Assessing cognitive deficits in bipolar disorder: Are self-reports valid?
Assessing cognitive deficits in bipolar disorder: Are self-reports valid?
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DOI：
10.1016/j.psychres.2004.12.009
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发表时间：
2005-07-01
影响因子：
11.3
通讯作者：
Goldberg, JF
中科院分区：
文献类型：
--
作者：
Burdick, KE;Endick, CJ;Goldberg, JF
情感性精神障碍患者经常报告注意力、集中力和记忆力问题，尽管很少有研究调查与客观神经心理缺陷相关的主观认知主诉。我们比较了37例DSM-IV双相门诊患者的主观（自评）认知和客观（临床医生评定）神经心理功能。受试者完成了三个标准化的自我报告清单：认知困难量表（CD），认知障碍问卷（CFQ）和患者自我功能评估（PAOF）。随后进行了系统的神经心理学测试。超过75%的双相患者样本显示出一些认知缺陷，最明显的是在语言学习和记忆领域。一般来说，患者自我报告的损害不能可靠地预测客观的神经心理缺陷。躁狂症和抑郁症的情绪等级与任何自我报告的清单或客观的神经心理学变量没有显着相关。研究结果表明，大多数双相情感障碍患者表现出认知障碍的客观体征，但他们无法准确报告，至少使用现有的自我报告清单。这种差异可能与洞察力受损，努力隐藏赤字，或阈下情感症状。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Patients with affective disorders frequently report problems with attention, concentration and memory, although little research has investigated subjective cognitive complaints relative to objective neuropsychological deficits. We compared subjective (self-rated) cognition and objective (clinician-rated) neuropsychological functioning in 37 DSM-IV bipolar outpatients. Subjects completed three standardized self-report inventories: the Cognitive Difficulties Scale (CDs), Cognitive Failures Questionnaire (CFQ), and Patient's Assessment of Own Functioning (PAOF). These were followed by a systematic neuropsychological test battery. More than 75% of our sample of bipolar patients displayed some cognitive deficits, most notably in the domains of verbal learning and memory. In general, patients' self-reports of impairment failed to reliably predict objective neuropsychological deficits. Mood ratings for mania and depression were not significantly correlated with any of the self-report inventories or the objective neuropsychological variables. The findings suggest that most bipolar patients demonstrate objective signs of cognitive impairment, but they are unable to report them accurately, at least using available self-report inventories. Such discrepancies could relate to impaired insight, efforts to conceal deficits, or to subthreshold affective symptoms. (c) 2005 Elsevier Ireland Ltd. All rights reserved.