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Published on: May 22, 2019
Subjective cognitive complaints after stroke: a systematic review
Marielle W A van Rijsbergen1, Ruth E Mark1, Paul L M de Kort2
1Department of Cognitive Neuropsychology, Center of Research on Psychology in Somatic diseases, Tilburg University, Tilburg, The Netherlands.
Summary
Subjective cognitive complaints (SCC) are very common after stroke, often increasing over time. These patient-reported issues warrant serious clinical attention and further research for improved care.
Area of Science:
- Neurology
- Psychology
- Rehabilitation Medicine
Background:
- Limited research exists on subjective cognitive complaints (SCC) post-stroke compared to objective assessments.
- SCC are patient-reported experiences of cognitive difficulties following a stroke.
- This review systematically evaluates the existing literature on post-stroke SCC.
Purpose of the Study:
- To summarize and evaluate current knowledge regarding subjective cognitive complaints (SCC) in stroke survivors.
- To identify patterns in the prevalence, progression, and predictors of post-stroke SCC.
- To inform future research and clinical practice concerning SCC.
Main Methods:
- Systematic literature search for original empirical articles on post-stroke SCC.
- Inclusion criteria: studies evaluating SCC in adult stroke survivors.
- No restrictions on publication year or language.
Main Results:
- Twenty-six studies were included, revealing high heterogeneity but consistent findings of SCC prevalence.
- SCC are common post-stroke, tend to increase over time, and show moderate agreement between patients and proxies.
- Associations between SCC, depressive symptoms, and objective cognitive performance are inconsistent; SCC may predict future functioning.
Conclusions:
- Post-stroke SCC are highly prevalent and require serious clinical consideration.
- Further research is essential to understand SCC, inform patients/families, and develop treatments.
- Improving future research and patient-centered care for stroke survivors is recommended.
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