Psychosocial and clinical factors of cognitive functioning of patients with coronary heart disease after coronary stent

722

Abstract

Memory disorders are a common pathology in children with convulsive paroxysms. The present study tested the hypothesis that the pathology of memory in children with paroxysmal states have quantitative and qualitative specificity. The study involved 107 children aged 6–10 years. 59 people had a history of paroxysmal state, 12 people with epileptiform activity on EEG without seizures in history. A comparison group comprised 36 people with residual cerebral pathology without a history of seizures. The study used experimental psychological and neuropsychological research methods memory. The results of empirical studies have shown that increasing importance in the picture of violations mnestic activity in children with convulsive paroxysms addition to short-term verbal memory disorders have impaired short-term visual memory, the phenomenon of amnestic aphasia and modal-nonspecific memory disorders. The degree of short-term verbal memory disorders correlates with the age of onset of seizures, visual memory - with the number of attacks in history. Consideration of the results will allow to organize the process of providing psychological assistance to sick children more effectively.

General Information

Keywords: cerebral organic pathology, epileptic and non-epileptic paroxysmal states, convulsive paroxysms, memory impairment, short audio-verbal memory, visual short-term memory, amnestic aphasia, modal, non-specific memory deficits.

Journal rubric: Clinical Psychology

Article type: scientific article

DOI: https://doi.org/10.17759/exppsy.2015080314

For citation: Shchelkova O.Y., Eremina D.A. Psychosocial and clinical factors of cognitive functioning of patients with coronary heart disease after coronary stent. Eksperimental'naâ psihologiâ = Experimental Psychology (Russia), 2015. Vol. 8, no. 3, pp. 156–172. DOI: 10.17759/exppsy.2015080314. (In Russ., аbstr. in Engl.)

