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Assessment of Age-related Changes in Cognitive Functions Using EmoCogMeter, a Novel Tablet-computer Based Approach
Published on: February 14, 2014
Impaired emotional state, quality of life and cognitive functions in young hypogonadal men
L Lašaitė1, J Ceponis, R T Preikša
1Institute of Endocrinology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Insights
Young men with hypogonadism experience poorer emotional well-being and quality of life. Cognitive functions are significantly impaired in hypogonadal males compared to healthy controls.
Area of Science:
- Endocrinology
- Psychology
- Neuroscience
Background:
- Hypogonadism, a condition of deficient testosterone production, affects men's health.
- The impact of hypogonadism on emotional state, quality of life, and cognitive function in young men requires further investigation.
Purpose of the Study:
- To analyze the emotional state, quality of life, and cognitive functions in young men with hypogonadism.
- To compare these parameters between hypogonadal men and age-matched healthy controls.
Main Methods:
- Thirty-four young hypogonadal males and 34 age-matched healthy males were recruited.
- Emotional state was assessed using the Profile of Mood States.
- Quality of life was evaluated using the WHO Brief Quality of Life Questionnaire.
- Cognitive functioning was assessed using the Trail Making Test and Wechsler Adult Intelligence Scale's Digit Span Test.
Main Results:
- Hypogonadal men exhibited higher levels of depression, fatigue, and confusion, and lower vigor compared to controls.
- Psychological and social domains of quality of life were significantly worse in hypogonadal men.
- Cognitive functions, including executive function, attention, visual scanning, and psychomotor speed, were significantly impaired in hypogonadal men.
- Testosterone levels correlated with psychological quality of life, and FT4 concentration related to cognitive functioning.
Conclusions:
- Young hypogonadal patients demonstrate impaired emotional state and reduced quality of life.
- Cognitive functioning is most severely affected in young men with hypogonadism.
- These findings highlight the broad impact of hypogonadism beyond physical symptoms.
Abstract:
The study aimed to analyse emotional state, quality of life and cognitive functions in young hypogonadal men. Thirty-four males with hypogonadism (age 29.1 ± 10.5 years) and 34 age-matched healthy males (age 30.5 ± 11.0 years) were recruited. Their emotional state was evaluated by Profile of Mood States, quality of life - by WHO Brief Quality of Life Questionnaire - and cognitive functioning - by Trail Making Test and Digit Span Test of Wechsler Adult Intelligence Scale. It was found that young men with hypogonadism had higher depression-dejection (13.1 ± 8.8 versus 7.4 ± 5.9, P = 0.003), fatigue-inertia (10.0 ± 5.8 versus 7.0 ± 4.9, P = 0.030), confusion-bewilderment (5.1 ± 4.6 versus 2.3 ± 3.1, P = 0.004) and lower vigour-activity (14.3 ± 5.1 versus 17.7 ± 4.3, P = 0.008) levels than age- and sex-matched controls. Quality of life psychological (13.1 ± 2.8 versus 15.1 ± 1.9, P = 0.005) and social (13.6 ± 2.4 versus 15.7 ± 2.0, P < 0.001) domains were significantly worse in men with hypogonadism than in controls. Cognitive functions were significantly worse (P < 0.001) in men with hypogonadism than in controls, showing worse executive function, attention, visual scanning abilities and psychomotor speed. A significant correlation was found between testosterone concentration and quality of life psychological domain. Cognitive functioning scores were significantly related with FT4 concentration. It is concluded that young hypogonadal patients have impaired emotional state and quality of life, but the most severe impairment was found in cognitive functioning.
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