Impact of chronic obstructive pulmonary disease (COPD) on attention functions.

Abstract:

:The present study investigates the influence of COPD on attention functions, learning, and logical thinking. Therefore, 60 COPD patients and 60 healthy controls were recruited into a cross-sectional study and underwent extensive neuropsychological testing. The Attention Network Test was used for assessment of tonic and phasic alertness, orienting, and executive attention. Logical thinking and learning were determined with the Standard Progressive Matrices and the Verbal and Nonverbal Learning Test, respectively. Significant group differences were found in phasic alertness (p=0.001) and orienting (p=0.01) but not in executive attention. In addition overall reaction time was significantly slower in the COPD group (p=0.001). Further group differences were found in verbal (p<0.001) and visual learning (p<0.001) and logical thinking (p<0.001). Regression analysis revealed significant correlations for age (p=0.024) and blood carbon dioxide levels (p=0.043) in reaction time, a correlation for age and orienting (p=0.019) and finally for age (p=0.011) as well as for blood carbon dioxide values (p=0.048) and performance in logical thinking. Results are indicating a global impairment in cognitive functions of COPD patients which is negatively influenced by accelerated aging and increasing with disease severity.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Klein M,Gauggel S,Sachs G,Pohl W

doi

10.1016/j.rmed.2009.08.008

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

52-60

issue

1

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(09)00275-3

journal_volume

104

pub_type

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