References

  1. Arden J. The Brain Bible: How to Stay Vital, Productive, and Happy for a Lifetime. McGraw-Hill. 2014.
  2. Benton A. Der Benton-Test: Handbuch. Bern, 1981.
  3. Blejher V. M., Kruk I. V., Bokov S. N. Klinicheskaja patopsihologija: Rukovodstvo dlja vrachej i klinicheskih psihologov [Clinical pathopsychology: Guide for physicians and clinical psychologists], Moscow: Mosk. psihol.- soc. in-t; Voronezh: MODJeK, 2006. 624 p. (In Russ.).
  4. Bokeriia L. A., Golukhova E. Z., Breskina N. Y. et al. Asymmetric cerebral embolic load and postoperative cognitive dysfunction in cardiac surgery. Cerebrovasc. Dis, 2007, vol. 23, pp. 50–56.
  5. Bokeriia L. A., Golukhova E. Z., Polunina A. G. et al. Neural correlates of postoperative cognitive dys- function in cardiac surgery Brain Research Rev., 2005, vol. 50 (2), pp. 266–274.
  6. Bokerija L. A, Gudkova R. G., Stupakov I. N. Hirurgicheskoe lechenie bol’nyh s sosudistoj patologiej v Rossijskoj Federacii [Surgical treatment of patients with vascular disease in the Russian Federation]. Zdravoohranenie RF [Health of the Russian Federation], 2010, no. 6, pp. 15–23 (In Russ.).
  7. Bokerija L. A., Kamchatnov P. R., Kljuchnikov I. V. et al. Cerebrovaskuljarnye rasstrojstva u bol’nyh s koronarnym shuntirovaniem [Cerebrovascular disorders in patients with coronary bypass]. Zhurnal nevrologii i psihiatrii im. S. S. Korsakova [Journal of Neurology and Psychiatry], 2008, no. 3, pp. 90–94 (In Russ.).
  8. Bosma H., Van Boxtel M.P. J., R. Ponds W. H. M. et al. Mental work demands protect against cognitive impairment: MAAS prospective cohort study. Experimental Aging Research., 2002, vol. 29, pp. 33–45.
  9. Browne S. M. Postoperative hypoxia is a contributory factor to cognitive impairment after cardiac sur- gery / S. M.Browne, P. W. Halligan, D, vol. Wade, D, pp. Taggart // J. Thorac. Cardiovasc. Surg. 2003, vol. 126 (4), pp. 1061–1064.
  10. Buziashvili Ju. I., Ambat’ello S. G., Aleksahina Ju. A., Pashenkov M. V. Vlijanie iskusstvennogo krovoobrashhenija na sostojanie kognitivnyh funkcij u bol’nyh s ishemicheskoj bolezn’ju serdca [Influence of cardiopulmonary bypass on the state of cognitive function in patients with coronary heart disease]. Zhurnal nevrologii ii psihiatrii im. S. S. Korsakova [Journal of Neurology and Psychiatry], 2005, no. 1, pp. 30–35 (In Russ.).
  11. Cleveland, J. C. Jr., Shroyer A. L., Chen A. Y. et al. Off-pump coronary artery bypass grafting decreases risk-adjusted mortality and morbidity. Ann. Thorac. Surg. 2001, vol. 72, pp. 1282–1288.
  12. Damulin I. V. Sosudistye kognitivnye narushenija u pozhilyh [Vascular cognitive impairment in the elderly]. Russkij medicinskij zhurnal [Russian Medical Journal], 2009, no. 17 (11), pp. 721–725 (In Russ.).
  13. Dan’ko R. E., Kuznetsov A. V., Litvintsev S. V., Malakhov Yu. K. Efficiency of visual perception in healthy observers and in patients with neuroses. J. Opt. Technol., 1999, vol. 66 (10), pp. 896–898.
  14. Derevnina E. S., Akimova N. S., Martynovich T. V. et al. Kognitivnye narushenija pri fibrilljacii predserdij na fone serdechno-sosudistyh zabolevanij [Cognitive impairment in atrial fibrillation on a background of cardiovascular disease]. Annaly aritmologii [Annals arrhythmology], 2013, vol. 10, no. 2, pp. 87–94 (In Russ.).
  15. Dufouil C., Alpérovitch A., Tzourio C. Influence of education on the relationship between white matter lesions and cognition. Neurology, 2003, vol. 60, pp. 831–836.
  16. Eremina D. A. Osobennosti kognitivnogo funkcionirovanija pacientov, podvergshihsja prjamoj revaskuljarizacii miokarda [Features of cognitive functioning of patients who underwent direct myocardial revascularization]. Vestnik psihoterapii [Journal of psychotherapy], 2014, no. 51 (56), pp. 34–49 (In Russ.).
  17. Foreman N. Correlates of performance on the Gollin and Mooney tests of visual closure. Journal of Gen- eral Psychology, 1991, vol. 118 (1), pp. 13–20.
  18. Gimojan L. G., Silvanjan G.G. Narushenie kognitivnyh funkcij: aktual’nost’ problemy, faktory riska, vozmozhnosti profilaktiki i lechenija [Cognitive impairment: the relevance of the problem, risk factors, prevention and treatment possibilities]. Arhiv vnutrennej mediciny [Archives of Internal Medicine], 2013, no. 2 (10), pp. 35–40 (In Russ.).
