Memory complaints in epilepsy: An accurate reflection of memory impairment or an indicator of poor adjustment? A Review of the literature

Memory complaints in epilepsy: An accurate reflection of memory impairment or an indicator of poor adjustment? A Review of the literature
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DOI:
10.1016/j.cpr.2009.03.001
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发表时间:
2009-06-01
影响因子:
12.8
通讯作者:
Harris, Peter
Harris, Peter
中科院分区:
心理学1区
文献类型:
--
作者:
Hall, Katharyn E.;Isaac, Claire L.;Harris, Peter

文献摘要

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癫痫患者经常抱怨记忆力差。虽然器质性记忆障碍是神经癫痫变量的一种可能后遗症,但这些投诉并不总是得到客观指标的支持。目前的审查有两个目标:第一,以确定是否不一致的结果是一个人工制品的方法,第二,整理现有的出版文献,以确定可能的解释不准确的记忆自我报告癫痫。文献综述强调了许多方法上的局限性,使其难以评估结果。然而,很明显,在癫痫患者中,主观记忆与焦虑和抑郁的关系比与客观记忆的关系更大。我们研究的假设,癫痫的记忆投诉是适应困难的反映。或应付。病情研究尚未确定这些因素影响记忆功能感知的任何关键变量或途径。这篇评论提出了疾病陈述在理解癫痫记忆投诉的性质中的作用。(c)2009爱思唯尔有限公司版权所有。
People with epilepsy frequently complain of poor memory. Although organic memory impairment is one possible sequela of neuro-epilepsy variables, these complaints are not consistently supported by performance on objective measures. The current review has two objectives: first, to establish whether inconsistent results are an artifact of methodology and second, to collate existing published literature to identify possible explanations for inaccurate memory self-report in epilepsy. Review of the literature highlights many methodological limitations making it difficult to evaluate findings. However, it is apparent that in people with epilepsy, subjective memory demonstrates a greater relationship with anxiety and depression than with objective memory. We examine the hypothesis that memory complaints in epilepsy are a reflection of difficulties adjusting to. or coping with. the condition. Research has yet to identify any critical variables or pathways through which these factors influence perceptions of memory function. This review proposes a role for illness representations in understanding the nature of memory complaints in epilepsy. (c) 2009 Elsevier Ltd. All rights reserved.