.2% of the subjects, p = 0.0029), just like the symptoms of fatigue (45%, p = 0.013). Also, the feeling of warmth around the ear and directly to the auricle was reported significantly more frequently by the intensive mobile phone users, compared with other mobile phone users (47.3%, p = 0.00004 vs. 44.6%, p = 0.00063, respectively). Most symptoms appeared during or immediately after a call and disappeared within 2 h after the call. Continuous headache, persisting for longer than 6 h since the end of a call, was reported by 26% of the subjects. Conclusions: Our results show that the mobile phone users may experience subjective symptoms, the intensity of which depends on the intensity of use of mobile phones.
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- 2014
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19. The Impact of Light Intensity on the Subjective Complaints of Librarians and Users: an Investigation of an Academic Library
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Utami, Tri Niswati, Sayekti, Retno, Santi, Triana, Utami, Tri Niswati, Sayekti, Retno, and Santi, Triana
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The objective of this study is to analyze the impact of light intensity on the subjective complaints of librarians and visitiors at an academic library. This research applied both quantitative and qualitative techniques on 696 visitors and librarians. The result suggests that the effects of light intensity include eyestrain, reading difficulty, dizziness, shoulder and back pains, as well as impaired concentration. Also, the frequency of reading and working impacted the subjective complaints. Furthermore, the intensity as well as the frequency of reading and working greatly influenced the subjective complaints. Based on the qualitative analysis, the development of light concepts and room design significantly influenced the comfort level. Therefore, the negative impact of lighting is exacerbated by the increasing frequency of reading and working. However, library room designs greatly contribute to the comfort level of librarians and visitors.
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- 2021
20. Effectiveness of Anma massage therapy in alleviating physical symptoms in outpatients with Parkinson's disease: A before-after study.
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Donoyama, Nozomi, Suoh, Sachie, and Ohkoshi, Norio
- Abstract
We aimed to confirm the physical effects of a single Anma massage session and continuous Anma massage therapy for outpatients with Parkinson's disease (PD). Twenty-one PD outpatients (mean age, 64.43 ± 8.39 [ SD ] years; Hoehn and Yahr stage I–IV) received a single 40-min Anma massage session involving upper and lower limb exercises and some subsequently received seven weekly Anma massage sessions. After a single session, visual analogue scale scores were significantly lower for muscle stiffness, movement difficulties, pain, and fatigue; gait speed and pegboard test time were significantly shortened; stride length was significantly lengthened; and shoulder flexion and abduction were significantly improved. No significant changes occurred in controls. After continuous sessions, we found general improvements in the same outcomes. In conclusion, Anma massage might effectively alleviate various physical PD symptoms; furthermore, because it is given through clothing, Anma massage is accessible for PD patients with movement difficulties. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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21. The risk of subjective symptoms in mobile phone users in Poland - An epidemiological study.
- Author
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Szyjkowska, Agata, Gadzicka, Elżbieta, Szymczak, Wiesław, and Bortkiewicz, Alicja
- Subjects
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CELL phones , *SUBJECTIVE well-being (Psychology) , *LOUDSPEAKERS , *TEXT messages , *FATIGUE (Physiology) ,HEADACHE risk factors - Abstract
Objectives: To assess the type and incidence of subjective symptoms related to the use of mobile phones in Polish users. Material and Methods: The study was conducted in 2005 using a questionnaire survey. Although it has been quite a long time, up to now, no such data have been published for Poland. The questionnaire consisted of 53 questions concerning sex, age, education, general health, characteristics of a mobile phone (hand-held, loud-speaking unit) as well as the habits associated with its use (frequency and duration of calls, text messages, etc.) and complaints associated with using a mobile phone. Results: As many as 1800 questionnaires were sent. The response was obtained from 587 subjects aged 32.6±11.3 (48.9% women, 51.1% men); the age did not differ significantly between men and women. The subjects owned a cell phone for an average of 3 years. Majority of the respondents used the phone intensively, i.e. daily (74%) or almost daily (20%). Headaches were reported significantly more often by the people who talked frequently and long in comparison with other users (63.2% of the subjects, p = 0.0029), just like the symptoms of fatigue (45%, p = 0.013). Also, the feeling of warmth around the ear and directly to the auricle was reported significantly more frequently by the intensive mobile phone users, compared with other mobile phone users (47.3%, p = 0.00004 vs. 44.6%, p = 0.00063, respectively). Most symptoms appeared during or immediately after a call and disappeared within 2 h after the call. Continuous headache, persisting for longer than 6 h since the end of a call, was reported by 26% of the subjects. Conclusions: Our results show that the mobile phone users may experience subjective symptoms, the intensity of which depends on the intensity of use of mobile phones. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
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22. Rhetorical work and medical authority: Constructing convincing cases in insurance medicine
- Author
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Erik Børve Rasmussen
- Subjects
Typology ,Health (social science) ,Attitude of Health Personnel ,media_common.quotation_subject ,education ,Rhetorical works ,Ideal (ethics) ,Interview studies ,03 medical and health sciences ,Insurance ,0302 clinical medicine ,History and Philosophy of Science ,Medically unexplained symptoms ,General Practitioners ,Insurance medicine ,Insurance medicines ,Rhetorical question ,Humans ,030212 general & internal medicine ,media_common ,Physician-Patient Relations ,business.industry ,Norway ,030503 health policy & services ,Public relations ,Focus Groups ,Subjective complaints ,Objective Evidence ,Focus group ,Work (electrical) ,Bureaucracy ,0305 other medical science ,Psychology ,business - Abstract
This article explores general practitioners' (GPs) persuasive efforts in cases where biomedical evidence is absent but expected. Health insurance in Western countries is based on the biomedical ideal that legitimate complaints should have objective causes detectable by medical examination. For GPs responsible for assessing sickness and incapacity for work, the demand for objective evidence can be problematic: what if they as experts deem that a patient is in fact sick and eligible for benefits, but are unable to provide objective evidence to that fact? How can they convince bureaucrats in the insurance system to accept their judgment? Taking ‘medically unexplained symptoms’ as my case, I draw on focus group and follow-up interviews with GPs in Norway to explore how GPs attempt to persuade bureaucrats to accept their professional judgment. Proposing the concept of ‘rhetorical work’, I reconstruct a typology of such work that doctors engage in to influence bureaucratic decision-making and provide long-term health benefits for patients. I then discuss the potential societal implications of GPs' rhetorical practices and the applications of the concept of rhetorical work in future research.
