Changes in overlap of subjective and objective cognition over time in epilepsy surgery candidates
•Over- and underestimation of cognition was frequent in our epilepsy surgery sample.•Objective and subjective cognition concordance is 42 % (attention) and 25 % (memory).•We found overestimation of memory performance for operated persons.•Reliable change of subjective and objective cognition over ti...
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| Veröffentlicht in: | Seizure (London, England) England), 2024-07, Vol.119, p.36-43 |
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| creator | Hohmann, Louisa Jipping, Jan Niklas Oltmanns, Frank Holtkamp, Martin |
| description | •Over- and underestimation of cognition was frequent in our epilepsy surgery sample.•Objective and subjective cognition concordance is 42 % (attention) and 25 % (memory).•We found overestimation of memory performance for operated persons.•Reliable change of subjective and objective cognition over time rarley co-occurs.•Preoperative neuropsychological interventions should address cognitive discordance.
Subjective and objective cognition often show weak overlap in persons with epilepsy (PWE). Over- as well as underestimation may occur. In particular after epilepsy surgery, objective memory decline is often not subjectively reported. Additionally, studies on how concordance of subjective and objective cognition changes over time are missing. Therefore, we study the extent of concordance in operated and non-operated PWE over time.
Candidates for resective epilepsy surgery were assessed between 03/18 and 12/20 (T1) with self-report questionnaires and underwent a neuropsychological examination. For 21 operated as well as 27 non-operated PWE follow-up data was obtained one to three years later (T2). Concordance of attention and memory were compared between groups and time points. Moreover, reliable change was calculated and compared between groups.
Of the total sample, 42 % rated their attention performance realistically and 25 % showed memory concordance. Differences in patterns of over- and underestimation between groups and over time occurred for attention, but not for memory. Overestimation of memory was more frequent in operated than non-operated PWE, especially at T2 (67% vs. 11 %). In the operated group, we mainly observed reliable improvement in subjective cognition and decline in objective memory, whereas non-operated PWE showed more frequently decline of simple attention. Reliable subjective and objective change did not co-occur.
Concordance of subjective and objective cognition is low. Over- as well as underestimation may persist over time. Domain-specific perspectives are necessary. Tendencies of operated PWE to develop overestimation of memory after surgery should be considered in neuropsychological interventions. |
| doi_str_mv | 10.1016/j.seizure.2024.05.003 |
| format | Article |
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Subjective and objective cognition often show weak overlap in persons with epilepsy (PWE). Over- as well as underestimation may occur. In particular after epilepsy surgery, objective memory decline is often not subjectively reported. Additionally, studies on how concordance of subjective and objective cognition changes over time are missing. Therefore, we study the extent of concordance in operated and non-operated PWE over time.
Candidates for resective epilepsy surgery were assessed between 03/18 and 12/20 (T1) with self-report questionnaires and underwent a neuropsychological examination. For 21 operated as well as 27 non-operated PWE follow-up data was obtained one to three years later (T2). Concordance of attention and memory were compared between groups and time points. Moreover, reliable change was calculated and compared between groups.
Of the total sample, 42 % rated their attention performance realistically and 25 % showed memory concordance. Differences in patterns of over- and underestimation between groups and over time occurred for attention, but not for memory. Overestimation of memory was more frequent in operated than non-operated PWE, especially at T2 (67% vs. 11 %). In the operated group, we mainly observed reliable improvement in subjective cognition and decline in objective memory, whereas non-operated PWE showed more frequently decline of simple attention. Reliable subjective and objective change did not co-occur.
