Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study
Context: Data regarding the presence, extent, and reversibility of psychological and cognitive features of primary hyperparathyroidism (PHPT) are conflicting. Objective: This study evaluated psychological symptoms and cognitive function in PHPT. Design: This is a case-control study in which symptoms...
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| Veröffentlicht in: | The journal of clinical endocrinology and metabolism 2009-06, Vol.94 (6), p.1951-1958 |
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| container_title | The journal of clinical endocrinology and metabolism |
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| creator | Walker, Marcella D. McMahon, Donald J. Inabnet, William B. Lazar, Ronald M. Brown, Ijeoma Vardy, Susan Cosman, Felicia Silverberg, Shonni J. |
| description | Context: Data regarding the presence, extent, and reversibility of psychological and cognitive features of primary hyperparathyroidism (PHPT) are conflicting.
Objective: This study evaluated psychological symptoms and cognitive function in PHPT.
Design: This is a case-control study in which symptoms and their improvement 6 months after surgical cure of PHPT were assessed.
Settings: The study was conducted in a university hospital metabolic bone disease unit and endocrine surgery practice.
Participants: Thirty-nine postmenopausal women with PHPT and 89 postmenopausal controls without PHPT participated in the study.
Intervention: Participants with PHPT underwent parathyroidectomy.
Outcome Measures: Measurements used in the study were: Beck Depression Inventory (BDI); State-Trait Anxiety Inventory, Form Y (STAI-Y); North American Adult Reading Test (NAART); Wechsler Memory Scale Logical Memory Test, Russell revision (LM); Buschke Selective Reminding Test (SRT); Rey Visual Design Learning Test (RVDLT); Booklet Category Test, Victoria revision (BCT); Rosen Target Detection Test (RTD); Wechsler Adult Intelligence Scale-Revised Digit Symbol Subtest (DSy); Wechsler Adult Intelligence Scale Digit Span Subtest (DSpan).
Results: At baseline, women with PHPT had significantly higher symptom scores for depression and anxiety than controls and worse performance on tests of verbal memory (LM and SRT) and nonverbal abstraction (BCT). Depressive symptoms, nonverbal abstraction, and some aspects of verbal memory (LM) improved after parathyroidectomy to the extent that scores in these domains were no longer different from controls. Baseline differences and postoperative improvement in cognitive measures were independent of anxiety and depressive symptoms and were not linearly associated with serum levels of calcium or PTH.
Conclusions: Mild PHPT is associated with cognitive features affecting verbal memory and nonverbal abstraction that improve after parathyroidectomy.
Mild primary hyperparathyroidism is associated with cognitive changes affecting verbal memory and non-verbal abstraction that improve after parathyroidectomy and are independent of anxiety and depressive symptoms. |
| doi_str_mv | 10.1210/jc.2008-2574 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2690425</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67326264</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5011-114f0be73a9167401cca091c844872da20081c67065b73a48fe529cdb0dc5a3</originalsourceid><addsrcrecordid>eNptkc1v1DAQxS0EotvCjTPKBU6kjB1_bDggVRWllSqK1B56s7zOpPGSjVM7aZX_vo6yKkXCF8ua34zfvEfIBwrHlFH4urXHDGCdM6H4K7KiJRe5oqV6TVYAjOalYrcH5DDGLQDlXBRvyQEti0IKECty9QvH4Ps42ca3_s5Z02ZnaIYxYMxcl_0ObmfClJ1PPYbeBDM0U_CucnH3LTtJZR97tIN7wOx6GKvpHXlTmzbi-_19RK7PftycnueXVz8vTk8ucyuA0pxSXsMGVWFKKhUHaq2Bkto152vFKjNvRK1UIMUmQXxdo2ClrTZQWWGKI_J9mdqPmx1WFrshmFb3i1jtjdP_VjrX6Dv_oJksgTORBnzeDwj-fsQ46J2LFtvWdOjHqKUqmGSSJ_DLAtq0aQxYP39CQc_-663Vs1o9-5_wjy-F_YX3hifg0x4wMXldB9NZF585RiWXgrHE8YV79O2AIf5px0cMukHTDo2GdLhUKXSAEmR65TCHndqKpQ27ytvgOuxTkFFv_Ri6lMf_VT8BXpev0A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67326264</pqid></control><display><type>article</type><title>Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Walker, Marcella D. ; McMahon, Donald J. ; Inabnet, William B. ; Lazar, Ronald M. ; Brown, Ijeoma ; Vardy, Susan ; Cosman, Felicia ; Silverberg, Shonni J.</creator><creatorcontrib>Walker, Marcella D. ; McMahon, Donald J. ; Inabnet, William B. ; Lazar, Ronald M. ; Brown, Ijeoma ; Vardy, Susan ; Cosman, Felicia ; Silverberg, Shonni J.</creatorcontrib><description>Context: Data regarding the presence, extent, and reversibility of psychological and cognitive features of primary hyperparathyroidism (PHPT) are conflicting.
