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Corticosteroids and Cognition: A Meta-Analysis.

Catherine E Prado1, Simon F Crowe2

  • 1Department of Psychology and Public Health, La Trobe University, Bundoora, VIC, 3086, Australia.

Neuropsychology Review
|May 27, 2019
PubMed
Summary
This summary is machine-generated.

Corticosteroids can negatively impact cognitive functions like executive function and memory, especially with acute use. However, short-term corticosteroid use may slightly improve expressive language skills.

Keywords:
CognitionCorticosteroidsMemoryMeta-analysisSteroids

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Area of Science:

  • Neuroscience
  • Pharmacology
  • Psychology

Background:

  • Corticosteroids are widely prescribed medications.
  • Understanding their cognitive side effects is crucial.

Purpose of the Study:

  • To meta-analyze the cognitive effects of corticosteroids.
  • To examine effects based on the duration of corticosteroid use.

Main Methods:

  • Systematic literature search of PsycInfo, Medline, and Google Scholar (1990-2018).
  • Inclusion of 26 studies.
  • Random effects model to calculate standardized mean differences (SMD) for cognitive domains.

Main Results:

  • Negative impact on executive function (acute users).
  • Negative impact on recent memory (short-term and chronic users).
  • Negative impact on very long-term memory (acute users).
  • Positive effect on expressive language (short-term users).

Conclusions:

  • Corticosteroid use is associated with varied cognitive effects.
  • Duration of use influences the specific cognitive domains affected.