  19. Hudetz J. A., Patterson K. M., Byrne A. J. et al. Postoperative delirium is associated with postoperative cognitive dysfunction at one week after cardiac surgery with cardiopulmonary bypass. Psychol. Rep., 2009, vol. 105, pp. 921–932.
  20. Jensen B., Rasmussen L. S., Steinbruchel D. A. Cognitive outcomes in elderly high-risk patients 1 year after off-pump versus on-pump coronary artery bypass grafting. A randomized trial. Eur. J. Cardiothorac. Surg., 2008, vol. 34 (5), pp. 1016–1021.
  21. Krjukov N. N., Nikolaevskij E. N., Poljakov V.P. Ishemicheskaja bolezn’ serdca (sovremennye aspekty kliniki, diagnostiki, lechenija, profilaktiki, medicinskoj reabilitacii, jekspertizy) [Coronary heart disease (modern aspects of clinical picture, diagnosis, treatment, prevention, medical rehabilitation, expertise)]. Samara: OOO IPK “Sodruzhestvo”, 2010. 651 p. (In Russ.).
  22. Le Carret N., Lafont S., Letenneur L. et al. The effect of education on cognitive performances and its implication for the constitution of the cognitive reserve. Developmental Neuropsychology., 2003, vol. 23, pp. 317–337.
  23. Lubinskaja E. I., Nikolaeva O. B., Demchenko E. A. Sopostavlenie klinicheskoj i social’noj jeffektivnosti kardioreabilitacii bol’nyh, perenesshih koronarnoe shuntirovanie [Comparison of clinical and social effectiveness cardiorehabilitation patients undergoing coronary artery bypass grafting]. Vestnik Rossijskoj voenno-medicinskoj akademii [Bulletin of the Russian Military Medical Academy], 2012, no. 1 (37). P. 218– 223 (In Russ.).
  24. Marasco S. F., Sharwood L. N., Abramson M. J. No improvement in neurocognitive outcomes after off- pump versus on-pump coronary revascularisation: a meta-analysis. Eur. J. Cardiothorac. Surg., 2008, vol. 33, pp. 961–970.
  25. Mathew J.P., Grocott H.P., Phillips-Bute B. et al. Lower endotoxin immunity predicts increased cogni- tive dysfunction in elderly patients after cardiac surgery. Stroke. 2003, vol. 34, pp. 508–513.
  26. McKhann G. M., Grega M. A., Borowicz L. M. Jr. et. al. Is there cognitive decline 1 year after CABG? Comparison with surgical and nonsurgical controls. Neurology, 2005, vol. 65 (7), pp. 991–999.
  27. Mozaljov A. S. Mozgovoj krovotok i kognitivnye rasstrojstva pri operacijah na serdce: avtoref. dis. ... kand. med. nauk: 14.00.37 [Cerebral blood flow and cognitive disorders in heart surgery: MD thesis] Nauch.-issled. in-t obshh. reanimatologii RAMN. Moscow, 2009. 25 p. (In Russ.).
  28. Murkin J. M., Newman S.P., Stump D. A., Blumenthal J. A. Statement of consensus on assessment of neurobehavioral outcomes after cardiac surgery. Ann. Thorac. Surg., 1995, vol. 59, pp. 1289–1295.
  29. Newman S.P., Harrison M. J. Coronary-artery bypass surgery and the brain: persisting concerns. Lancet Neurol., 2002, vol. 1 (2), pp. 119–125.
  30. Nooyens A. C., Baan C. A., Spijkerman A. M., Verschuren W. M. Type 2 diabetes and cognitive decline in middle-aged men and women. Diabetes Care., 2010, vol. 33 (9), pp. 1964–1969.
  31. Prakticheskoe ispol’zovanie adaptirovannogo testa intellekta v klinike nervno-psihicheskih zabolevanij: metodicheskie rekomendacii [Practical use of adapted test of intelligence in the clinic of neuropsychiatric diseases: guidelines]. NIPNI im. V. M. Behtereva; sost.: I. N. Gil’jasheva. L., 1987. 20 p. (In Russ.).
  32. Reitan R. M. Validity of the trail making test as an indicator of organic brain damage. Percep. Motor Skills., 1958, vol. 8, pp. 271–276.
  33. Rubinshtejn S. Ja. Jeksperimental’nye metodiki patopsihologii i opyt primenenija ih v klinike [Experimental methods psychopathology and experience of their application in clinic]: v 2-h tt. Moscow: Aprel’-Press, Psihoterapija, 2010, vol. 1: Prakticheskoe rukovodstvo. 224 p.; T. 2: Stimul’nyj material. 160 p. (In Russ.).
  34. Scarmeas N., Levy G., Tang M. X. et al. Influence of leisure activity on the incidence of Alzheimer’s dis- ease. Neurology, 2001, vol. 57, pp. 2236–2242.
  35. Shelepin Ju. E. Lokal’nyj i global’nyj analiz v zritel’noj sisteme [Local and global analysis in the visual system]. Sovremennaja psihofizika [Modern psychophysics]. Moscow: Institut psihologii RAN, 2009, pp. 310–335.
  36. Shnajder N. A. Posleoperacionnaja kognitivnaja disfunkcija [Postoperative cognitive dysfunction].
  37. Nevrologicheskij zhurnal [Journal of Neurology], 2005, no. 10, pp. 37–43.
