COGNITWE FUNCTIONING AND DEPRESSIVE SYMPTOMS IN PATIENTS WITH ISCHEMIC HEART DISEASE UNDERGOING COMPREHENSIVE CARDIOLOGICAL REHABILITATION
Journal Title: Acta Neuropsychologica - Year 2009, Vol 7, Issue 1
Abstract
[b]Background: [/b]Current opinion holds that psychological factors may be asimportant as medical factors in recovery from ischemic heart disease (IHD). The aim of our research was to analyze selected parameters of cognitive functioning and the level of depressive symptoms in patients with IHD undergoing comprehensive cardiological rehabilitation (CCR). [b]Materiał/Methods:[/b] We studied a group of 57 people, including 29 IHD patients participating in comprehensive in-patient cardiological rehabilitation, and 28 healthy, socially and professionally active controls. The methods used included the Trail Making Test (TMTA& B), the Wisconsin Card Sorting Test (WCST), the Beck Depression lnventory (BDI), and a self-designed questionnaire covering demographic and medical parameters. [b]Results:[/b] The experimental group demonstrated a normal level of cognitive functioning in respect to psychomotor speed, operational memory and executive functions, and the global depression score was also within the norms. A clinical analysis of partial indicators of depressive symptomatology revealed a preva-lence of non-specific somatic symptoms over cognitive-affec-tive symptoms in the case of IHD patients. At the same time, these patients demonstrated a reversely proportional relation between the depressive symptoms and psychomotor efficiency. [b]Conclusions:[/b] What is important in the recovery of IHD patients is not only the strategy of recognizing and updating cognitive functions, but also a quantitatively and qualitatively appropriate strategy for recognizing and balancing non-specific somatic symptoms, which are frequently complications during the treatment of IHD.
Authors and Affiliations
Katarzyna Guzińska, Mariola Bidzan, Agata Kupc
Keywords
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