The impact of the invisible: Cognitive deficits, behavioral changes, and fatigue after subarachnoid hemorrhage

Buunk, A. M., 2019, [Groningen]: Rijksuniversiteit Groningen. 179 p.

Research output: ThesisThesis fully internal (DIV)Academic

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A subarachnoid hemorrhage (SAH) is a severe bleeding in the space that surrounds the brain. SAH occurs at a relatively young age, with a mean age between 40 and 60 years.
A part of the SAH patients experiences problems in resuming their daily activities. There might be no visible consequences, however clear changes compared to the situation before SAH can be present.
The main objective of this thesis was to investigate several (neuro)psychological consequences of SAH.

Firstly, cognitive deficits regarding memory, attention, planning, and organisation are found. Specifically, patients can have impairments in 'social cognition': the ability to recognize others' emotions, understand the behavior of others and react adequately.
These impairments are related to behavioral problems, such as reduced initiative. Even years after the SAH, patients report high rates of fatigue, especially described as a feeling of exhaustion resulting from mentally demanding activities. Also, symptoms such as stress sensitivity and irritability are common.
Furthermore, the present study shows that consequences such as fatigue and cognitive problems are related to long-term outcome.
Screening for these so called ‘invisible consequences’ (cognitive, behavioral, and emotional problems) is crucial to improve assessment, treatment methods and eventually outcome.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
Award date23-Jan-2019
Place of Publication[Groningen]
Print ISBNs978-94-034-1312-9
Electronic ISBNs978-94-034-1311-2
Publication statusPublished - 2019

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