Concordance of subjective and objective cognition is low. Over- as well as underestimation may persist over time. Domain-specific perspectives are necessary. Tendencies of operated PWE to develop overestimation of memory after surgery should be considered in neuropsychological interventions.</description><identifier>ISSN: 1059-1311</identifier><identifier>ISSN: 1532-2688</identifier><identifier>EISSN: 1532-2688</identifier><identifier>DOI: 10.1016/j.seizure.2024.05.003</identifier><identifier>PMID: 38776616</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Attention ; Attention - physiology ; Cognition - physiology ; Epilepsy - psychology ; Epilepsy - surgery ; Female ; Humans ; Male ; Memory ; Memory - physiology ; Middle Aged ; Neuropsychological Tests ; Neuropsychology ; Overestimation ; Reliable change ; Self Report ; Underestimation ; Young Adult</subject><ispartof>Seizure (London, England), 2024-07, Vol.119, p.36-43</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c313t-b61c33cbe348fcbc8de8f58b4164a754729d36deb0e885dd2e3b3d0a215dee033</cites><orcidid>0000-0003-2258-1670 ; 0000-0002-1055-4467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1059131124001341$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38776616$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hohmann, Louisa</creatorcontrib><creatorcontrib>Jipping, Jan Niklas</creatorcontrib><creatorcontrib>Oltmanns, Frank</creatorcontrib><creatorcontrib>Holtkamp, Martin</creatorcontrib><title>Changes in overlap of subjective and objective cognition over time in epilepsy surgery candidates</title><title>Seizure (London, England)</title><addtitle>Seizure</addtitle><description>•Over- and underestimation of cognition was frequent in our epilepsy surgery sample.•Objective and subjective cognition concordance is 42 % (attention) and 25 % (memory).•We found overestimation of memory performance for operated persons.•Reliable change of subjective and objective cognition over time rarley co-occurs.•Preoperative neuropsychological interventions should address cognitive discordance.
Subjective and objective cognition often show weak overlap in persons with epilepsy (PWE). Over- as well as underestimation may occur. In particular after epilepsy surgery, objective memory decline is often not subjectively reported. Additionally, studies on how concordance of subjective and objective cognition changes over time are missing. Therefore, we study the extent of concordance in operated and non-operated PWE over time.
Candidates for resective epilepsy surgery were assessed between 03/18 and 12/20 (T1) with self-report questionnaires and underwent a neuropsychological examination. For 21 operated as well as 27 non-operated PWE follow-up data was obtained one to three years later (T2). Concordance of attention and memory were compared between groups and time points. Moreover, reliable change was calculated and compared between groups.
Of the total sample, 42 % rated their attention performance realistically and 25 % showed memory concordance. Differences in patterns of over- and underestimation between groups and over time occurred for attention, but not for memory. Overestimation of memory was more frequent in operated than non-operated PWE, especially at T2 (67% vs. 11 %). In the operated group, we mainly observed reliable improvement in subjective cognition and decline in objective memory, whereas non-operated PWE showed more frequently decline of simple attention. Reliable subjective and objective change did not co-occur.
Concordance of subjective and objective cognition is low. Over- as well as underestimation may persist over time. Domain-specific perspectives are necessary. Tendencies of operated PWE to develop overestimation of memory after surgery should be considered in neuropsychological interventions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Attention</subject><subject>Attention - physiology</subject><subject>Cognition - physiology</subject><subject>Epilepsy - psychology</subject><subject>Epilepsy - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Memory</subject><subject>Memory - physiology</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Neuropsychology</subject><subject>Overestimation</subject><subject>Reliable change</subject><subject>Self Report</subject><subject>Underestimation</subject><subject>Young Adult</subject><issn>1059-1311</issn><issn>1532-2688</issn><issn>1532-2688</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LwzAUhoMobk5_gtJLb1qTpmmzK5HhFwy80euQJqczpW1q0g7mrzezc7dCIAk873k5D0LXBCcEk_yuTjyY79FBkuI0SzBLMKYnaE4YTeM05_w0vDFbxoQSMkMX3tcY42VG6DmaUV4UeU7yOZKrT9ltwEemi-wWXCP7yFaRH8sa1GC2EMlOR_b4U3bTmcHYiY4G08I-Cr1poPe7EHQbcLtIhZjRcgB_ic4q2Xi4OtwL9PH0-L56iddvz6-rh3WsKKFDXOZEUapKoBmvVKm4Bl4xXmYkz2TBsiJdapprKDFwzrROgZZUY5kSpgEwpQt0O83tnf0awQ-iNV5B08gO7OgFDTLScAgJKJtQ5az3DirRO9NKtxMEi71dUYuDXbG3KzAT-Lfi5lAxli3oY-pPZwDuJwDColsDTnhloFOgjQsChbbmn4ofUtGQTg</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Hohmann, Louisa</creator><creator>Jipping, Jan