The Relationship between Cognitive Reserve, Memory Complaints and Spontaneous Memory Strategy use in Adults with Acquired Brain Injury
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2021-07-05
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en
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Abstract
Memory complaints frequently occur in patients with Acquired Brain Injury (ABI). In
cognitive rehabilitation, memory function is tested and if indicated internal and external
memory strategies are offered to compensate for memory dysfunction. In healthy adults, the
amount of memory complaints and the level of cognitive reserve influence the spontaneous
use of memory strategies. This relationship is unclear in ABI patients. Cognitive reserve is
described as the brain’s ability to compensate for brain damage, and was in this study
composed of IQ estimation, work and educational level. Furthermore, self-reported memory
complaints, memory strategy use and memory performance were assessed. 41 patients with
ABI in the chronic phase were included. Results indicated that the combination of cognitive
reserve and memory complaints did not significantly predict the spontaneous use of memory
strategies, but spontaneous use of more memory strategies in general and specifically external
strategies were predicted by a higher amount of memory complaints. Also, a higher degree of
memory performance was a significant predictor for less spontaneous use of internal memory
strategies. The amount of memory complaints seems to increase the use of especially external
memory strategies without the presence of memory strategy training. By structurally
inventorying the compensation strategies used by patients with ABI, cognitive rehabilitation
aimed at learning to apply memory strategies could be tailored to the differences in individual
needs.
Keywords: Subjective memory complaints, Cognitive reserve, Compensation strategies,
Internal and external memory strategies, Acquired Brain Injury patients
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Faculteit der Sociale Wetenschappen