Awareness, overestimation, and underestimation of cognitive functions in epilepsy

Awareness of memory functioning in patients with stroke who have a good functional outcome

“…These findings are in line with previous studies and with cognitive theories of awareness. Giovagnoli [16] and Carone et al [13], for example, suggested that impaired awareness is a specific cognitive impairment directly resulting from brain damage and they already reported an association between over-estimation of cognitive performance and cognitive impairments in patients with brain injury [13,16].…”

“…Also, Sawchyn et al [15] proposed an association between an under-estimation of performance and more emotional distress in patients with traumatic brain injury. Over-estimation of cognitive performance, however, has been associated with more cognitive impairments in patients with epilepsy [16] and multiple sclerosis [13].…”

Cognitive rehabilitation in epilepsy: An evidence-based review

“…Moreover, patients with long-lasting TLE may show a chronic cognitive deterioration (Hermann et al, 2008(Hermann et al, , 2010. Although perceived cognitive failures inconstantly correspond to objective deficits (Giovagnoli et al, 1997;Hendriks et al, 2002;Ponds and Hendriks, 2006;Helmstaedter and Elger, 2008;Giovagnoli, 2013), both self-rated and neuropsychological impairments may affect quality of life (QoL) (Perrine et al, 1995;Giovagnoli et al, 2014).…”

Subjective cognitive complaints versus objective neuropsychological performance in older adults with epilepsy

“…In fact, numerous studies in patients with epilepsy demonstrate a stronger association between subjective cognitive complaints and mood than between subjective and objective cognitive functions [15,19,21]. Additionally, reduced awareness of cognitive deficits among patients with epilepsy may contribute to an underreporting of deficits and partially account for the discrepancy between objective and subjective cognitive complaints [22].…”