- Published
- 2020
23. SUBJECTIVE AND OBJECTIVE COGNITIVE IMPAIRMENT IN BIPOLAR DISORDER
- Author
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Simjanoski, Mario, Kapczinski, Flavio, and Neuroscience
- Subjects
Cognitive Impairment ,MDD ,Bipolar Disorder ,mental disorders ,Dementia ,Subjective Complaints ,MCI - Abstract
This thesis presents research investigating objectively and subjectively examined cognitive impairment in Bipolar Disorder (BD) in comparison to disorders with similar cognitive symptomatologies. First, a systematic review and meta-analyses compared the cognitive performance between BD and Mild Cognitive Impairment (MCI) or dementia. Studies included in this review and meta-analyses assessed cognitive performances using multiple objective cognitive assessments. Results from these meta-analyses found greater impairment in BD relative to MCI on motor initiative abilities. Additionally, there were similarities in cognitive deficits on delayed memory recall and visuoconstructional abilities between BD and MCI. For the comparison between BD and dementia, we analyzed the findings of studies comparing BD across different mood states with different types of dementia, where BD in acute mood episode demonstrated greater deficits in attention, working memory, verbal memory, and executive function than behavioral variant frontotemporal dementia (bvFTD). In contrast, overall cognitive functioning and verbal fluency was more impaired in Alzheimer’s disease (AD) in comparison to BD during euthymia. Next, we shifted the focus on examining subjective cognitive complaints in BD relative to Major Depressive Disorder (MDD). Our study is unique from previous literature with the same aim considering that it only involved patients recently diagnosed with BD, and subjective complaints were assessed with the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA), an instrument specific to cognitive complaints detected in BD. The findings demonstrate higher subjective cognitive complaints in euthymic BD in comparison to euthymic MDD, suggesting greater self-perceived difficulties in BD, even in the beginning of the illness. Taken together, findings from the studies presented in this thesis highlight the importance of early detection and intervention of cognitive impairments in BD, with the aim of enhancing cognitive abilities, and prevention of further cognitive degradation with the progression of the disorder Thesis Master of Science (MSc)
- Published
- 2020
24. Frequency and Correlates of Subjective Memory Complaints in Parkinson’s Disease with and without Mild Cognitive Impairment: Data from the Parkinson’s Disease Cognitive Impairment Study
- Author
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Alessandra Nicoletti, Mario Zappia, Vincenzo Restivo, Roberto Monastero, D. Recca, Roberta Baschi, and Roberta Baschi, Alessandra Nicoletti, Vincenzo Restivo, Deborah Recca, Mario Zappia, Roberto Monastero
- Subjects
Male ,0301 basic medicine ,Parkinson's disease ,Disease ,Neuropsychological Tests ,Anxiety ,Logistic regression ,Executive Function ,0302 clinical medicine ,Surveys and Questionnaires ,Attention ,Cognitive impairment ,Aged, 80 and over ,General Neuroscience ,Neuropsychology ,Parkinson Disease ,General Medicine ,Middle Aged ,musculoskeletal system ,Psychiatry and Mental health ,Clinical Psychology ,Visual Perception ,cardiovascular system ,Settore MED/26 - Neurologia ,Female ,cognitive impairment ,disability ,motor impairment ,subjective complaints ,Neuroscience (all) ,Geriatrics and Gerontology ,Psychiatry and Mental Health ,medicine.symptom ,medicine.medical_specialty ,Statistics, Nonparametric ,03 medical and health sciences ,Internal medicine ,mental disorders ,medicine ,Humans ,Dementia ,Aged ,Retrospective Studies ,Subjective complaints, Cognitive Impairment, Parkinson’s Disease, Disability, Motor Impairment, Anxiety ,Memory Disorders ,business.industry ,medicine.disease ,Cross-Sectional Studies ,030104 developmental biology ,Etiology ,Cognition Disorders ,business ,030217 neurology & neurosurgery - Abstract
Subjective memory complaints (SMC) may represent the preclinical phase of mild cognitive impairment (MCI) due to Alzheimer's disease. Dementia/MCI have been described with a high prevalence in Parkinson's disease (PD), but whether SMC may predict the development of cognitive impairment has been barely explored. To evaluate the frequency and clinical correlates of isolated SMC (PD-SMC) or within the construct of MCI in subjects with PD, 147 PD patients from the PArkinson's disease COgnitive impairment Study (PACOS) were consecutively recruited for the study. This is a multicenter study involving two Movement Disorder Centers in south Italy. All subjects underwent comprehensive neuropsychological evaluation and PD-MCI was diagnosed according to Litvan's criteria. The Memory Assessment Clinics Questionnaire was used to assess SMC. Logistic regression analysis, adjusted for demographics and significant covariates, was used to evaluate clinical differences between groups. Forty-two (28.6%) individuals presented with PD without SMC and/or MCI (PDw), 40 (27,2%) with PD-SMC, 48 (32,6%) PD-SMC-MCI, and 17 (11,6%) PD-MCI without SMC (PD-MCI). When compared to PDw, PD-SMC was significantly associated with anxiety (OR = 3.93, 95% CI = 1.18-13.03), while PD-SMC-MCI related to motor progression (OR = 5.29, 95% CI = 1.12-24.86), and instrumental disability (OR = 6.98, 95% CI = 2.08-23.38). About 60% of patients showed SMC, in isolation or within the MCI frame. The role of SMC in PD seems to have a different etiology depending on the presence/absence of MCI. In particular, PD-SMC would represent a subjective reaction to the disease, while PD-SMC-MCI would depict motor progression and disability.
- Published
- 2018
25. Cerebrospinal fluid Aβ42 is the best predictor of clinical progression in patients with subjective complaints.
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van Harten, Argonde C., Visser, Pieter Jelle, Pijnenburg, Yolande A.L., Teunissen, Charlotte E., Blankenstein, Marinus A., Scheltens, Philip, and van der Flier, Wiesje M.
- Abstract
Abstract: Background: The need to recognize Alzheimer’s disease (AD) as early as possible led us to evaluate the predictive value of amyloid β(1-42) (Aβ42), total tau (tau), and phosphorylated tau (ptau) in cerebrospinal fluid (CSF) for clinical progression in patients with subjective complaints. Methods: We recruited nondemented patients with subjective complaints (i.e., criteria for mild cognitive impairment [MCI] not fulfilled) from our memory clinic. We assessed the predictive value of CSF Aβ42, tau, and ptau for clinical progression using Cox proportional hazards models adjusted for age, gender, and baseline findings on the Mini-Mental State Examination (MMSE). Clinical progression was defined as progression to MCI or AD. Results: We included 127 patients with subjective complaints (age 60 ± 10 years, 61 [48%] females, MMSE 29 ± 1). At baseline, Aβ42 and tau were abnormal in 20 patients (both 16%), and ptau in 32 patients (25%). Thirteen patients (10%) progressed to MCI (n = 11) or AD (n = 2). Aβ42 was the strongest predictor of progression to MCI or AD with an adjusted hazard ratio (HR) of 16.0 (3.8–66.4). The adjusted HR associated with tau was 2.8 (0.9–9.2) and with ptau 2.6 (0.8–8.2). Combinations of biomarkers had a lower predictive value than Aβ42 alone. Conclusion: Low Aβ42 was the strongest predictor of clinical progression in patients with subjective complaints. These results are in line with the hypothesis that the cascade of pathologic events starts with deposition of Aβ42, whereas neuronal degeneration and hyperphosphorylation of tau are more downstream events, closer to clinical manifestation of AD. [Copyright &y& Elsevier]
- Published
- 2013
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26. The extent of neurocognitive dysfunction in a multidisciplinary pain centre population. Is there a relation between reported and tested neuropsychological functioning?
