Abstract
Systemic lupus erythematosus (SLE) is an autoimmune-mediated collagen disease that results in multiorgan failure. It is the collagen disease most frequently associated with neuropsychiatrie symptoms, which have been hypothesized to stem from certain types of cognitive dysfunction. Subjects were 21 patients with SLE (one man, 20 women; aged 16-55 years; mean age, 35.1 ± 10.7 years) who were undergoing treatment in the rheumatology unit of a general hospital, and 17 healthy control subjects matched to the patient group with respect to age and gender (two men, 15 women; mean age, 35.9 ± 6.3 years). They were administered various tests of cognitive function including verbal reasoning, non-verbal reasoning, verbal memory, non-verbal memory, attention and mental flexibility, psychomotor speed and frontal lobe function. In addition, the SLE patients were tested for antiphospholipid antibodies. The SLE patients performed worse than the control group on immediate, delayed and interference of the Rey verbal test and paired associate tests of Wechsler Memory Scale, and their reaction time was slower in Trail A and Trail B tests. Moreover, these findings were more pronounced in the group with major neuropsychiatrie symptoms. However, no relationship was apparent between these deficits in cognitive function and the presence or absence of antiphospholipid antibodies. The results suggest that verbal memory and psychomotor speed underlie the neuropsychiatric symptoms seen in SLE patients.
| Original language | English |
|---|---|
| Pages (from-to) | 584-589 |
| Number of pages | 6 |
| Journal | Psychiatry and Clinical Neurosciences |
| Volume | 59 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2005 Oct |
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Keywords
- Cognitive dysfunction
- Neuropsychiatric symptom
- Psychomotor speed
- Systemic lupus erythematosus
- Verbal memory
ASJC Scopus subject areas
- Clinical Neurology
- Neurology
- Psychiatry and Mental health
- Neuroscience(all)
Cite this
Cognitive dysfunction in systemic lupus erythematosus. / Emori, Asako; Matsushima, Eisuke; Aihara, Okihiko; Ohta, Katsuya; Koike, Ryuji; Miyasaka, Nobuyuki; Kato, Motoichiro.
In: Psychiatry and Clinical Neurosciences, Vol. 59, No. 5, 10.2005, p. 584-589.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cognitive dysfunction in systemic lupus erythematosus
AU - Emori, Asako
AU - Matsushima, Eisuke
AU - Aihara, Okihiko
AU - Ohta, Katsuya
AU - Koike, Ryuji
AU - Miyasaka, Nobuyuki
AU - Kato, Motoichiro
PY - 2005/10
Y1 - 2005/10
N2 - Systemic lupus erythematosus (SLE) is an autoimmune-mediated collagen disease that results in multiorgan failure. It is the collagen disease most frequently associated with neuropsychiatrie symptoms, which have been hypothesized to stem from certain types of cognitive dysfunction. Subjects were 21 patients with SLE (one man, 20 women; aged 16-55 years; mean age, 35.1 ± 10.7 years) who were undergoing treatment in the rheumatology unit of a general hospital, and 17 healthy control subjects matched to the patient group with respect to age and gender (two men, 15 women; mean age, 35.9 ± 6.3 years). They were administered various tests of cognitive function including verbal reasoning, non-verbal reasoning, verbal memory, non-verbal memory, attention and mental flexibility, psychomotor speed and frontal lobe function. In addition, the SLE patients were tested for antiphospholipid antibodies. The SLE patients performed worse than the control group on immediate, delayed and interference of the Rey verbal test and paired associate tests of Wechsler Memory Scale, and their reaction time was slower in Trail A and Trail B tests. Moreover, these findings were more pronounced in the group with major neuropsychiatrie symptoms. However, no relationship was apparent between these deficits in cognitive function and the presence or absence of antiphospholipid antibodies. The results suggest that verbal memory and psychomotor speed underlie the neuropsychiatric symptoms seen in SLE patients.
AB - Systemic lupus erythematosus (SLE) is an autoimmune-mediated collagen disease that results in multiorgan failure. It is the collagen disease most frequently associated with neuropsychiatrie symptoms, which have been hypothesized to stem from certain types of cognitive dysfunction. Subjects were 21 patients with SLE (one man, 20 women; aged 16-55 years; mean age, 35.1 ± 10.7 years) who were undergoing treatment in the rheumatology unit of a general hospital, and 17 healthy control subjects matched to the patient group with respect to age and gender (two men, 15 women; mean age, 35.9 ± 6.3 years). They were administered various tests of cognitive function including verbal reasoning, non-verbal reasoning, verbal memory, non-verbal memory, attention and mental flexibility, psychomotor speed and frontal lobe function. In addition, the SLE patients were tested for antiphospholipid antibodies. The SLE patients performed worse than the control group on immediate, delayed and interference of the Rey verbal test and paired associate tests of Wechsler Memory Scale, and their reaction time was slower in Trail A and Trail B tests. Moreover, these findings were more pronounced in the group with major neuropsychiatrie symptoms. However, no relationship was apparent between these deficits in cognitive function and the presence or absence of antiphospholipid antibodies. The results suggest that verbal memory and psychomotor speed underlie the neuropsychiatric symptoms seen in SLE patients.
KW - Cognitive dysfunction
KW - Neuropsychiatric symptom
KW - Psychomotor speed
KW - Systemic lupus erythematosus
KW - Verbal memory
UR - http://www.scopus.com/inward/record.url?scp=28844474967&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=28844474967&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1819.2005.01418.x
DO - 10.1111/j.1440-1819.2005.01418.x
M3 - Article
C2 - 16194262
AN - SCOPUS:28844474967
VL - 59
SP - 584
EP - 589
JO - Psychiatry and Clinical Neurosciences
JF - Psychiatry and Clinical Neurosciences
SN - 1323-1316
IS - 5
ER -