Objective: This study evaluated psychological symptoms and cognitive function in PHPT.
Design: This is a case-control study in which symptoms and their improvement 6 months after surgical cure of PHPT were assessed.
Settings: The study was conducted in a university hospital metabolic bone disease unit and endocrine surgery practice.
Participants: Thirty-nine postmenopausal women with PHPT and 89 postmenopausal controls without PHPT participated in the study.
Intervention: Participants with PHPT underwent parathyroidectomy.
Outcome Measures: Measurements used in the study were: Beck Depression Inventory (BDI); State-Trait Anxiety Inventory, Form Y (STAI-Y); North American Adult Reading Test (NAART); Wechsler Memory Scale Logical Memory Test, Russell revision (LM); Buschke Selective Reminding Test (SRT); Rey Visual Design Learning Test (RVDLT); Booklet Category Test, Victoria revision (BCT); Rosen Target Detection Test (RTD); Wechsler Adult Intelligence Scale-Revised Digit Symbol Subtest (DSy); Wechsler Adult Intelligence Scale Digit Span Subtest (DSpan).
Results: At baseline, women with PHPT had significantly higher symptom scores for depression and anxiety than controls and worse performance on tests of verbal memory (LM and SRT) and nonverbal abstraction (BCT). Depressive symptoms, nonverbal abstraction, and some aspects of verbal memory (LM) improved after parathyroidectomy to the extent that scores in these domains were no longer different from controls. Baseline differences and postoperative improvement in cognitive measures were independent of anxiety and depressive symptoms and were not linearly associated with serum levels of calcium or PTH.
Conclusions: Mild PHPT is associated with cognitive features affecting verbal memory and nonverbal abstraction that improve after parathyroidectomy.
Mild primary hyperparathyroidism is associated with cognitive changes affecting verbal memory and non-verbal abstraction that improve after parathyroidectomy and are independent of anxiety and depressive symptoms.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2008-2574</identifier><identifier>PMID: 19336505</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Aged ; Anxiety - physiopathology ; Biological and medical sciences ; Cognition - physiology ; Depression - diagnosis ; Depression - physiopathology ; Endocrinopathies ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Hyperparathyroidism, Primary - complications ; Hyperparathyroidism, Primary - physiopathology ; Hyperparathyroidism, Primary - psychology ; Hyperparathyroidism, Primary - surgery ; Medical sciences ; Memory - physiology ; Memory Disorders - complications ; Memory Disorders - physiopathology ; Memory Disorders - surgery ; Middle Aged ; Neuropsychological Tests ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Original ; Parathyroidectomy - psychology ; Parathyroidectomy - rehabilitation ; Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases) ; Postmenopause - physiology ; Postmenopause - psychology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>The journal of clinical endocrinology and metabolism, 2009-06, Vol.94 (6), p.1951-1958</ispartof><rights>Copyright © 2009 by The Endocrine Society</rights><rights>2009 INIST-CNRS</rights><rights>Copyright © 2009 by The Endocrine Society 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5011-114f0be73a9167401cca091c844872da20081c67065b73a48fe529cdb0dc5a3</citedby><cites>FETCH-LOGICAL-c5011-114f0be73a9167401cca091c844872da20081c67065b73a48fe529cdb0dc5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21646522$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19336505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walker, Marcella D.</creatorcontrib><creatorcontrib>McMahon, Donald J.</creatorcontrib><creatorcontrib>Inabnet, William B.</creatorcontrib><creatorcontrib>Lazar, Ronald M.</creatorcontrib><creatorcontrib>Brown, Ijeoma</creatorcontrib><creatorcontrib>Vardy, Susan</creatorcontrib><creatorcontrib>Cosman, Felicia</creatorcontrib><creatorcontrib>Silverberg, Shonni J.</creatorcontrib><title>Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Context: Data regarding the presence, extent, and reversibility of psychological and cognitive features of primary hyperparathyroidism (PHPT) are conflicting.
Objective: This study evaluated psychological symptoms and cognitive function in PHPT.
Design: This is a case-control study in which symptoms and their improvement 6 months after surgical cure of PHPT were assessed.
Settings: The study was conducted in a university hospital metabolic bone disease unit and endocrine surgery practice.
Participants: Thirty-nine postmenopausal women with PHPT and 89 postmenopausal controls without PHPT participated in the study.
Intervention: Participants with PHPT underwent parathyroidectomy.
