The 2019 update of the is a comprehensive set of evidence-based guidelines addressing three important issues that can negatively impact the lives of people who have had a stroke. These include post-stroke depression and anxiety, vascular cognitive impairment, and post-stroke fatigue. Following stroke, approximately 20% to 50% of all persons may be affected by at least one of these conditions.
View Article and Find Full Text PDFBackground And Objective: A considerable number of patients with transient ischemic attack suffer from cognitive impairment, even after recovery of focal neurological deficits. In particular, executive functions such as working memory, abstraction, reasoning, verbal fluency and cognitive flexibility are impaired in these patients. The purpose of the present study was to explore the nature and prevalence of cognitive impairment in a series of patients with transient ischemic attack and minor stroke.
View Article and Find Full Text PDFData from 30 cognitively intact and emotionally stable Canadian elders provided support for the construct validity of the Hopemont Capacity Assessment Instrument and the Independent Living Scales. Subscale scores in the health or financial domains on these two capacity-related instruments were moderately correlated; weaker correlations were observed between ILS and HCAI subscales tapping discrepant domains. Training in thinking aloud and responding to hypothetical questions did not affect scores on these measures, nor were scores on brief depression and anxiety scales statistically associated with standing on capacity-related measures.
View Article and Find Full Text PDFThe present study explored the diagnostic accuracy of demographically corrected norms for the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) in a diverse sample of 57 patients with traumatic brain injury (TBI) and a matched group of 61 pseudoneurologic controls. The use of demographic corrections did not significantly improve the sensitivity or specificity of WAIS-III subtest scores to TBI relative to traditional age-corrected norms. Overall classification rates were quite good for both normative systems.
View Article and Find Full Text PDFThis study provided 3-month follow-up data to a previous paper that compared symptom complaints of patients with mild traumatic brain injury (MTBI) with those of non-injured control participants within 1 month of injury. The 110 MTBI patients and 118 control participants were group-matched on age, gender, education level, and socioeconomic status. As a group, MTBI patients no longer endorsed significantly more symptoms (M = 14.
View Article and Find Full Text PDFObjective: To examine the perceptions of intimidation in the psychiatric educational environment in Edmonton, Alberta.
Methods: We distributed a 7-point modified Likert scale questionnaire that included questions with respect to intimidation perceptions and experience in psychiatry during a 1-week period to all student interns on psychiatry rotations, residents, and teaching faculty in the 5 teaching hospitals in Edmonton.
Results: A total of 92 individuals responded, with response rates of 81% for faculty, 82% for residents, and 84% for students.