  38. Shumkov K. V., Lefterova N.P., Pak N. L. et al. Aortokoronarnoe shuntirovanie v uslovijah iskusst- vennogo krovoobrashhenija i na rabotajushhem serdce: sravnitel’nyj analiz blizhajshih i otdalennyh rezul’tatov i posleoperacionnyh oslozhnenij (narushenija ritma serdca, kognitivnye i nevrologicheskie rasstrojstva, reologicheskie osobennosti i sostojanie sistemy gemostaza) [Coronary artery bypass grafting with cardiopulmonary bypass on a beating heart: a comparative analysis of the immediate and long-term results and postoperative complications (heart rhythm disturbances, cognitive and neurological disorders, rheological characteristics and condition of the hemostatic system)]. Kreativnaja kardiologija [Creative cardiology], 2009, no. 1, pp. 28–50.
  39. Stern Y., Zarahn E., Hilton H. J. et al. Exploring the neural basis of cognitive reserve. J. Clin. Experiment. Neuropsychology, 2003, vol. 25, pp. 691–701.
  40. Sweet J. J., Finnin E., Wolfe P. L. et al. Absence of cognitive decline one year after coronary bypass surgery: comparison to nonsurgical and healthy controls. Ann. Thorac. Surg., 2008, vol. 85, pp. 1571–1578.
  41. Trubnikova O. A., Mamontova A. S., Syrova I. D. et al. Gospital’naja dinamika pokazatelej nejropsiho- logicheskogo statusa u pacientov s saharnym diabetom 2 tipa, perenesshih koronarnoe shuntirovanie [Hospital dynamics of neuropsychological status of patients with type 2 diabetes who had undergone coronary artery bypass grafting]. Kardiologija. Diabetes mellitus [Cardiology. Diabetes mellitus], 2012, no. 4, pp. 33–38 (In Russ.).
  42. Trubnikova O. A., Tarasova I. V., Syrova I. D. et al. Nejropsihologicheskij status pacientov s malymi i umerennymi stenozami sonnyh arterij, perenesshih koronarnoe shuntirovanie [Neuropsychological status of patients with low and moderate carotid stenosis who underwent coronary artery bypass grafting]. Zhurnal nevrologii i psihiatrii im. S. S. Korsakova [Journal of Neurology and Psychiatry], 2013, no. 3, pp. 28–33.
  43. Vahrameeva O. A., Suhinin M. V., Moiseenko G. A. et al. Izuchenie porogov vosprijatija v zavisimosti ot geometrii fovea [The study of the perception thresholds depending on the geometry of the fovea]. Sensornye sistemy [Sensor Systems], 2013, vol. 27, № 2, pp. 122–129 (In Russ.).
  44. Van den Goor J., Saxby B., Tijssen J. et al. Improvement of cognitive test performance in patients un- dergoing primary CABG and other CPB-assisted cardiac procedures. Perusion, 2008, vol. 23, pp. 267–273.
  45. Van Dijk D., Keizer A. M. A., J. Diephuis C. et al. Neurocognitive dysfunctions following coronary artery bypass surgery: a systematic review. J. Thorac. Cardiovasc. Surg., 2000, vol. 120, pp. 632–639.
  46. Vasserman L. I., Shhelkova O. Ju. Medicinskaja psihodiagnostika: Teorija, praktika, obuchenie [Medical psychological testing: theory, practice, training]. Saint-Petersburg-Moscow: Izd. centr «Akademija», 2003. 736 p. (In Russ.).
  47. Zaharov V. V. Diagnostika i lechenie umerennyh kognitivnyh narushenij [Diagnosis and treatment of mild cognitive impairment]. Nevrologija, nejropsihiatrija, psihosomatika [Neurology, neuropsychiatry, psychosomatics], 2009, no. 2, pp. 14–19 (In Russ.).
  48. Zotov M. V. Kognitivnye narushenija i vozmozhnosti ih kompensacii u bol’nyh shizofreniej s razlichnoj stepen’ju vyrazhennosti defekta: avtoref. dis. ... kand. psihol. nauk: 19.00.04. [Cognitive impairment and the possibility of compensation in schizophrenic patients with different degrees of severity of the defect: PhD thesis]. SPbGU. SPb., 1998. 18 p. (In Russ.).
  49. Zueva I. B., Vanaeva K. I., Sanec E. L. et al. Vzaimosvjaz’ faktorov serdechno-sosudistogo riska s kognitivnymi funkcijami u pacientov srednego vozrasta [Correlation factors of cardiovascular risk with cognitive function in middle-aged patients]. Arterial’naja gipertenzija [Arterial hypertension], 2011, vol. 17, no. 5, pp. 432–441 (In Russ.).

Information About the Authors

Olga Y. Shchelkova, Doctor of Psychology, Head of the Chair of Clinical Psychology & Psychophysiology, St. Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0001-9444-4742, e-mail: olga.psy.pu@mail.ru

Daria A. Eremina, PhD in Psychology, Senior Lecturer, Department of Medical Psychology and Psychophysiology, St. Petersburg State University, St.Petersburg, Russia, ORCID: https://orcid.org/0000-0002-0076-0347, e-mail: daria.a.eremina@gmail.com

Metrics

Views

Total: 2078
Previous month: 13
Current month: 5

Downloads

Total: 722
Previous month: 2
Current month: 1