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Long-Term Cognitive Functioning and Psychological Well-Being in Surgically Treated Patients with Low-Grade Glioma
Stockholm University, Faculty of Social Sciences, Department of Psychology, Cognitive psychology. University of Trieste, Italy.
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2017 (English)In: World Neurosurgery, ISSN 1878-8750, E-ISSN 1878-8769, Vol. 103, 799-808.e9 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this work is to provide an in-depth investigation of the impact of low-grade gliomas (LGG) and their surgery on patients' cognitive and emotional functioning and well-being, carried out via a comprehensive and multiple-measure psychological and neuropsychological assessment.

Patients and Methods: Fifty surgically treated patients with LGG were evaluated 40 months after surgery on their functioning over 6 different cognitive domains, 3 core affective/emotional aspects, and 3 different psychological well-being measures to obtain a clearer picture of the long-term impact of illness and surgery on their psychological and relational world. Close relatives were also involved to obtain an independent measure of the psychological dimensions investigated.

Results: Cognitive status was satisfactory, with only mild short-term memory difficulties. The affective and well-being profile was characterized by mild signs of depression, good satisfaction with life and psychological well-being, and good personality development, with patients perceiving themselves as stronger and better persons after illness. However, patients showed higher emotional reactivity, and psychological well-being measures were negatively affected by epileptic burden. Well-being was related to positive affective/emotional functioning and unrelated to cognitive functioning. Good agreement between patients and relatives was found.

Conclusions: In the long-term, patients operated on for LGG showed good cognitive functioning, with no significant long-term cognitive sequelae for the extensive surgical approach. Psychologically, patients appear to experience a deep psychological change and maturation, closely resembling that of so-called posttraumatic growth, which, to our knowledge, is for the first time described and quantified in patients with LGG.

Place, publisher, year, edition, pages
2017. Vol. 103, 799-808.e9 p.
Keyword [en]
cognitive functioning, low-grade glioma, posttraumatic growth, psychological well-being, quality of life
National Category
Psychology Neurosciences
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-145459DOI: 10.1016/j.wneu.2017.04.006ISI: 000405479900100OAI: oai:DiVA.org:su-145459DiVA: diva2:1129614
Available from: 2017-08-04 Created: 2017-08-04 Last updated: 2017-08-21Bibliographically approved

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