Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission

Patients with Cushing’s syndrome (CS) in remission often suffer from impaired quality of life and cognitive dysfunction. The primary aim was to investigate the occurrence of mental fatigue, characterized by mental exhaustion and long recovery time following mentally strenuous tasks, in patients with...

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Main Authors: Eleni Papakokkinou, Birgitta Johansson, Peter Berglund, Oskar Ragnarsson
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2015/173653
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author Eleni Papakokkinou
Birgitta Johansson
Peter Berglund
Oskar Ragnarsson
author_facet Eleni Papakokkinou
Birgitta Johansson
Peter Berglund
Oskar Ragnarsson
author_sort Eleni Papakokkinou
collection DOAJ
description Patients with Cushing’s syndrome (CS) in remission often suffer from impaired quality of life and cognitive dysfunction. The primary aim was to investigate the occurrence of mental fatigue, characterized by mental exhaustion and long recovery time following mentally strenuous tasks, in patients with CS in remission. The secondary aim was to examine whether the newly developed parts C and D of the trail making test (TMT) are more sensitive, compared to the conventional parts A and B, to evaluate attention and executive function. This was a cross-sectional study including 51 patients with CS in remission and 51 controls. All subjects completed the self-administrated mental fatigue scale (MFS) and performed all four parts of the TMT. The patients had worse outcome on all components of the MFS except for sensitivity to noise. After adjustment for mental fatigue, depression, and anxiety, the patients performed worse only on part D of the TMT (P<0.05). Mental fatigue is common in patients with CS in remission and can be captured by using the MFS. The most demanding part of the TMT, part D, is more useful to capture cognitive deficits in patients with CS in remission compared to the conventional parts A and B.
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spelling doaj-art-3f87c3f0775e49168fa2e612c6af26672025-08-20T02:08:08ZengWileyBehavioural Neurology0953-41801875-85842015-01-01201510.1155/2015/173653173653Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in RemissionEleni Papakokkinou0Birgitta Johansson1Peter Berglund2Oskar Ragnarsson3Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenInstitute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenInstitute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenPatients with Cushing’s syndrome (CS) in remission often suffer from impaired quality of life and cognitive dysfunction. The primary aim was to investigate the occurrence of mental fatigue, characterized by mental exhaustion and long recovery time following mentally strenuous tasks, in patients with CS in remission. The secondary aim was to examine whether the newly developed parts C and D of the trail making test (TMT) are more sensitive, compared to the conventional parts A and B, to evaluate attention and executive function. This was a cross-sectional study including 51 patients with CS in remission and 51 controls. All subjects completed the self-administrated mental fatigue scale (MFS) and performed all four parts of the TMT. The patients had worse outcome on all components of the MFS except for sensitivity to noise. After adjustment for mental fatigue, depression, and anxiety, the patients performed worse only on part D of the TMT (P<0.05). Mental fatigue is common in patients with CS in remission and can be captured by using the MFS. The most demanding part of the TMT, part D, is more useful to capture cognitive deficits in patients with CS in remission compared to the conventional parts A and B.http://dx.doi.org/10.1155/2015/173653
spellingShingle Eleni Papakokkinou
Birgitta Johansson
Peter Berglund
Oskar Ragnarsson
Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
Behavioural Neurology
title Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
title_full Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
title_fullStr Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
title_full_unstemmed Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
title_short Mental Fatigue and Executive Dysfunction in Patients with Cushing’s Syndrome in Remission
title_sort mental fatigue and executive dysfunction in patients with cushing s syndrome in remission
url http://dx.doi.org/10.1155/2015/173653
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AT peterberglund mentalfatigueandexecutivedysfunctioninpatientswithcushingssyndromeinremission
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