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Landrø, Nils Inge, Fors, Egil A., Våpenstad, Lindis L., Holthe, Øyvor, Stiles, Tore C., and Borchgrevink, Petter C.
- Subjects
- *
PAIN , *MENTAL depression , *OBJECTIVE tests , *ANESTHESIA , *EMERGENCY medicine , *DIAGNOSTIC imaging , *PATIENTS - Abstract
Abstract: Patients with chronic nonmalignant pain syndromes frequently report cognitive dysfunction, in particular with respect to concentration and attention. Such complaints have, in general, been attributed to depressive symptoms. In this study we showed that cognitive complaints in chronic pain patients are significantly associated with objective test performance in the area of inhibitory control after partialling out degree of depressive symptoms. Furthermore, about 20% of the patients performed below cut-off for clinically significant impairment on tests of basic neurocognitive functioning. A larger proportion of patients with generalized and neuropathic pain performed below this cut-off, whereas patients with localized pain exhibited impaired function to a lesser degree. Chronic pain patients receiving opioids did not perform worse than patients off opioid treatment. Systematic assessment of basic neurocognitive functions in centres treating chronic pain patients is warranted. [Copyright &y& Elsevier]
- Published
- 2013
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27. TRADUCCIÓN AL ESPAÑOL Y VALIDACIÓN DE LA ESCALA DE AUTOEVALUACIÓN DE QUEJAS COGNITIVAS EN ESQUIZOFRENIA.
- Author
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SERRANI AZCURRA, DANIEL
- Subjects
- *
PEOPLE with schizophrenia , *NEUROPSYCHOLOGICAL tests , *SELF-evaluation , *PSYCHOLOGY - Abstract
The aim of the study from which this research paper derives is to translate into Spanish and to validate the Self-Assessment Scale of Subjective Cognitive Complaints in Schizophrenia (SASCCS). A reverse translation was made from the original scale based on 5 factors (memory, attention, executive functions, language and practice) with 21 items and its psychometric properties were analyzed on 157 schizophrenic outpatients using factorial analysis that offered two scales with 5 and 6 factors, this last factor being the one which better adjusts. The factors were named semantic memory, working memory, difficulties in everyday life, metacognition, executive skills and distractibility. Convergent validity was assessed with several instruments that confirmed its reliability (Cronbach alpha coefficient= .89, intra-class correlation coefficient= .87). SCCS is a useful instrument to assess subjective cognitive complaints in schizophrenic patients, allowing them to express those cognitive matters that interfere with their quality of life. [ABSTRACT FROM AUTHOR]
- Published
- 2013
28. Post-stroke subjective cognitive impairment is associated with acute lacunar infarcts in the basal ganglia.
- Author
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Narasimhalu, K., Wiryasaputra, L., Sitoh, Y.‐Y., and Kandiah, N.
- Subjects
- *
CEREBROVASCULAR disease , *COGNITION disorders , *MILD cognitive impairment , *LACUNAR stroke , *BASAL ganglia , *BRAIN imaging , *MULTIVARIATE analysis , *LOGISTIC regression analysis - Abstract
Background and purpose While recent studies have examined neuroimaging correlates of post-stroke mild cognitive impairment ( MCI), no studies have examined neuroimaging correlates of post-stroke subjective cognitive impairment ( SCI). Methods Consecutive patients with magnetic resonance imaging-confirmed acute lacunar strokes at a tertiary institute were recruited for this cross-sectional study. All patients underwent cognitive testing, and those with MCI were excluded from these analyses. Two independent neuroradiologists ascertained data on the number and location of any infarcts, as well as the degree of white matter hyperintensities. Multivariate logistic regression analyses were performed to study the association between neuroimaging markers and SCI. Only variables that were significant in the univariate stage and clinically relevant potential confounders were included in multivariable analyses. Results Of 145 patients evaluated, 48 patients with MCI were excluded from the study. Of the remaining 97 patients, 30 patients had SCI. In multivariable analyses, only mini-mental state examination ( OR 0.61; CI 0.38-0.98) and basal ganglia infarcts ( OR 8.19; CI 1.18-56.6) were significant predictors of SCI. Conclusion In patients with acute lacunar strokes, we find that basal ganglia infarcts are associated with SCI. As the basal ganglia have been previously shown to be involved with learning of tasks, we hypothesize that infarcts in basal ganglia may affect learning speeds thereby contributing to the development of SCI. Larger studies are needed to confirm these results. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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29. Residual ridge resorption, lower denture stability and subjective complaints among edentulous individuals.
- Author
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HUUMONEN, S., HAIKOLA, B., OIKARINEN, K., SÖDERHOLM, A‐L., REMES‐LYLY, T., and SIPILÄ, K.
- Subjects
- *
BONE physiology , *MANDIBLE , *TOOTH loss , *CHI-squared test , *COMPLETE dentures , *INTERVIEWING , *PATIENT satisfaction , *COMPLICATIONS of prosthesis , *QUESTIONNAIRES , *STATISTICS , *DATA analysis software , *PATIENTS' attitudes , *THERAPEUTICS , *PHYSIOLOGY - Abstract
Residual ridge resorption in the mandible after tooth loss may lead to worsening of complete denture stability and to various subjective complaints. The aim was to evaluate the association between radiologically assessed residual ridge resorption in the mandible, clinically assessed stability of lower complete denture and subjective complaints among elderly denture wearers. The study population consisted of 326 (115 men and 211 women) edentulous subjects aged 60-78 years, all of whom were wearing complete dentures in the mandible. Data on subjective complaints were obtained from questionnaires and interviews. Denture stability was assessed clinically. Residual ridge resorption was analysed from panoramic radiographs. The results showed that women were significantly more often satisfied with their lower dentures and reported fewer problems with eating than men. They also had significantly more often residual ridge resorption than men. Among women, residual ridge resorption was significantly associated with poor chewing ability, low satisfaction with dentures and poor denture stability. Among men, residual ridge resorption did not associate with subjective complaints or denture stability. Poor satisfaction with dentures associated significantly with poor denture stability in both genders. In conclusion, these results highlight the importance of denture maintenance treatment. As the extent of residual ridge resorption in the mandible was the most important factor that increased dissatisfaction with lower complete dentures, it is also important to inhibit the progression of resorption by preventing tooth loss or by using implant-retained dentures. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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30. Living with acquired brain injury: Self-concept as mediating variable in the adjustment process.
