Self-reporting of everyday memory in patients with epilepsy: relation to neuropsychological, clinical, pathological and treatment factors

Awareness, overestimation, and underestimation of cognitive functions in epilepsy

“…Although the results of regression and correlation analyses in the entire patient group replicate the relationships of the MASQ score to neuropsychological performances [31,38,39] and mood [40,41], also reported with memory inventories [27][28][29][30][34][35][36][37], they do not clarify the discrepancies in the underlying factors affecting self-rating. By definition, these results underline the importance of using differential approaches to investigate self-rating in aware and unaware patients.…”

“…Previous studies using the MASQ in patients with TLE showed that perceived abilities were associated with objective abilities [31,38,39] or, by contrast, that self-ratings primarily reflected mood [40,41]. Other studies using memory inventories [27,29,[35][36][37] also reported inconstant correlation between perceived and objective abilities and a main influence for mood. However, no study separately analyzed aware and unaware patients.…”

“…Neuropsychological assessment, using standardized, psychometrically valid and reliable procedures, gives operator-oriented measures but does not reproduce real life situations. Self-evaluation provides subjective measures, which may reflect not only everyday efficiency but also patients' affect [27]. Use of self-evaluation instruments started a few decades ago aiming to complement neuropsychological results [27][28][29], but most studies only explored perceived memory abilities, showing that subjectively impaired patients often obtained average or high scores in laboratory tests [27][28][29][30][32][33][34][35][36][37].…”

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).…”

Improving the assessment of everyday cognitive functioning in patients with epilepsy by means of proxy reports

“…Recent research indicates that one reason for this discrepancy may be a systematic distortion of the patient's subjective perception by intrapersonal factors such as depression, anxiety [2,[6][7][8][9], and personality [9][10][11]. Taking this into account, the reliability and validity of the self-report as a basis for therapeutic decision-making are limited.…”