Review Article

The Many Difficulties and Subtleties in the Cognitive Assessment of Chronic Hepatitis C Infection

Table 1

Cognitive assessment of HCV-infected patients.

StudyStudy designSampleMeasuresMain findingsCritique

Forton et al. [22]. (2002)Cross-sectionalHCV: 27
HCV/PCR-: 16
D.C.R/T.T/C.TWorst performance in the HCV groupInclusion of depressed patients

Hilsabeck et al. [26] (2002)Cross-sectionalHCV: 66
Hepatopathy of another cause: 14
R.C.F/D.C.T/T.T/C.TNo difference between the groupsInclusion of patients with liver cirrhosis

Kramer et al. [29]. (2002)Cross-sectionalHCV: 100
Group control: 100
P300
Minimental
Increased latency and reduced P300 amplitude in the group HCVInclusion of patients with liver cirrhosis

Córdoba et al. [28] (2004)Cross-sectionalHCV: 40
HCV cirrhosis: 40
HCV D.C: 40
Group control: 40
A.V.L.T/T.T/C.T
S.T/P.G/H.T
No difference between the groupsInclusion of patients with liver cirrhosis

Weissenborn et al. [30] (2004)Cross-sectionalHCV M.F: 15
HCV Moderate F: 15
Group control: 15
R.C.F/figure
L.W.L.T/C.T
Worst cognitive performance of patients with HCV in cognitive fields involving attention and executive functionInclusion of depressed patients

McAndrews et al. [24] (2005)Cross-sectionalHCV: 37
Group control: 46
T.D/C.T/T.T
S.T/S.T.W
Worst performance in the HCV groupAdvanced hepatic fibrosis

Weissenborn et al. [31] (2006)Cross-sectionalHCV: 16
HCV/PCR-: 4
Test d2
Battery tap
Cognitive change in 2/3 of individuals involving attention/concentration in the HCV groupHigh score in BDI

Karaivazglou et al. [27]. (2007)Cross-sectionalHCV: 32
HBV: 29
Group control: 20
RAVLT/S.F.T
T.T/C.T
No difference between the groupsInclusion of patients with liver cirrhosis

Forton et al. [32]. (2008)Cross-sectionalHCV: 16
HCV/PCR-: 18
Group control: 85-420
D.C.RChange in the HCV + PCR + group involving working memory and attention when compared to the control and when compared to the HCV + PCR groupHistory of use of illicit drugs

Huckans et al. [33]. (2009)Cross-sectionalHCV: 39 H.U.A.ID
HCV: 24 N.H.A.ID
Group control: 56
T.F.V/T.R.C.F/C.T/T.TCognitive change: attention, verbal memory, and psychomotor speed in the HCV group independent from the use of substancesInclusion of depressed patients

Quarantini et al. [34]. (2009)Cross-sectionalHCV: 33
HBV: 22
T.R.C.F/RAVLT; T.D; T.TWorst performance of the HCV group in immediate memory in relation to the HBV groupPotential inclusion of patients with liver cirrhosis

Lowry et al. [35]. (2010)Cross-sectionalHCV: 11
HCV PCR-: 9
Group control: 9
WMS IIIThe HCV group presented worst scores of memory and attention when compared to the control groupInclusion of depressed patients

Farag et al. [36]. (2011)Cross-sectionalHCV: 11
Group control: 14
W.C.TThe HCV group presented the worst results in the executive function tests and increase in the soluble receiver ii of the necrosis factorInclusion of patients with liver cirrhosis

Abrantes et al. [25] (2013)Cross-sectionalHCV: 29
Group control: 29
Minimental
T D.S/S.T/T.T B.N.T/T.F.V; T.D/G.F.D.T G.F.D.T/S.S.T/RAVLT
No difference between the groupsStrict exclusion criterion

Ibrahim et al. [37]. (2016)Cross-sectionalHCV: 38
Group control: 210
Penn cognitive battery—Arabic versionCognitive change involving various cognitive areas in the HCV groupPotential inclusion of patients with liver cirrhosis

Hilsabeck et al. [38] (2003)Cross-sectionalHCV: 21B.V.M.T-R/S.S.T/T.T/C.TCognitive changes: visuoconstructive, attention/concentration, visual scanning, psychomotor speed, and working memoryInclusion of HIV patients, use of interferon and psychotropic drugs

Fontana et al. [39]. (2005)Cross-sectionalHCV: 201T.P-D/T.D T.T33% presented dysfunction in the verbal memory and working memoryInclusion of patients with liver cirrhosis

D.C.R: cognitive drug research; R.C.F: Rey Complex Figure; D.C.T: Digit Cancellation Test; T.T: Trail Testing; C.T: Code Testing; B.V.M.T-R: Brief Visuospatial Memory Test-Revised; S.S.T: Symbol Search Test; A.V.L.T: Auditory-Verbal Learning Test; S.T: Stroop test; P.G: Pegboard Grooved; H.T: Hooper Test; L.W.L.T: Luria Word List Test; I.N.F: interferon; D.C: decompensated cirrhosis; T.D: Digit Test; D-P.T: D-Prime Test; M.F: mild fatigue; Moderate F: moderate fatigue; W.C.T: Winconsin Card Test; RAVLT: Rey Auditory Verbal Learning Test; S.F.T: Semantic Fluency Test; V.F.T: Verbal Fluency Test; S.D.T: Simple Design Test; B.N.T: Boston Nomination Test/G.F.D.T: Geometric Figure Drawing Test; H.U.A.ID: history of use of alcohol and illicit drugs; N.H.A.ID: no history of alcohol and illicit drug use; BDI: Beck Depression Inventory.