Open AccessNeuropsychological evidence for subjective memory complaints in the neurologically well individual
Author(s) -
Marilyn Lucas
Publication year - 2003
Publication title -
south african journal of psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.425
H-Index - 13
eISSN - 2078-6786
pISSN - 1608-9685
DOI - 10.4102/sajpsychiatry.v9i2.134
Subject(s) - neuropsychology , mood , cognition , psychology , depression (economics) , clinical psychology , psychiatry , naturalistic observation , neuropsychological assessment , social psychology , economics , macroeconomics
Background. Subjective memory and concentration difficulties are frequently expressed in modern society and, if sufficiently worrying, may elicit a medical consultation for elucidation. When a clear explanation cannot be given, a neuro- psychological assessment may be a useful tool.Method. The present naturalistic study recruited 20 patients who reported cognitive difficulties for which a medical expla- nation could not be found. Each subject underwent a clinical interview and neuropsychological assessment in order to iden- tify the nature and severity of the problem, and to identify a possible cause of these complaints.Results. Several possible explanations were documented but mood disturbance was considered the most likely reason for the identified cognitive difficulties.Limitations. This was a naturalistic study with a specific sample, and consequently generalisability may be reduced.Conclusion. Even in episodes of mild depression cognitive dif- ficulties occur that may be presented to neurologists rather than psychiatrists. In such instances the patient is at risk of not receiv- ing the appropriate treatment for his or her mood disorder