Outcome Measures: Measurements used in the study were: Beck Depression Inventory (BDI); State-Trait Anxiety Inventory, Form Y (STAI-Y); North American Adult Reading Test (NAART); Wechsler Memory Scale Logical Memory Test, Russell revision (LM); Buschke Selective Reminding Test (SRT); Rey Visual Design Learning Test (RVDLT); Booklet Category Test, Victoria revision (BCT); Rosen Target Detection Test (RTD); Wechsler Adult Intelligence Scale-Revised Digit Symbol Subtest (DSy); Wechsler Adult Intelligence Scale Digit Span Subtest (DSpan).
Results: At baseline, women with PHPT had significantly higher symptom scores for depression and anxiety than controls and worse performance on tests of verbal memory (LM and SRT) and nonverbal abstraction (BCT). Depressive symptoms, nonverbal abstraction, and some aspects of verbal memory (LM) improved after parathyroidectomy to the extent that scores in these domains were no longer different from controls. Baseline differences and postoperative improvement in cognitive measures were independent of anxiety and depressive symptoms and were not linearly associated with serum levels of calcium or PTH.
Conclusions: Mild PHPT is associated with cognitive features affecting verbal memory and nonverbal abstraction that improve after parathyroidectomy.
Mild primary hyperparathyroidism is associated with cognitive changes affecting verbal memory and non-verbal abstraction that improve after parathyroidectomy and are independent of anxiety and depressive symptoms.</description><subject>Aged</subject><subject>Anxiety - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cognition - physiology</subject><subject>Depression - diagnosis</subject><subject>Depression - physiopathology</subject><subject>Endocrinopathies</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Hyperparathyroidism, Primary - complications</subject><subject>Hyperparathyroidism, Primary - physiopathology</subject><subject>Hyperparathyroidism, Primary - psychology</subject><subject>Hyperparathyroidism, Primary - surgery</subject><subject>Medical sciences</subject><subject>Memory - physiology</subject><subject>Memory Disorders - complications</subject><subject>Memory Disorders - physiopathology</subject><subject>Memory Disorders - surgery</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Original</subject><subject>Parathyroidectomy - psychology</subject><subject>Parathyroidectomy - rehabilitation</subject><subject>Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases)</subject><subject>Postmenopause - physiology</subject><subject>Postmenopause - psychology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1v1DAQxS0EotvCjTPKBU6kjB1_bDggVRWllSqK1B56s7zOpPGSjVM7aZX_vo6yKkXCF8ua34zfvEfIBwrHlFH4urXHDGCdM6H4K7KiJRe5oqV6TVYAjOalYrcH5DDGLQDlXBRvyQEti0IKECty9QvH4Ps42ca3_s5Z02ZnaIYxYMxcl_0ObmfClJ1PPYbeBDM0U_CucnH3LTtJZR97tIN7wOx6GKvpHXlTmzbi-_19RK7PftycnueXVz8vTk8ucyuA0pxSXsMGVWFKKhUHaq2Bkto152vFKjNvRK1UIMUmQXxdo2ClrTZQWWGKI_J9mdqPmx1WFrshmFb3i1jtjdP_VjrX6Dv_oJksgTORBnzeDwj-fsQ46J2LFtvWdOjHqKUqmGSSJ_DLAtq0aQxYP39CQc_-663Vs1o9-5_wjy-F_YX3hifg0x4wMXldB9NZF585RiWXgrHE8YV79O2AIf5px0cMukHTDo2GdLhUKXSAEmR65TCHndqKpQ27ytvgOuxTkFFv_Ri6lMf_VT8BXpev0A</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Walker, Marcella D.</creator><creator>McMahon, Donald J.</creator><creator>Inabnet, William B.</creator><creator>Lazar, Ronald M.</creator><creator>Brown, Ijeoma</creator><creator>Vardy, Susan</creator><creator>Cosman, Felicia</creator><creator>Silverberg, Shonni J.</creator><general>Endocrine Society</general><general>Copyright by The Endocrine Society</general><general>The Endocrine Society</general><scope>IQODW</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><scope>5PM</scope></search><sort><creationdate>200906</creationdate><title>Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study</title><author>Walker, Marcella D. ; McMahon, Donald J. ; Inabnet, William B. ; Lazar, Ronald M. ; Brown, Ijeoma ; Vardy, Susan ; Cosman, Felicia ; Silverberg, Shonni J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5011-114f0be73a9167401cca091c844872da20081c67065b73a48fe529cdb0dc5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Anxiety - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cognition - physiology</topic><topic>Depression - diagnosis</topic><topic>Depression - physiopathology</topic><topic>Endocrinopathies</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Hyperparathyroidism, Primary - complications</topic><topic>Hyperparathyroidism, Primary - physiopathology</topic><topic>Hyperparathyroidism, Primary - psychology</topic><topic>Hyperparathyroidism, Primary - surgery</topic><topic>Medical sciences</topic><topic>Memory - physiology</topic><topic>Memory Disorders - complications</topic><topic>Memory Disorders - physiopathology</topic><topic>Memory Disorders - surgery</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Original</topic><topic>Parathyroidectomy - psychology</topic><topic>Parathyroidectomy - rehabilitation</topic><topic>Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases)</topic><topic>Postmenopause - physiology</topic><topic>Postmenopause - psychology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walker, Marcella D.