- Author
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Doering, BettinaK., Conrad, Nico, Rief, Winfried, and Exner, Cornelia
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BRAIN injuries , *PSYCHOLOGICAL adaptation , *SELF-perception , *NEUROPSYCHOLOGICAL tests , *REASONING (Psychology) -- Testing , *MEMORY testing , *ATTENTION testing , *REGRESSION analysis , *PSYCHOLOGY - Abstract
Sequelae of acquired brain injury (ABI) require adjustment processes in which survivors must strive to regain subjective well-being (SWB) in the face of chronic impairment. The current study investigates whether the self-concept of achievement mediates this process. Thirty-five post-acute patients with ABI were assessed neuropsychologically for performance in memory, attention, concept formation and reasoning. Data concerning subjective complaints in applied cognition, self-concept, and SWB were collected. Patients rated their self-concept more negatively compared to a normative sample. Effects of subjective complaints in applied cognition on SWB were mediated by the self-concept of achievement. Contrary to expectations, objective cognitive deficits demonstrated no independent significant relationship to self-concept of achievement or SWB in multiple regression modelling when subjective complaints in applied cognition were considered simultaneously. The findings highlight the necessity of considering patients' subjective complaints and self-concepts to improve rehabilitative progress. Potential implications for neuropsychological rehabilitation are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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31. Awareness of Cognitive Deficits in Older Adults With Cognitive-impairment-no-dementia (CIND): Comparison With Informant Report.
- Author
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Greenop, Kathryn R., Jianguo Xiao, Almeida, Osvaido P., Flicker, Leon, Beer, Christopher, Foster, Jonathan K., D. Phil, van Bockxmeer, Frank M., and Lautenschlager, Nicola T.
- Abstract
Impaired awareness of cognitive deficits is a common symptom of dementia, but its prognostic importance in people with cognitive impairment-no dementia (CIND) is uncertain. In this study, we examined whether community volunteers with CIND and reduced awareness had worse cognitive performance and cognitive decline over 18 months than CIND participants with intact awareness or healthy controls. We recruited 92 participants with CIND and 91 healthy controls with their respective informants. We used discrepancy scores (informant minus participant) on the Anosognosia Questionnaire for Dementia and Dysexecutive Questionnaire to ascertain participants' awareness of their cognitive performance. The main cognitive outcome variable was the Alzheimer Disease Assessment Scale: Cognitive Section. Bivariate correlations showed no relationship between the awareness measures and cognitive performance or decline. Overall, CIND participants' ratings of cognitive deficits correlated significantly with their Alzheimer Disease Assessment Scale: Cognitive Section score after 18-months (for Anosognosia Questionnaire for Dementia, r-0.45, P <0.001) and showed a stronger relationship with cognitive performance than informant ratings. These results indicate that reduced awareness of deficit may be uncommon in community volunteer samples with CIND. In addition, self-report of cognitive complaints may be at least as useful as informant report when screening community-dwelling older adults at risk of cognitive decline and dementia. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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32. Does a specific dental amalgam syndrome exist? A comparative study.
- Author
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Weidenhammer, Wolfgang, Hausteiner, Constanze, Zilker, Thomas, Melchart, Dieter, and Bornschein, Susanne
- Subjects
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DENTAL amalgams , *COMPARATIVE studies , *ENVIRONMENTAL medicine , *PATIENTS , *SYMPTOMS - Abstract
Objective. The aim of this article was to investigate whether there is evidence for a specific syndrome of health problems attributed to dental amalgam. Material and methods. A secondary and retrospective analysis of two different databases was performed: (a) 90 patients (47% female, mean (SD) age 34 (6) years) of a clinical trial to remove amalgam fillings who attribute their health complaints to dental amalgam, and (b) 116 patients (62% female, mean (SD) age 37 (8) years) from an outpatient unit for environmental medicine who attribute their symptoms to environmental sources other than amalgam. Results. The samples differed in age, sex, and educational level. No statistically significant differences between either of the groups were found in overall psychological distress, intensity of the symptoms, or in numbers of self-reported symptoms in the Symptom Check List after controlling for age, sex, and education (Mean Global Severity Index 0.62 versus 0.63). Patients from the amalgam group showed mean values for private and public self-consciousness similar to the population norm, while patients from the comparison group had statistically significantly decreased mean values. While the amalgam group more frequently reported mental symptoms, patients from the comparison group had a higher prevalence of somatic symptoms. Conclusions. The results showed some differences in symptomatology, while general psychological distress was similar in both groups, indicating no strong evidence for an amalgam-specific syndrome. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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33. Subjective complaints compared to the results of neuropsychological assessment in patients with epilepsy: The influence of comorbid depression
- Author
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Liik, Maarika, Vahter, Liina, Gross-Paju, Katrin, and Haldre, Sulev
- Subjects
- *
NEUROPSYCHOLOGICAL tests , *PEOPLE with epilepsy , *MENTAL depression , *QUESTIONNAIRES , *COGNITIVE ability , *MEMORY , *PSYCHOLOGY - Abstract
Summary: The aim of the study was to compare subjective complaints of epilepsy patients with objective results of neuropsychological assessment and to investigate the possible influence of depression on self-reported complaints. 62 patients from the neurology clinic were included in the study. They were asked to fill the subjective complaints questionnaire, Beck Depression Inventory and a series of neuropsychological tests. The results indicated that self-reported cognitive complaints are not strongly associated with objective tests of different cognitive performance measures. We conclude that the discrepancy between subjective and objective cognitive functioning does not only affect the area of memory but a wide range of cognitive domains. Depression is an important factor influencing the level of different subjective complaints. [Copyright &y& Elsevier]
- Published
- 2009
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34. Self-appraisal and objective assessment of cognitive and affective functioning in persons with epileptic and nonepileptic seizures
- Author
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Prigatano, George P. and Kirlin, Kristin A.
