初级医疗人群与初级精神病人群主观认知关注与客观神经认知表现的关系

IF 5.5 2区 医学 Q1 PSYCHIATRY
Matthew S Phillips, George Whitman Kent, Hajar Ismail, Justyna Piszczor, Briana N Galindo, Greg Shapiro, Lisette Gonzalez, Brian M Cerny, Jason R Soble
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引用次数: 0

摘要

背景:主观认知问题(SCCs)是指个体自我认定的认知局限性,与客观神经认知表现无关。先前的文献已经压倒性地发现,精神因素,而不是神经认知功能障碍,是广泛临床人群中SCCs升高的主要相关因素。然而,SCCs与客观神经认知表现之间的关系是复杂的,并可能进一步受到各种损伤或病因的潜在机制的影响。此外,在分析客观神经心理学结果时,许多现有文献未充分利用绩效效度测试(pvt)。方法:因此,本研究在初级医学/神经学(n = 127)和精神病学(n = 106)病因的成年临床患者中检测了SCCs、表现效度、神经认知表现和精神困扰之间的关系。结果:结果显示,在两组中,SCCs升高与更大程度的表现失能和精神痛苦有关,但与神经认知表现无关。结论:研究结果支持pvt在临床研究中的应用,并进一步强调精神因素对SCCs的影响,无论其医学/神经或精神病因如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between subjective cognitive concerns and objective neurocognitive performance in primary medical versus primary psychiatric populations.

Background: Subjective cognitive concerns (SCCs) refer to individuals' self-identified cognitive limitations, irrespective of objective neurocognitive performance. Previous literature has overwhelmingly found that psychiatric factors, not neurocognitive dysfunction, are a primary correlate of elevated SCCs across a wide range of clinical populations. However, the relationship between SCCs and objective neurocognitive performance is complex and may further be influenced by underlying mechanisms of various impairments or etiologies. Moreover, much of the extant literature has under-utilized performance validity tests (PVTs) when analyzing objective neuropsychological outcomes.

Methods: As such, this study examined the associations between SCCs, performance validity, neurocognitive performance, and psychiatric distress among adult clinical patients with primary medical/neurologic (n = 127) and psychiatric (n = 106) etiologies.

Results: Results showed that elevated SCCs are associated with greater degrees of performance invalidity and psychiatric distress, but not neurocognitive performance, among both groups.

Conclusions: Findings support the utility of PVTs in clinical research and further highlight the impact of psychiatric factors on SCCs, regardless of medical/neurologic or psychiatric etiology.

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来源期刊
Psychological Medicine
Psychological Medicine 医学-精神病学
CiteScore
11.30
自引率
4.30%
发文量
711
审稿时长
3-6 weeks
期刊介绍: Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.
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