Niklas</creator><creator>Oltmanns, Frank</creator><creator>Holtkamp, Martin</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2258-1670</orcidid><orcidid>https://orcid.org/0000-0002-1055-4467</orcidid></search><sort><creationdate>202407</creationdate><title>Changes in overlap of subjective and objective cognition over time in epilepsy surgery candidates</title><author>Hohmann, Louisa ; Jipping, Jan Niklas ; Oltmanns, Frank ; Holtkamp, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c313t-b61c33cbe348fcbc8de8f58b4164a754729d36deb0e885dd2e3b3d0a215dee033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Attention</topic><topic>Attention - physiology</topic><topic>Cognition - physiology</topic><topic>Epilepsy - psychology</topic><topic>Epilepsy - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Memory</topic><topic>Memory - physiology</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Neuropsychology</topic><topic>Overestimation</topic><topic>Reliable change</topic><topic>Self Report</topic><topic>Underestimation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hohmann, Louisa</creatorcontrib><creatorcontrib>Jipping, Jan Niklas</creatorcontrib><creatorcontrib>Oltmanns, Frank</creatorcontrib><creatorcontrib>Holtkamp, Martin</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seizure (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hohmann, Louisa</au><au>Jipping, Jan Niklas</au><au>Oltmanns, Frank</au><au>Holtkamp, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in overlap of subjective and objective cognition over time in epilepsy surgery candidates</atitle><jtitle>Seizure (London, England)</jtitle><addtitle>Seizure</addtitle><date>2024-07</date><risdate>2024</risdate><volume>119</volume><spage>36</spage><epage>43</epage><pages>36-43</pages><issn>1059-1311</issn><issn>1532-2688</issn><eissn>1532-2688</eissn><abstract>•Over- and underestimation of cognition was frequent in our epilepsy surgery sample.•Objective and subjective cognition concordance is 42 % (attention) and 25 % (memory).•We found overestimation of memory performance for operated persons.•Reliable change of subjective and objective cognition over time rarley co-occurs.•Preoperative neuropsychological interventions should address cognitive discordance.
Subjective and objective cognition often show weak overlap in persons with epilepsy (PWE). Over- as well as underestimation may occur. In particular after epilepsy surgery, objective memory decline is often not subjectively reported. Additionally, studies on how concordance of subjective and objective cognition changes over time are missing. Therefore, we study the extent of concordance in operated and non-operated PWE over time.
Candidates for resective epilepsy surgery were assessed between 03/18 and 12/20 (T1) with self-report questionnaires and underwent a neuropsychological examination. For 21 operated as well as 27 non-operated PWE follow-up data was obtained one to three years later (T2). Concordance of attention and memory were compared between groups and time points. Moreover, reliable change was calculated and compared between groups.
Of the total sample, 42 % rated their attention performance realistically and 25 % showed memory concordance. Differences in patterns of over- and underestimation between groups and over time occurred for attention, but not for memory. Overestimation of memory was more frequent in operated than non-operated PWE, especially at T2 (67% vs. 11 %). In the operated group, we mainly observed reliable improvement in subjective cognition and decline in objective memory, whereas non-operated PWE showed more frequently decline of simple attention. Reliable subjective and objective change did not co-occur.
Concordance of subjective and objective cognition is low. Over- as well as underestimation may persist over time. Domain-specific perspectives are necessary. Tendencies of operated PWE to develop overestimation of memory after surgery should be considered in neuropsychological interventions.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38776616</pmid><doi>10.1016/j.seizure.2024.05.003</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2258-1670</orcidid><orcidid>https://orcid.org/0000-0002-1055-4467</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Attention Attention - physiology Cognition - physiology Epilepsy - psychology Epilepsy - surgery Female Humans Male Memory Memory - physiology Middle Aged Neuropsychological Tests Neuropsychology Overestimation Reliable change Self Report Underestimation Young Adult |
| title | Changes in overlap of subjective and objective cognition over time in epilepsy surgery candidates |
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