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Subjective memory impairment after stroke.

D J Tinson1, N B Lincoln

  • 1Stroke Research Unit, General Hospital, Nottingham, Great Britain.

International Disability Studies
|January 1, 1987
PubMed
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Stroke patients report more memory problems than controls. While patients perceive worsening memory over time, their relatives observe improvement, indicating a discrepancy in subjective memory assessment post-stroke.

Area of Science:

  • Neuroscience
  • Psychology
  • Gerontology

Background:

  • Subjective memory complaints are common after stroke.
  • Assessing memory function relies on patient self-report and informant (relative) observations.
  • Understanding discrepancies in memory perception is crucial for patient care.

Purpose of the Study:

  • To compare subjective memory abilities between stroke patients and orthopaedic controls.
  • To investigate the agreement between patient and relative reports of memory function.
  • To examine changes in subjective memory over a 6-month period.

Main Methods:

  • A questionnaire assessing subjective memory abilities was administered to 95 stroke patients and 129 orthopaedic controls.
  • Patients and their relatives completed the questionnaire.

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  • Reassessment occurred after a 6-month interval.

    • Main Results:

    • Stroke patients reported significantly more memory problems than orthopaedic controls.
    • Relatives observed more memory problems in both groups than patients self-reported.
    • After 6 months, stroke patients reported worsening memory, while relatives observed improvement.

    Conclusions:

    • A significant disconnect exists between patient and relative perceptions of memory function following stroke.
    • Subjective memory assessment requires considering both patient and informant perspectives.
    • Factors like hospitalization or lesion side did not correlate with overall subjective memory impairment.