- Subjects
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EPILEPSY , *SEIZURES (Medicine) , *SPASMS , *DEVELOPMENTAL disabilities - Abstract
Abstract: Subjective and objective assessments of cognitive and affective functioning of patients admitted to the EMU with epileptic (ES, n =22) and psychogenic nonepileptic (NES, n =23) seizures were compared. It was hypothesized that the patients with NES would overestimate their cognitive impairments and underestimate their affective disturbances relative to those with ES. Results revealed that the patients with NES reported greater word-finding difficulty than those with ES (P =0.02), but performed better than the patients with ES on the Boston Naming Test (BNT, P =0.03), suggesting a tendency to overestimate word-finding difficulty. Patients with NES and ES did not otherwise differ in subjective ratings of cognitive functions or emotional state; however, patients with NES performed worse on a test of affect expression/perception compared with those with ES (P =0.02). For patients with NES, only performance on memory tests was significantly correlated with their anxiety level. Obtaining both subjective ratings and objective test findings of cognitive and affective functioning may help further differentiate between patients with NES and those with ES. [Copyright &y& Elsevier]
- Published
- 2009
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35. Subjective complaints in persons under chronic low-dose exposure to lower polychlorinated biphenyls (PCBs)
- Author
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Broding, Horst Christoph, Schettgen, Thomas, Hillert, Andreas, Angerer, Jürgen, Göen, Thomas, and Drexler, Hans
- Subjects
- *
POLYCHLORINATED biphenyls , *INDUSTRIAL toxicology , *ENVIRONMENTAL exposure , *QUANTITATIVE research , *PUBLIC health , *OCCUPATIONAL hazards , *ENVIRONMENTAL engineering of buildings - Abstract
Abstract: Polychlorinated biphenyls (PCBs) have been in widespread industrial use in the 1960s and 1970s. Despite a worldwide reduction, environmental exposure remains an issue especially in contaminated buildings. Due to the ubiquitous presence and poor degradation of PCBs, public health concerns continue to exist; however, evidence on the actual health effects of chronic low-dose exposure is scanty. The objective of the present study is an assessment of subjective complaints of exposed subjects in comparison to a non-exposed control group and their inter-relation to plasma levels of PCB congeners. The plasma concentrations of PCB congeners were measured in 583 subjects who had worked for an average of 14.7±9.6 years in a contaminated building in Germany, and 205 control subjects working in a non-contaminated building. Subjective complaints were assessed with the 24-item ‘Giessen Subjective Complaints List’ (GSCL-24). The subjects under chronic low-dose exposure scored significantly higher values on all the GSCL subscales except ‘stomach complaints’ in comparison to the non-exposed subjects and a ‘normal’ sample derived from the literature. However, thorough statistical analysis revealed no correlation of symptoms and PCB congener plasma concentration; the scores on the subscale ‘exhaustion were even higher in subjects with low PCB concentration. Subjects working in a PCB-contaminated building report more subjective complaints in comparison to non-exposed subjects, but the complaints are not related to current PCB plasma concentrations. [Copyright &y& Elsevier]
- Published
- 2008
- Full Text
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36. Distribution of APOE Genotypes in a Memory Clinic Cohort.
- Author
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Van der Flier, W. M., Pijnenburg, Y. A. L., Schoonenboom, S. N. M., Dik, M. G., Blankenstein, M. A., and Scheltens, P.
- Subjects
- *
APOLIPOPROTEIN E , *LONGITUDINAL method , *DEMENTIA , *PSYCHIATRIC diagnosis , *ALZHEIMER'S disease - Abstract
Aim: To describe the distribution of apolipoprotein E (APOE) genotypes in a cohort of memory clinic patients. Methods: We included 749 memory clinic patients. Diagnoses were made in a multidisciplinary consensus meeting and the APOE genotype was determined. The community-based cohort of the Longitudinal Aging Study Amsterdam was used as control population (n = 2,233). Results: In the memory clinic sample, there were 173 patients with subjective complaints, 125 patients with mild cognitive impairment (MCI), 251 patients with Alzheimer disease (AD), 107 patients with another type of dementia, and 93 patients with another neurologic or psychiatric diagnosis. The APOE allele distribution differed among groups. There was no difference in the prevalence of the ε2 allele, but there were differences in distribution of the ε3 and ε4 alleles. Compared with the control population (15%), the prevalence of APOE ε4 was increased among patients with subjective complaints (22%), MCI (36%), AD (42%) and other types of dementia (25%). Conclusion: We observed an increased prevalence of APOE ε4 in patients with MCI and subjective complaints. This finding is of great clinical importance as nondemented patients positive for APOE ε4 could be identified as being at genetic risk of AD, and for that reason monitored more closely. Copyright © 2008 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
- Published
- 2008
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37. Screening Ability of Subjective Memory Complaints, Informant-Reports for Cognitive Decline, and Their Combination in Memory Clinic Setting
- Author
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Dahyun Yi, Young Min Choe, Eui Jung Kim, Dong Young Lee, Hyo Jung Choi, Seon Jin Yim, Hyewon Baek, Min Soo Byun, Bo Kyung Sohn, and Jee Wook Kim
- Subjects
Informant-report ,Subjective memory ,Informant report ,Cognitive disorder ,03 medical and health sciences ,0302 clinical medicine ,Elderly ,Memory ,mental disorders ,medicine ,Dementia ,030212 general & internal medicine ,Neuropsychological assessment ,Cognitive decline ,Biological Psychiatry ,medicine.diagnostic_test ,Memory clinic ,Cognition ,Subjective complaints ,medicine.disease ,Psychiatry and Mental health ,Screening ,Original Article ,Psychology ,030217 neurology & neurosurgery ,Clinical psychology - Abstract
OBJECTIVE This study aimed to compare the accuracy of subjective memory complaints, informant-reports for cognitive declines, and their combination for screening cognitive disorders in memory clinic setting. METHODS One-hundred thirtytwo cognitively normal (CN), 136 mild cognitive impairment (MCI), and 546 dementia who visited the memory clinic in the Seoul National University Hospital underwent standardized clinical evaluation and comprehensive neuropsychological assessment. The Subjective Memory Complaints Questionnaire (SMCQ) and the Seoul Informant Report Questionnaire for Dementia (SIRQD) were used to assess subjective memory complaints and informant-reports for cognitive declines, respectively. RESULTS Both SMCQ and SIRQD showed significant screening ability for MCI, dementia, and overall cognitive disorder (CDall: MCI plus dementia) (screening accuracy: 60.1-94.6%). The combination of SMCQ and SIRQD (SMCQ+SIRQD) was found to have significantly better screening accuracy compared to SMCQ alone for any cognitive disorders. SMCQ+SIRQD also significantly improved screening accuracy of SIRQD alone for MCI and CDall, but not for dementia. CONCLUSION Our findings suggest that the combined information of both subjective memory complaints and informant-reports for cognitive declines can improve MCI screening by each individual information, while such combination appears not better than informant-reports in regard of dementia screening.
- Published
- 2017
38. Relations Among Sociodemographic, Neurologic, Clinical, and Neuropsychologic Variables, and Vocational Status Following Mild Traumatic Brain Injury: A Follow-up Study.
