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KMID : 0363120090220010028
Korean Journal of Pain
2009 Volume.22 No. 1 p.28 ~ p.32
Cognitive Assessment in Complex Regional Pain Syndrome Patients
Moon Jee-Youn

Lee Pyung-Bok
Kim Yong-Chul
Lee Sang-Chul
Shin Min-Sup
Park Mi-Jung
Kang Do-Hyung
Kwon Tae-Myung
Abstract
Background: Complex regional pain syndrome (CRPS) is characterized by severe neuropathic pain and disability, which can result in psychological and behavioral dysfunction. The goal of the present study was to evaluate neurocognitive disability, and to assess the relationship between clinical variables and neuropsychological features in CRPS patients.

Methods: We investigated the neuropsychological features of 15 CRPS I patients. The neuropsychological tests that we made comprised of a full intelligence quotient, memory quotient, trail-making test A, trail-making test B (TMT-B), and MMPI (Minnesota multiphasic personality inventory).


Results: The results showed severe disability in performance on TMT-B. There was no significant correlation between specific cognitive variables and MMPI scales.

Conclusion: Decreased performance on TMT-B which shows mental flexibility in the prefrontal lobe exists independently from depressive disorders in CRPS patients.
KEYWORD
chronic pain, cognitive flexibility, complex regional pain syndrome, executive function, trail making test
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