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Article: Objective and subjective cognitive functioning in relation to psychopathology among women with early psychosis

TitleObjective and subjective cognitive functioning in relation to psychopathology among women with early psychosis
Authors
Keywordsdepression
early psychosis
objective cognitive functioning
psychopathology
subjective cognitive impairments
Issue Date2018
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-7893
Citation
Early Intervention in Psychiatry, 2018, v. 13 n. 5, p. 1227-1235 How to Cite?
AbstractBackground: Subjective cognitive impairment (SCI) among early psychosis is under-recognized and under-studied. However, SCI is as important as objective impairment to be understood, since it assesses cognitive difficulties in real-life situations from a personal perspective and is therefore an essence of individualized medicine. This study aims to explore the associations between the objective and subjective measures of cognitive impairments and to identify factors contributing to SCI among people with early psychosis. Methods: Participants were 60 females (mean age 24.57 ± 8.28) who had a diagnosis of psychotic-spectrum disorder within 5 years. They completed a battery of neuropsychological tests assessing a range of cognitive functions including verbal learning, memory, attention, and executive functions. The Subjective Cognitive Impairment Scale (SCIS) was used to assess their perceived cognitive decline. Psychotic symptoms and depression were also assessed. Results: SCIS was not correlated with any of the objective cognitive tests results. It was positively correlated with depression and positive symptoms. A hierarchical multiple regression model revealed that positive symptoms and depression together explained 31.9% of the total variance in SCIS and only depression significantly predicted SCI. Performances on the memory tests were correlated with, and predicted by negative symptoms. Conclusions: There was no correlation between SCI and objective cognitive performances in patients with early psychosis. Treatments should not only focus on symptomatic remission and performance of cognitive tests, but also place emphasis on improving moods and subjective cognitive functions of individuals with early psychosis. © 2018 John Wiley & Sons Australia, Ltd
Persistent Identifierhttp://hdl.handle.net/10722/278250
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.976
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTong, ACY-
dc.contributor.authorChang, WC-
dc.contributor.authorChan, ANY-
dc.contributor.authorLin, JJ-
dc.date.accessioned2019-10-04T08:10:22Z-
dc.date.available2019-10-04T08:10:22Z-
dc.date.issued2018-
dc.identifier.citationEarly Intervention in Psychiatry, 2018, v. 13 n. 5, p. 1227-1235-
dc.identifier.issn1751-7885-
dc.identifier.urihttp://hdl.handle.net/10722/278250-
dc.description.abstractBackground: Subjective cognitive impairment (SCI) among early psychosis is under-recognized and under-studied. However, SCI is as important as objective impairment to be understood, since it assesses cognitive difficulties in real-life situations from a personal perspective and is therefore an essence of individualized medicine. This study aims to explore the associations between the objective and subjective measures of cognitive impairments and to identify factors contributing to SCI among people with early psychosis. Methods: Participants were 60 females (mean age 24.57 ± 8.28) who had a diagnosis of psychotic-spectrum disorder within 5 years. They completed a battery of neuropsychological tests assessing a range of cognitive functions including verbal learning, memory, attention, and executive functions. The Subjective Cognitive Impairment Scale (SCIS) was used to assess their perceived cognitive decline. Psychotic symptoms and depression were also assessed. Results: SCIS was not correlated with any of the objective cognitive tests results. It was positively correlated with depression and positive symptoms. A hierarchical multiple regression model revealed that positive symptoms and depression together explained 31.9% of the total variance in SCIS and only depression significantly predicted SCI. Performances on the memory tests were correlated with, and predicted by negative symptoms. Conclusions: There was no correlation between SCI and objective cognitive performances in patients with early psychosis. Treatments should not only focus on symptomatic remission and performance of cognitive tests, but also place emphasis on improving moods and subjective cognitive functions of individuals with early psychosis. © 2018 John Wiley & Sons Australia, Ltd-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-7893-
dc.relation.ispartofEarly Intervention in Psychiatry-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectdepression-
dc.subjectearly psychosis-
dc.subjectobjective cognitive functioning-
dc.subjectpsychopathology-
dc.subjectsubjective cognitive impairments-
dc.titleObjective and subjective cognitive functioning in relation to psychopathology among women with early psychosis-
dc.typeArticle-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailLin, JJ: jxlin@hku.hk-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityLin, JJ=rp02218-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/eip.12760-
dc.identifier.pmid30485655-
dc.identifier.scopuseid_2-s2.0-85057534210-
dc.identifier.hkuros306113-
dc.identifier.volume13-
dc.identifier.issue5-
dc.identifier.spage1227-
dc.identifier.epage1235-
dc.identifier.isiWOS:000485973000025-
dc.publisher.placeUnited States-
dc.identifier.issnl1751-7885-

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