Associations between executive functioning, coping and mental distress in low-grade glioma

Research output: Contribution to conferencePosterAcademic

Abstract

Aims: patients with low-grade glioma (LGG), who are eligible for proton therapy, have a relatively favorable prognosis. However, an LGG can negatively influence cognitive functioning in patients. Particularly executive functioning (EF) is important to adapt to a new situation following the diagnosis of an LGG. It is hypothesized that impaired EF may interfere with the ability to develop and access adaptive coping strategies. In turn, patients would use more passive or avoidant strategies, which are related to mental distress in the general population and in patients with LGG. However, little is known about EF, coping and mental distress in patients with LGG. Therefore the aim of this study is to analyze associations between EF, coping and mental distress in patients with LGG.

Method: 122 patients with LGG, eligible for proton therapy, were included. Assessment consisted of tests measuring objective EF (Zoo map, Trail Making Test, Controlled Oral Word Test) and questionnaires measuring EF complaints (DEX), coping (Utrecht Coping-List) and mental distress (Hospital Anxiety and Depression Scale). Associations were analyzed with Pearson and Spearman correlations.

Results: objective EF was not significantly related to coping or mental distress. However, a higher score on the DEX (indicating more EF complaints) was significantly related to higher levels of avoidant and passive coping and higher levels of anxiety and depressive complaints.
Discussion: worse objective EF is not related to active or passive coping and mental distress. EF complaints however might be a better indicator of passive and avoidant coping and mental distress.

Conclusions: based on our results, patients with LGG and impaired objective EF might still be able to rely on adaptive coping strategies to cope with their diagnosis. Also, it is important to be aware of signs of mental distress in patients reporting high levels of EF complaints or passive or avoidant coping strategies.
Original languageEnglish
Publication statusPublished - 28-Sept-2023
Event8th Scientific Meeting of the Federation of the European Societies of Neuropsychology - Greece, Thessaloniki, Greece
Duration: 27-Sept-202329-Sept-2023
Conference number: 8

Conference

Conference8th Scientific Meeting of the Federation of the European Societies of Neuropsychology
Abbreviated titleFESN
Country/TerritoryGreece
CityThessaloniki
Period27/09/202329/09/2023

Keywords

  • low-grade glioma
  • executive functioning
  • coping
  • mental distress

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