Results of intervention for lupus patients with self-perceived cognitive difficulties

Abstract

The authors developed an 8-week psychoeducational group intervention for patients with systemic lupus erythematosus (SLE) who reported cognitive dysfunction but were not globally impaired on neuropsychological testing. Results of a nonrandomized, uncontrolled pilot study of this program in 17 women with SLE suggest that metamemory and memory self-efficacy improve after participation. One hundred percent retention throughout the study further suggests that patients with SLE are willing and capable of successfully completing the program.

An Evidence-Based Review of Cognitive Rehabilitation in Medical Conditions Affecting Cognitive Function

“…53 Studies of cognitive dysfunction in individuals with SLE suggest a prevalence ranging from 17% to 59%, most frequently involving general intelligence, verbal learning/memory, visuospatial skills, psychomotor speed/manual dexterity, and attention/mental flexibility. 52 One nonrandomized, uncontrolled pilot study 54 with this population was reviewed and rated as class IV. Authors pretested 17 individuals with measures of mood and social support, as well as indices of memory and metamemory (eg, awareness of memory capacity/limits and strategy use).…”

A multicontext approach to promoting transfer of strategy use and self regulation after brain injury: An exploratory study

“…Over the past 10-15 years, this approach has been further developed and described with individual cases [6,11,12]. In addition, a group cognitive rehabilitation pilot programme based on the multicontext approach was published [13]. One obstacle in using the multicontext approach in clinical practice and research is the absence of clearly defined treatment procedures that can be used as a guideline and model for treatment.…”

Pathogenesis of neurocognitive and neuropsychiatric manifestations in childhood-onset lupus: an overview

“…Cognitive rehabilitation, such as psychoeducational group intervention, used in other non-SLE neurocognitive conditions may be useful, as suggested in studies of adults with SLE, by Harrison et al 155 and Haupt et al 156 This has not yet been fully explored in childhood onset SLE. It may not be of a similar benefit for those of a younger age of onset however, given likely differences in decision-making, social cognition and shorter attention spans than adults.…”