- Author
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Nolin, Pierre and Heroux, Louise
- Abstract
Objectives: To explore the long-term relations among sociodemographic, neurologic, clinical, and neuropsychologic variables, and vocational status in persons with mild traumatic brain injury (MTBI), and to identify the symptoms that determine whether or not these individuals return to work. Design: Longitudinal quasi-experimental between-groups design. Participants: Eighty-five MTBI subjects aged between 16 and 65 years. Setting: The emergency ward of the Trois-Rivieres Regional Hospital Centre in Quebec, Canada. Main Outcome Measures: Age, gender, Glasgow Coma Scale score, duration of posttraumatic amnesia, duration of retrograde amnesia, total of symptoms at emergency, time elapsed since the trauma, Paced Auditory Serial Addition Task, Stroop Color Word Test, California Verbal Learning Test, and the number of symptoms at follow-up (12 to 36 months posttrauma). Results: Only the total number of symptoms reported at follow-up was related to vocational status. The majority of individuals had returned to work 1 year or more post-MTBI. Individuals who had not returned to work reported the greatest number of symptoms, which could be linked to their affective status. Six affective symptoms, 5 cognitive symptoms, 6 physical symptoms, and 8 symptoms relating to social and daily life activities differentiated the participants who had returned to work from those who had not. Conclusions: Patient characteristics, injury severity indicators, and cognitive functions were not associated with vocational status. To better understand post-MTBI vocational status, it is important to focus on subjective complaints that arise following the injury. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
39. Severity of subjective cognitive impairment in patients with obsessive-compulsive disorder and depression
- Author
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Moritz, Steffen, Kuelz, Anne Kathrin, Jacobsen, Dirk, Kloss, Martin, and Fricke, Susanne
- Subjects
- *
COGNITION disorders , *OBSESSIVE-compulsive disorder , *MENTAL depression , *MEMORY disorders - Abstract
Abstract: Previous research on obsessive-compulsive disorder (OCD) has consistently found cognitive impairments in the domains of executive and nonverbal (memory) functioning, particularly in patients with comorbid depressive symptoms. In contrast, little is known about the degree to which such deficits are cognizant to patients or the degree to which these impairments interfere with daily activities. The aim of the present study was to assess prevalence and specificity of subjective cognitive dysfunction in OCD patients. A self-rating scale, the Subjective Neurocognition Inventory (SNI), was administered to 67 OCD patients upon admission to hospital. Forty healthy and 30 depressed participants served as controls. Relative to healthy participants, OCD patients reported greater impairment on SNI subscales measuring psychomotor speed, selective and divided attention. Impairments in the OCD group were particularly pronounced in patients with severe OCD or depressive psychopathology. OCD patients were no more disturbed than depressed participants on any of the domains tested. Memory problems were only reported by a minority of OCD patients—even in patients with checking compulsions. In conjunction with prior studies showing few memory difficulties in non-depressed OCD patients, present findings further challenge the memory deficit hypothesis which claims that checking compulsions are a dysfunctional compensation for real or imagined forgetfulness. [Copyright &y& Elsevier]
- Published
- 2006
- Full Text
- View/download PDF
40. Accuracy of self-reported neuropsychological functioning in individuals with epileptic or psychogenic nonepileptic seizures
- Author
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Fargo, Jamison D., Schefft, Bruce K., Szaflarski, Jerzy P., Dulay, Mario F., Marc Testa, S., Privitera, Michael D., and Yeh, Hwa-Shain
- Subjects
- *
PATIENTS , *NEUROPSYCHOLOGICAL tests , *PSYCHOLOGICAL tests , *BRAIN diseases - Abstract
The aim of this study was to determine the degree to which subjective ratings of neurocognitive ability accurately reflect objectively measured neuropsychological functioning in patients diagnosed with epileptic (ES,
n=45 ) or psychogenic nonepileptic (PNES;n=37 ) seizures. Patients received a battery of neuropsychological tests, measures of current mood state, and the Quality of Life In Epilepsy—89 questionnaire. Results indicated that subjective ratings of neuropsychological functioning were only partially accurate within each group. Patients with ES accurately rated their memory function, but overestimated language and attention abilities. Patients with PNES accurately rated attention, but underestimated memory and overestimated language. In both groups, poorer self-reported neurocognitive functioning was strongly related to poorer mood state; however, mood state did not predict objectively measured neurocognitive abilities. Given the inaccuracies that exist in patient self-report, results highlight the importance of a comprehensive neuropsychological assessment when evaluating the neurocognitive status of individuals with seizures. [Copyright &y& Elsevier]- Published
- 2004
- Full Text
- View/download PDF
41. Malingering on subjective complaint tasks: An exploration of the deterrent effects of warning
- Author
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Sullivan, Karen and Richer, Carolyn
- Subjects
- *
MALINGERING , *NEUROPSYCHOLOGICAL tests - Abstract
Assessing patient’s subjective experience of illness is an important component of neuropsychological assessment. This information can be assessed using standardized self-reported complaint (SRC) checklists and may have specific applications in the assessment of malingering. Previous research suggests that subjective complaints can be faked under some circumstances, however, the extent to which this occurs when assessments are made using standardized SRC measures is less well understood. In addition, if complaints can be faked, this raises the question: What might reduce the likelihood of faked symptom reports? In this study, we randomly allocated 60 first-year undergraduate subjects to one of the three conditions: malingering, malinger-with-warning, and control. Using a repeated-measures analogue design, we assessed differences between groups on selected SRC measures. The measures used were the Neuropsychological Symptoms Checklist (NSC), the General Health Questionnaire-30 (GHQ-30), and the Depression, Anxiety, and Stress Scales (DASS). We expected to find that SRC measures would be vulnerable to faking, but also that warning malingerers about the possibility of detection would reduce faking behavior. Further, control group scores on SRC measures were calculated to produce preliminary complaint base rate data for these tests. Our results showed that SRC measures were vulnerable to faking. In addition, contrary to expectations, we found that warnings did not significantly deter malingering, although we observed that a trend in the expected direction and future studies with a larger sample size or a modified warning may be needed to further investigate warning efficacy. Broader implications of these findings are discussed in light of deterrence theory and recent debate over the use of SRC measures in the assessment of malingering. [Copyright &y& Elsevier]
- Published
- 2002
- Full Text
- View/download PDF
42. Subjective complaints and actual performance in gathering normative data of neuropsychological tests - pilot study
- Author
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Hunt, Hanna, Vahter, Liina, juhendaja, Laas, Kariina, juhendaja, Tartu Ülikool. Sotsiaalteaduste valdkond, and Tartu Ülikool. Psühholoogia instituut
- Subjects
neuropsychological tests ,subjektiivsed kaebused ,üliõpilastööd ,eakad ,subjective complaints ,neuropsühholoogilised testid ,elderly - Abstract
Uurimistöö eesmärgiks oli neuropsühholoogiliste testide normandmete kogumine vanemaealisel populatsioonil ning nende testide tulemuste seostamine subjektiivsete kaebustega. Uurimuse valimisse kuulus 15 inimest vanuses 65-85, kellest moodustati kaks gruppi vanuse alusel (65-74 ja 75-85). Katseisikud täitsid vaimse seisundi miniuuringu, taustandmete ja subjektiivsete kaebuste küsimustiku ning kuus neuropsühholoogilist testi. Analüüsist selgus ootuspäraselt, et neuropsühholoogiliste testide tulemused halvenesid vanuse kasvades. Esinesid negatiivsed seosed kauboi loo hilisema meenutamise ja nägemismälu kaebuse vahel, kauboi loo algsel meenutamisel ja kuulmismälu kaebuse vahel; kategooriakohase voolavuse ning tegevuse planeerimise kaebuse vahel. Positiivne seos esines punktide ühendamise testi A osa ja nägemismälu kaebuse vahel. Töö toorandmed ja tulemused on alguseks normandmete kogumisel.
