Older adults with epilepsy: memory complaints and objective neuropsychological performance

ABSTRACT Introduction: People with epilepsy frequently complain of poor memory. Objective: To assess the occurrence of memory complaints in older adults with epilepsy (OAE) and whether it is associated with clinical variables, objective cognitive performance, and quality of life (QoL). Methods: T...

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Main Authors: Glória Maria Almeida Souza Tedrus, Lorena Murta dos Santos, Fernanda Meneghetti
Format: Article
Language:English
Published: Thieme Revinter Publicações 2021-03-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/pdf/anp/v79n2/1678-4227-anp-79-02-0133.pdf
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author Glória Maria Almeida Souza Tedrus
Lorena Murta dos Santos
Fernanda Meneghetti
author_facet Glória Maria Almeida Souza Tedrus
Lorena Murta dos Santos
Fernanda Meneghetti
author_sort Glória Maria Almeida Souza Tedrus
collection DOAJ
description ABSTRACT Introduction: People with epilepsy frequently complain of poor memory. Objective: To assess the occurrence of memory complaints in older adults with epilepsy (OAE) and whether it is associated with clinical variables, objective cognitive performance, and quality of life (QoL). Methods: The Memory Complaint Questionnaire (MAC-Q) was related to objective cognitive performance, the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), the Quality of Life in Epilepsy Inventory (QOLIE-31), and the clinical characteristics of 83 OAE. Results: OAE showed worse cognitive performance and higher MAC-Q scores when compared to a similar control group (n=40). Impairment in multiple cognitive domains occurred in 34 (41%) OAE and was associated with older age and lower educational level. Memory complaints (MAC-Q≥25) were reported by 45 (54.2%) OAE and associated with older age, lower educational level, onset at ≥60 years, higher NDDI-E scores, lower QOLIE-31 scores, and impairment in multiple cognitive domains. Conclusions: OAE presented worse cognitive performance and greater memory complaints. Episode onset at ≥60 years of age was associated with complaints, but not with objective cognitive deficit. We found an association between subjective and objective cognitive performance, with aspects of epilepsy and worse QoL scores.
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spelling doaj-art-99eaf07a0e9f48bca8653dada81bb8132025-08-20T02:18:24ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-03-0179213313810.1590/0004-282x-anp-2020-0209Older adults with epilepsy: memory complaints and objective neuropsychological performanceGlória Maria Almeida Souza Tedrushttps://orcid.org/0000-0002-3994-2113Lorena Murta dos Santoshttps://orcid.org/0000-0001-6198-5104Fernanda Meneghettihttps://orcid.org/0000-0002-5277-9509ABSTRACT Introduction: People with epilepsy frequently complain of poor memory. Objective: To assess the occurrence of memory complaints in older adults with epilepsy (OAE) and whether it is associated with clinical variables, objective cognitive performance, and quality of life (QoL). Methods: The Memory Complaint Questionnaire (MAC-Q) was related to objective cognitive performance, the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), the Quality of Life in Epilepsy Inventory (QOLIE-31), and the clinical characteristics of 83 OAE. Results: OAE showed worse cognitive performance and higher MAC-Q scores when compared to a similar control group (n=40). Impairment in multiple cognitive domains occurred in 34 (41%) OAE and was associated with older age and lower educational level. Memory complaints (MAC-Q≥25) were reported by 45 (54.2%) OAE and associated with older age, lower educational level, onset at ≥60 years, higher NDDI-E scores, lower QOLIE-31 scores, and impairment in multiple cognitive domains. Conclusions: OAE presented worse cognitive performance and greater memory complaints. Episode onset at ≥60 years of age was associated with complaints, but not with objective cognitive deficit. We found an association between subjective and objective cognitive performance, with aspects of epilepsy and worse QoL scores.http://www.scielo.br/pdf/anp/v79n2/1678-4227-anp-79-02-0133.pdfEpilepsyMemoryAged
spellingShingle Glória Maria Almeida Souza Tedrus
Lorena Murta dos Santos
Fernanda Meneghetti
Older adults with epilepsy: memory complaints and objective neuropsychological performance
Arquivos de Neuro-Psiquiatria
Epilepsy
Memory
Aged
title Older adults with epilepsy: memory complaints and objective neuropsychological performance
title_full Older adults with epilepsy: memory complaints and objective neuropsychological performance
title_fullStr Older adults with epilepsy: memory complaints and objective neuropsychological performance
title_full_unstemmed Older adults with epilepsy: memory complaints and objective neuropsychological performance
title_short Older adults with epilepsy: memory complaints and objective neuropsychological performance
title_sort older adults with epilepsy memory complaints and objective neuropsychological performance
topic Epilepsy
Memory
Aged
url http://www.scielo.br/pdf/anp/v79n2/1678-4227-anp-79-02-0133.pdf
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AT lorenamurtadossantos olderadultswithepilepsymemorycomplaintsandobjectiveneuropsychologicalperformance
AT fernandameneghetti olderadultswithepilepsymemorycomplaintsandobjectiveneuropsychologicalperformance