</creatorcontrib><creatorcontrib>McMahon, Donald J.</creatorcontrib><creatorcontrib>Inabnet, William B.</creatorcontrib><creatorcontrib>Lazar, Ronald M.</creatorcontrib><creatorcontrib>Brown, Ijeoma</creatorcontrib><creatorcontrib>Vardy, Susan</creatorcontrib><creatorcontrib>Cosman, Felicia</creatorcontrib><creatorcontrib>Silverberg, Shonni J.</creatorcontrib><collection>Pascal-Francis</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walker, Marcella D.</au><au>McMahon, Donald J.</au><au>Inabnet, William B.</au><au>Lazar, Ronald M.</au><au>Brown, Ijeoma</au><au>Vardy, Susan</au><au>Cosman, Felicia</au><au>Silverberg, Shonni J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2009-06</date><risdate>2009</risdate><volume>94</volume><issue>6</issue><spage>1951</spage><epage>1958</epage><pages>1951-1958</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context: Data regarding the presence, extent, and reversibility of psychological and cognitive features of primary hyperparathyroidism (PHPT) are conflicting.
Objective: This study evaluated psychological symptoms and cognitive function in PHPT.
Design: This is a case-control study in which symptoms and their improvement 6 months after surgical cure of PHPT were assessed.
Settings: The study was conducted in a university hospital metabolic bone disease unit and endocrine surgery practice.
Participants: Thirty-nine postmenopausal women with PHPT and 89 postmenopausal controls without PHPT participated in the study.
Intervention: Participants with PHPT underwent parathyroidectomy.
Outcome Measures: Measurements used in the study were: Beck Depression Inventory (BDI); State-Trait Anxiety Inventory, Form Y (STAI-Y); North American Adult Reading Test (NAART); Wechsler Memory Scale Logical Memory Test, Russell revision (LM); Buschke Selective Reminding Test (SRT); Rey Visual Design Learning Test (RVDLT); Booklet Category Test, Victoria revision (BCT); Rosen Target Detection Test (RTD); Wechsler Adult Intelligence Scale-Revised Digit Symbol Subtest (DSy); Wechsler Adult Intelligence Scale Digit Span Subtest (DSpan).
Results: At baseline, women with PHPT had significantly higher symptom scores for depression and anxiety than controls and worse performance on tests of verbal memory (LM and SRT) and nonverbal abstraction (BCT). Depressive symptoms, nonverbal abstraction, and some aspects of verbal memory (LM) improved after parathyroidectomy to the extent that scores in these domains were no longer different from controls. Baseline differences and postoperative improvement in cognitive measures were independent of anxiety and depressive symptoms and were not linearly associated with serum levels of calcium or PTH.
Conclusions: Mild PHPT is associated with cognitive features affecting verbal memory and nonverbal abstraction that improve after parathyroidectomy.
Mild primary hyperparathyroidism is associated with cognitive changes affecting verbal memory and non-verbal abstraction that improve after parathyroidectomy and are independent of anxiety and depressive symptoms.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>19336505</pmid><doi>10.1210/jc.2008-2574</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The journal of clinical endocrinology and metabolism, 2009-06, Vol.94 (6), p.1951-1958 |
| issn | 0021-972X 1945-7197 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2690425 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Anxiety - physiopathology Biological and medical sciences Cognition - physiology Depression - diagnosis Depression - physiopathology Endocrinopathies Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Hyperparathyroidism, Primary - complications Hyperparathyroidism, Primary - physiopathology Hyperparathyroidism, Primary - psychology Hyperparathyroidism, Primary - surgery Medical sciences Memory - physiology Memory Disorders - complications Memory Disorders - physiopathology Memory Disorders - surgery Middle Aged Neuropsychological Tests Non tumoral diseases. Target tissue resistance. Benign neoplasms Original Parathyroidectomy - psychology Parathyroidectomy - rehabilitation Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases) Postmenopause - physiology Postmenopause - psychology Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Neuropsychological Features in Primary Hyperparathyroidism: A Prospective Study |
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