- Published
- 2019
43. Self-reported word-finding complaints are associated with cerebrospinal fluid amyloid beta and atrophy in cognitively normal older adults.
- Author
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Montembeault M, Stijelja S, and Brambati SM
- Abstract
Introduction: Self-reported word-finding difficulties are among the most frequent complaints in cognitively normal (CN) older adults. However, the clinical significance is still debated., Methods: We selected 239 CN from the Alzheimer's Disease Neuroimaging Initiative database who had completed the Everyday Cognition (ECog) questionnaire, as well as a lumbar puncture for amyloid beta (Aβ) and magnetic resonance imaging., Results: Word-finding complaints, with a few other memory items, were significantly more severe compared to all other cognitive complaints. Ecog-Lang1 (Forgetting names of objects) severity significantly predicted Aβ levels in CN, even when controlling for general cognitive complaint, demographic, and psychological variables. Individuals with high Ecog-Lang1 complaints showed atrophy in the left fusiform gyrus and the left rolandic operculum compared to CN with low complaints., Discussion: Overall, our results support the fact that word-finding complaints should be taken seriously. They have the potential to identify CN at risk of AD and support the need to include other cognitive domains in the investigation of subjective cognitive decline., Competing Interests: MM and SS have no conflicts of interest to report. In the past 36 months, SMB has received payment from Université de Montréal for presentations., (© 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.)
- Published
- 2022
- Full Text
- View/download PDF
44. Subjective Complaints versus Neuropsychological Test Performance after Moderate to Severe Head Injury.
- Author
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Lannoo, E., Colardyn, F., Vandekerckhove, T., De Deyne, C., De Soete, G., and Jannes, C.
- Abstract
Neuropsychological test performance and subjective complaints of 85 patients with moderate to severe head injury were investigated at 6 months postinjury. The neuropsychological test battery included 10 measures of attention, memory, mental flexibility, reaction time, visuoconstruction and verbal fluency. Subjective complaints were assessed using a self-report questionnaire subdivided into four subscales (somatic, cognitive, emotional and behavioural). Ratings were obtained for the pre-injury and current status. Thirty-three trauma patients with injuries to other parts of the body than the head were used as controls. For the head injured, relatives also completed the questionnaire. Head injured patients performed significantly below trauma control patients on nearly all test measures. Head injured patients and their relatives reported a significant increase in subjective complaints since the injury on all four subscales, with no differences between patients' and relatives' reports. These changes were also reported by the trauma controls, but they report fewer changes in somatic and cognitive functioning. Exploratory canonical correlation analyses revealed no correlations between any of the four scales of the questionnaire and the test measures, nor for the head injured, the trauma controls, or the relatives, indicating no relevant relationship between subjective complaints and neuropsychological test performance. [ABSTRACT FROM AUTHOR]
- Published
- 1998
- Full Text
- View/download PDF
45. VDT work, oculomotor strain, and subjective complaints: an experimental and clinical study.
- Author
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LIE, IVAR and WATTEN, REIDULF G.
- Abstract
Two studies, one experimental and one clinical, are presented. Study I examines the effect of three hours of continuous VDT work (text-editing) on a set of optometric and health-related variables in an experimental design with two matched groups, one experimental (n = 18) and one control group (n = 19). Doing the same keyboard activities for 3 h as the experimental group, the control group was looking out of a window instead of at the display while working (distance viewing). There were significant group differences in work related effects on the eyes' ciliary and extraocular muscles and on subjective symptoms, indicating that not only visual symptoms but also muscle pain in the head, neck, and upper back regions may result from near-point induced oculomotor strain. Study II shows the health effect of optical corrections on symptomatic VDT workers (n = 14). There is a significant pre-post reduction in symptoms, indicating that visual anomalies contribute to work-related symptoms. The results of both studies are discussed in a visual ecological perspective. [ABSTRACT FROM PUBLISHER]
- Published
- 1994
- Full Text
- View/download PDF
46. Rhetorical work and medical authority: Constructing convincing cases in insurance medicine.
- Author
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Rasmussen, Erik Børve
- Subjects
- *
AUTHORITY , *PHYSICIAN-patient relations , *PERSUASION (Rhetoric) , *MEDICAL care , *DISABILITY insurance , *HEALTH insurance , *MEDICALLY unexplained symptoms , *BIOETHICS - Abstract
This article explores general practitioners' (GPs) persuasive efforts in cases where biomedical evidence is absent but expected. Health insurance in Western countries is based on the biomedical ideal that legitimate complaints should have objective causes detectable by medical examination. For GPs responsible for assessing sickness and incapacity for work, the demand for objective evidence can be problematic: what if they as experts deem that a patient is in fact sick and eligible for benefits, but are unable to provide objective evidence to that fact? How can they convince bureaucrats in the insurance system to accept their judgment? Taking 'medically unexplained symptoms' as my case, I draw on focus group and follow-up interviews with GPs in Norway to explore how GPs attempt to persuade bureaucrats to accept their professional judgment. Proposing the concept of 'rhetorical work', I reconstruct a typology of such work that doctors engage in to influence bureaucratic decision-making and provide long-term health benefits for patients. I then discuss the potential societal implications of GPs' rhetorical practices and the applications of the concept of rhetorical work in future research. • Absent but expected biomedical evidence cause problems of trust and credibility. • General practitioners (GPs) face such problems as gatekeepers in health insurance. • The study explores GPs' work to construct convincing cases for insurance benefits. • Uses focus groups and follow-up interviews to unpack GPs' persuasive efforts. • Proposes rhetorical work and insurance trajectories as conceptual innovations. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
47. Analisis Distribusi Tingkat Keparahan Keluhan Subjektif Muskuloskeletal Diseases (Msds) Dan Karakteristik Faktor Tingkat Risiko Ergonomi Pada Pekerja Kantor Asuransi
- Author
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JAUHARI, LARIF, PRABOWO, KUAT, FRIDIANTI, ARFIA, JAUHARI, LARIF, PRABOWO, KUAT, and FRIDIANTI, ARFIA
- Abstract
Occupational health is the right of every worker to be guaranteed by the business owner. Workers are free to choose the type of work so as to obtain fair and prosperous working conditions. In the scope of occupational health prosperous has a very broad meaning covers all aspects of life ranging from health, safety, tranquility, feasibility and comfort in work (PP No.50, 2012). One of the hazards of occupational health is the danger of ergonomics. The objective of the paper was to analyze factors related to subjective complaints of musculoskeletal disorder (MSDS) disease in insurance company workers. This research is a quantitative analytic research using cross-sectional study design because in this research the data collection of the dependent variable and the independent variable is observed in the period of time together. The results showed that the description of the distribution of complaints entered the Medium category. Individual factors picture of complaints at age 36-45 years of male sex and tenure> 3 years. A description of the REBA ergonomic risk factor level was obtained by the final score of 7 (Medium) and 9 (High). The description of work equipment according to CSA standards and relationship test results for individual factors on the variable age and service period there is a significant relationship, while for gender variables there is no significant relationship. For test result of REBA risk factor factor and labor factor factor test, there was no significant correlation with severity of MSDs disease subjective severity., Kesehatan kerja adalah hak setiap pekerja untuk dijamin oleh pemilik bisnis. Pekerja bebas memilih jenis pekerjaan sehingga memperoleh kondisi kerja yang adil dan makmur. Dalam lingkup kesejahteraan kesehatan kerja memiliki arti yang sangat luas mencakup semua aspek kehidupan mulai dari kesehatan, keselamatan, ketenangan, kelayakan dan kenyamanan dalam bekerja (PP No.50, 2012). Salah satu bahaya kesehatan kerja adalah bahaya ergonomi. Tujuan makalah ini adalah untuk menganalisis faktor-faktor yang terkait dengan keluhan subyektif gangguan muskuloskeletal (MSDS) pada pekerja perusahaan asuransi. Penelitian ini merupakan penelitian kuantitatif analitik dengan menggunakan desain penelitian cross sectional karena dalam penelitian ini pengumpulan data variabel dependen dan variabel independen diamati dalam periode waktu bersama. Hasil penelitian menunjukkan bahwa deskripsi distribusi keluhan masuk kategori Sedang. Faktor individu menggambarkan keluhan pada usia 36-45 tahun seks pria dan masa jabatan> 3 tahun. Penjelasan tentang tingkat faktor risiko ergonomis REBA diperoleh dengan skor akhir 7 (Medium) dan 9 (High). Deskripsi peralatan kerja menurut standar CSA dan hasil tes hubungan untuk faktor individu pada usia variabel dan periode layanan ada hubungan yang signifikan, sedangkan untuk variabel gender tidak ada hubungan yang signifikan. Untuk hasil tes faktor faktor risiko REBA dan uji faktor faktor tenaga kerja, tidak ada korelasi yang signifikan dengan tingkat keparahan penyakit subyektif MSD.
