Predicting Cognitive Complaints 1 Year After Aneurysmal and Angiographically Negative Subarachnoid Hemorrhage: A Longitudinal, Prospective, Single Centre, Cohort Study

Zee, Helene van der (2023) Predicting Cognitive Complaints 1 Year After Aneurysmal and Angiographically Negative Subarachnoid Hemorrhage: A Longitudinal, Prospective, Single Centre, Cohort Study. Master thesis, Psychology.

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Abstract

A subarachnoid hemorrhage (SAH) is a form of hemorrhagic stroke resulting from a ruptured intracranial aneurysm (aSAH), or with no underlying vascular etiology (anSAH). Cognitive complaints are common after SAH and negatively impact quality of life and daily functioning. However, to date, little is known about the course and predictors of cognitive complaints. The main aim of this study is to investigate which factors best predict cognitive complaints 1 year after SAH. Besides that, this study aims to determine the course of cognitive complaints and psychological factors in SAH patients and to differentiate between aSAH and anSAH. This prospective longitudinal, single-centre cohort study assessed aSAH and anSAH patients 6 months and 1 year after SAH. Cognitive complaints after SAH were assessed using the Checklist for Cognitive and Emotional consequences following stroke (CLCE). Potential predictors of cognitive complaints included demographics, psychological factors (depression, anxiety and mental fatigue) and coping styles. Linear regression analysis was used to determine predictors of cognitive complaints 1 year after SAH. A total of 71 patients were included in this study (47 aSAH and 24 anSAH). Anxiety and mental fatigue remained stable from 6 months to 1 year after SAH. Cognitive complaints increased in aSAH (t(46) = -2.66, p = .011) and depression decreased in anSAH (t(22) = 2.74, p = .012). No differences were observed between aSAH and anSAH patients. Mental fatigue predicted cognitive complaints 1 year after SAH ( = .543, p < .001). Patients with cognitive and psychological complaints at 6 months are likely to have these complaints after 1 year, and mental fatigue increases the likelihood of having cognitive complaints later. Rehabilitation should focus on targeting mental fatigue in order to reduce cognitive complaints in post-SAH patients.

Item Type:	Thesis (Master)
Supervisor name:	xx, xx
Degree programme:	Psychology
Differentiation route:	Clinical Neuropsychology (CN) [Master Psychology]
Date Deposited:	22 Sep 2023 14:28
Last Modified:	22 Sep 2023 14:28
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/2888

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