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Memory complaints in chronic stroke patients are predicted by memory self-efficacy rather than memory capacity
Laurien Aben1, Rudolf W H M Ponds, Majanka H Heijenbrok-Kal
1Department of Rehabilitation Medicine and Physiotherapy, Erasmus MC, Rotterdam, The Netherlands. l.aben@erasmusmc.nl
Cerebrovascular Diseases (Basel, Switzerland)
|April 14, 2011
Summary
Memory complaints after stroke are linked to lower memory self-efficacy (MSE), not actual memory ability. Improving MSE may help reduce these complaints in stroke survivors.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Memory self-efficacy (MSE) is crucial for perceived memory function, especially in older adults.
- MSE has been understudied in post-stroke populations.
- Memory complaints in healthy elderly correlate more with MSE than objective memory performance.
Purpose of the Study:
- To determine if memory capacity and MSE predict memory complaints in stroke patients.
- To identify key predictors of MSE in stroke survivors.
Main Methods:
- A cross-sectional study of 136 stroke patients (over 18 months post-onset).
- Utilized Metamemory in Adulthood questionnaire for MSE, validated questionnaires for depression, coping, and personality.
- Assessed memory performance using Rivermead Behavioural Memory Test (RBMT) and Auditory Verbal Learning Test (AVLT).
Main Results:
- Lower MSE independently predicted memory complaints (aOR=0.422, p=0.000), even after adjusting for age and depression.
- Objective memory tests (RBMT, AVLT) did not predict memory complaints (p>0.263).
- Memory complaints and depression were the strongest predictors of MSE (B=-1.748, p=0.000; B=-0.054, p=0.000).
Conclusions:
- Memory complaints in stroke patients are primarily predicted by MSE, not objective memory capacity.
- Memory self-efficacy training could be a viable strategy for managing memory complaints in chronic stroke survivors.
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