Table 3.
Examples of remaining cognitive symptoms per domain
Cognitive domain | Example quote |
---|---|
Episodic memory | |
Prospective memory | “Someone says that he’ll be late Friday. That’s forgotten. The hard drive is full”. (Participant I) |
Retrospective memory | “I may have done or put something somewhere and can’t remember it. Sometimes, I can rewind memory and remember. Other times, it’s like it never happened”. (Participant B) |
Self-cued memory | “If I know that something is important to memorize, then I’ll have to think about it actively […] For example, in order to remember dentist appointments, I note them in the calendar. Sometimes, I miss it anyway, so I’ve placed a toothbrush on the bureau in the hallway. That is, I visualize to remember things. If I’ve been somewhere, I try to remember the environment around me: what kind of weather or what year it is, or the people that’s there. That kind of stuff can help me remember things in the future”. (Participant J) |
New learning | “How can I get a job now that I can’t learn new things? It doesn’t stick. […] If someone explains how to do something, 2 seconds - or 2 minutes - later it’s gone again”. (Participant G2) |
Attention/ concentration | |
General concentration | “I can read three pages three times and still not remember that I’ve read it. I just see the text”. (Participant D)” |
Vigilance | “At work, during long administrative meetings, you need to sit there and listen, and then to be in groups writing post-its, expressing your opinions and summarizing. You need to work and be present and focused the whole day, which I can’t cope with. During long meetings, I start to fiddle with my cell phone or go to the rest room or something like that. I’m affected in not having stamina. It’s like I can perform well but not for too long”. (Participant B2) |
Executive functions | |
Inhibition |
“If I deliberately make up my mind and really focus and get rid of all external impressions – which is energy consuming – it [the ability to concentrate] kind of works. But I have to make an active choice. Normally, it doesn’t really stick, thought-wise, but sometimes, if I decide to allocate energy, concentration and put everything else aside, then it might work pretty well”. (Participant B). |
Cognitive flexibility |
“Let’s say I’m cooking. I need to be totally focussed on what I am doing. Then someone comes in and says something to me and I just feel 'God what was I doing? Did I do it wrong? Did I really put milk in whatever needed milk?'" (Participant Y). |
Working memory |
“I lose the thread easily. When saying something, I start asking myself: “Where the heck am I going with this?” So even as I’m thinking, I easily lose track of where I’m going. And if I’m interrupted, I can’t always remember what I was just saying”. (Participant Z). |
Higher-order EF/ problem solving |
“I don’t have the ability to think. I do work that involves analysis and I can’t do it, it’s like it just stops. I recently tried to increase my work hours which now resulted in me staying a week home from work. I got extremely dizzy and have difficulties understanding ordinary, simple things at home, like how to assemble kitchen appliances”. (Participant O) |
Initiation |
“What really bothers me is memory and concentration. It’s like things are not getting done the way they used to […] You don’t get around to the actual execution of things and don’t start doing them until it’s a crisis”. (Participant V) |
Speed |
“The sluggish thinking has been present pretty much all the time. If I need to think or say something more advanced, or really focus on something, I feel that I can’t manage to think the sentence to the end. It is too tough”. (Participant Y) |
Mental fatigue |
“It [the mental fatigue] is still present in that I can’t sort things out. I don't know how to sort or start doing things”. (Participant V) |