If you feel you can't, you won't: the role of subjective and objective cognitive competence on psychosocial functioning in depression
Por:
Vicent-Gil, M, Trujols, J, Serra-Blasco, M, Navarra-Ventura, G, Puigdemont, D, Alemany, C, Crivillés, S, de Diego-Adeliño, J, Cardoner, N, Portella, MJ
Publicada:
19 oct 2023
Resumen:
BackgroundThe purpose of this exploratory study is to examine the role of sociodemographic, clinical, and cognitive - both objective and subjective - factors in overall and in specific domains of psychosocial functioning, in patients with depression at different clinical states of the disease (remitted and non-remitted).MethodsA sample of 325 patients with major depressive disorder, 117 in remission and 208 in non-remission, were assessed with a semi-structured interview collecting sociodemographic, clinical, cognitive (with neuropsychological tests and the Perceived Deficit Questionnaire), and functional (Functioning Assessment Short Test) characteristics. Backward regression models were conducted to determine associations of global and specific areas of functioning with independent factors, for both clinical states.ResultsResidual depressive symptomatology and self-appraisal of executive competence were significantly associated with psychosocial functioning in remitted patients, in overall and some subdomains of functioning, particularly cognitive and interpersonal areas. While depressive symptoms, executive deficits and self-appraisal of executive function were significantly related to functional outcomes in non-remitted patients, both in overall functioning and in most of subdomains.DiscussionThis study evidences the strong association of one's appraisal of executive competence with psychosocial functioning, together with depressive symptoms, both in remitted and non-remitted patients with depression. Therefore, to achieve full recovery, clinical management of patients should tackle not only the relief of core depressive symptoms, but also the cognitive ones, both those that are objectified with neuropsychological tests and those that are reported by the patients themselves.
Filiaciones:
Vicent-Gil, M:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
Trujols, J:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
Serra-Blasco, M:
Inst Catala Oncol, eHlth ICOnnectat Program, Lhospitalet De Llobregat, Spain
Inst Catala Oncol, Psychooncol Serv, Lhospitalet De Llobregat, Spain
Navarra-Ventura, G:
Hosp Univ Son Espases, Inst Invest Sanitaria Illes Balears IdISBa, Palma De Mallorca, Spain
Univ Illes Balears, Inst Univ Invest Ciencies Salut IUN, Palma De Mallorca, Spain
Inst Salud Carlos III CIBERES ISCIII, Ctr Invest Biomed Red Enfermedades Resp, Madrid, Spain
Puigdemont, D:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
Alemany, C:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
Crivillés, S:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
de Diego-Adeliño, J:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
Cardoner, N:
Univ Autonoma Barcelona UAB, Inst Neurosci, Dept Psychiat & Legal Med, Barcelona, Spain
Portella, MJ:
Univ Autonoma Barcelona UAB, Hosp Santa Creu & St Pau, Ctr Invest Biomed Red Salud Mental, Inst Invest Biomed St Pau IIB St Pau,Inst Salud Ca, Barcelona, Spain
gold, All Open Access; Gold Open Access; Green Open Access
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