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Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions?
Rehab Station Stockholm, Karolinska Institutet, Stockholm, Sweden; Department of Urology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Rehab Station Stockholm, Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Health Sciences. Rehab Station Stockholm, Karolinska Institutet, Stockholm, Sweden; Ersta Sköndal Bräcke University College, Stockholm, Sweden.ORCID iD: 0000-0002-7813-3351
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2020 (English)In: Neurourology and Urodynamics, ISSN 0733-2467, E-ISSN 1520-6777, Vol. 39, no 8, p. 2139-2145Article in journal (Refereed) Published
Abstract [en]

AIM: To evaluate if adult persons with spina bifida (SB) who have urinary tract complications have cognitive difficulties that can be identified by neuropsychological tests.

METHODS: All individuals with SB ≥ 18 years of age registered at a regional outpatient clinic (n = 219) were invited, of which, 154 persons were included. Neuropsychological assessment of their cognitive status was performed with Wechsler Adult Intelligence Scale®-Fourth Edition: Coding, Block design, Arithmetic's, FAS (word generation), Rey Auditory Verbal Test for learning, and delayed recall 30 min. Bladder and bowel function were assessed with questions used by the Nordic Spinal Cord Injury Registry (NSCIR) in structured interviews, by questionnaires, and by chart reviews.

RESULTS: Average neuropsychological test results for this SB population was shown to be approximately 1 SD under the median for the general population. The Coding test showed significantly lower test results as compared with the whole SB group in persons with urinary tract complications, especially urinary tract infections, reduced kidney function, dependent emptying of the bladder, and the bowel and accidental bowel leakage. The Arithmetic's test showed a significant difference between subgroups in all parameters except reduced kidney function whereas the other neuropsychological tests were significantly correlated with some but not all urological parameters.

CONCLUSION: We propose neuropsychological testing with primarily two tests to find those persons with SB who, due to cognitive challenges, might need extra support to minimize urological complications.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 39, no 8, p. 2139-2145
Keywords [en]
Cognitive impairment, neuropsychological tests, spina bifida, urological dysfunction
National Category
Psychology (excluding Applied Psychology)
Identifiers
URN: urn:nbn:se:oru:diva-86004DOI: 10.1002/nau.24515ISI: 000571503100001PubMedID: 32959949Scopus ID: 2-s2.0-85091271342OAI: oai:DiVA.org:oru-86004DiVA, id: diva2:1471250
Note

Funding Agencies:

Caroline Montgomery Foundation  

Foundation of Neuro Sweden  

Norrbacka-Eugenia Foundation  

Foundation of Linnea and Josef Carlsson

Available from: 2020-09-28 Created: 2020-09-28 Last updated: 2021-01-15Bibliographically approved

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Gabrielsson, Hanna

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