- Published
- 2017
48. [Association of the meaning of life with satisfaction, the occurrence of subjective complaints and the family's economic status in the population of lower secondary school students]
- Author
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Dorota, Zawadzka, Magdalena, Stalmach, Anna, Oblacińska, and Izabela, Tabak
- Subjects
Male ,poczucie sensu życia ,Adolescent ,subjective complaints ,satisfaction with life ,status ekonomiczny rodziny ,Personal Satisfaction ,Original Articles/Prace Oryginalne ,zadowolenie z życia ,meaning in life ,Socioeconomic Factors ,Surveys and Questionnaires ,Humans ,Female ,Poland ,Students ,dolegliwości subiektywne ,economic status of family - Abstract
Introduction Feeling of meaning in life is extremely crucial factor of mental health. The lack of it can result in various disorders. Many authors, especially those connected with current of humanistic psychology underline the teenagers’ life sense. The aim The aim of the paper was to examine the level of satisfaction with life, the frequency of psychosomatic complaints by junior high school students as well as the estimation of economical status of family and the analysis of meaning in life with above mentioned factors. Material and methods The research was carried out in 2015 at 70 schools from all over the country, in group of 3695 lower secondary school students of I-III classes at the age of 13-17 (M=14,9; SD=0,87). The analysis connected with meaning in life using the shorten version of Purpose in Life Test (PIL) as well as analysis of life satisfaction using Cantril scale were taken up. What is more, the subjective physical complaints using single-factor shorten scale and economic status of family with the usage of material resources FAS scale (Family Affluence Scale) were examined. The statistical analysis included a one-way analysis of variance (ANOVA), t-student test post-hoc test as well as multivariate logistic regression model. Results The average level of meaning in life among the examined students was 24,7 points (the summary scale 0-36 points), the boys achieved higher score than girls. The students satisfied with life (t=28,0; p
- Published
- 2017
49. Possible heliogeophysical effects on human physiological state.
- Author
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Dimitrova, Svetla
- Abstract
A group of 86 healthy volunteers was examined in periods of high solar and geomagnetic activity. In this study hourly Dst-index values and hourly data about intensity of cosmic rays were used. Results revealed statistically significant increments for the mean systolic and diastolic blood pressure, pulse pressure and subjective psycho-physiological complaints of the group with geomagnetic activity increase and cosmic rays intensity decrease. [ABSTRACT FROM PUBLISHER]
- Published
- 2008
- Full Text
- View/download PDF
50. The risk of subjective symptoms in mobile phone users in Poland--an epidemiological study
- Author
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Elżbieta Gadzicka, Agata Szyjkowska, Alicja Bortkiewicz, and Wiesław Szymczak
- Subjects
electromagnetic fields ,Adult ,Male ,medicine.medical_specialty ,Time Factors ,media_common.quotation_subject ,lcsh:Medicine ,feeling of warmth ,Young Adult ,Phone ,Surveys and Questionnaires ,headaches ,Epidemiology ,medicine ,Humans ,Thermosensing ,Young adult ,Fatigue ,media_common ,subjective complaints ,Incidence (epidemiology) ,Incidence ,lcsh:R ,Public Health, Environmental and Occupational Health ,Headache ,Questionnaire ,General Medicine ,Feeling ,Mobile phone ,Female ,Poland ,Headaches ,medicine.symptom ,Psychology ,Social psychology ,Cell Phone ,Demography ,Ear Auricle - Abstract
Objectives: To assess the type and incidence of subjective symptoms related to the use of mobile phones in Polish users. Material and Methods: The study was conducted in 2005 using a questionnaire survey. Although it has been quite a long time, up to now, no such data have been published for Poland. The questionnaire consisted of 53 questions concerning sex, age, education, general health, characteristics of a mobile phone (hand-held, loud-speaking unit) as well as the habits associated with its use (frequency and duration of calls, text messages, etc.) and complaints associated with using a mobile phone. Results: As many as 1800 questionnaires were sent. The response was obtained from 587 subjects aged 32.6±11.3 (48.9% women, 51.1% men); the age did not differ significantly between men and women. The subjects owned a cell phone for an average of 3 years. Majority of the respondents used the phone intensively, i.e. daily (74%) or almost daily (20%). Headaches were reported significantly more often by the people who talked frequently and long in comparison with other users (63.2% of the subjects, p = 0.0029), just like the symptoms of fatigue (45%, p = 0.013). Also, the feeling of warmth around the ear and directly to the auricle was reported significantly more frequently by the intensive mobile phone users, compared with other mobile phone users (47.3%, p = 0.00004 vs. 44.6%, p = 0.00063, respectively). Most symptoms appeared during or immediately after a call and disappeared within 2 h after the call. Continuous headache, persisting for longer than 6 h since the end of a call, was reported by 26% of the subjects. Conclusions: Our results show that the mobile phone users may experience subjective symptoms, the intensity of which depends on the intensity of use of mobile phones.
- Published
- 2013
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