Executive Function and Employment Status Among Veterans With Bipolar Disorder

Altshuler, Lori L.; Tekell, Janet L.; Biswas, Kousick; Kilbourne, M.P.H. Amy M.; Evans, Denise; Tang, Dengfang; Bauer, Mark S.

doi:10.1176/ps.2007.58.11.1441

Cited by 58 publications

(19 citation statements)

References 56 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Exceptions included Gilbert et al (2010) who used a self-report assessment and a clinical interview to collect information regarding memory and concentration and Altshuler et al (2007) who used a structured interview to assess executive functioning. Schoeyen and colleagues (2013) utilised a neurocognitive test battery to measure participants Full Scale IQ and premorbid intellectual functioning, arguing that the various neurocognitive domains reflect general intellectual ability.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies (Altshuler et al, 2007; Depp et al, 2012b; Dickerson et al, 2004; Dickerson et al, 2010; Gilbert et al, 2010; Mora, Portella, Forcada, Vieta, & Mur, 2013; Mur, Portella, Martínez-Arán, Pifarre, & Vieta, 2008; Mur, Portella, Martínez-Arán, Pifarre, & Vieta, 2009; Ryan et al, 2013) measured occupational functioning by categorising participants into groups based on their employment status. Of these studies, the most common method involved creating a ‘working vs not working’ dichotomy (Altshuler et al, 2007; Depp et al, 2012b; Dickerson et al, 2010; Gilbert et al, 2010; Mur et al, 2009; Ryan et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Of these studies, the most common method involved creating a ‘working vs not working’ dichotomy (Altshuler et al, 2007; Depp et al, 2012b; Dickerson et al, 2010; Gilbert et al, 2010; Mur et al, 2009; Ryan et al, 2013). Other studies created a third grouping with the inclusion of a "part-time" or "retired/disabled" group (Dickerson et al, 2004; Levy, Medina, & Weiss, 2013; Mora et al, 2013; Mur et al, 2008).…”

Section: Resultsmentioning

confidence: 99%

“…Other studies created a third grouping with the inclusion of a "part-time" or "retired/disabled" group (Dickerson et al, 2004; Levy, Medina, & Weiss, 2013; Mora et al, 2013; Mur et al, 2008). Definitions also varied within this employment status category, with Ryan et al (2013) and Dickerson et al (2010) describing their "working" group as having attained full-time employment, whilst others (Altshuler et al, 2007; Depp et al, 2012b; Gilbert et al, 2010; Mora et al, 2013; Mur et al, 2008; Mur et al, 2009) including participants who were part-time employed.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The relationship between neurocognitive functioning and occupational functioning in bipolar disorder: A literature review

2016

View full text Add to dashboard Cite

Neurocognitive impairment in Bipolar Disorder (BD) has been widely reported, even during remission. Neurocognitive impairment has been identified as a contributing factor towards unfavourable psychosocial functioning within this population. The objective of this review was to investigate the association between neurocognitive impairment and occupational functioning in BD. A literature review of English-language journal articles from January 1990 to November 2013 was undertaken utilising the PsychINFO, Scopus and Web of Knowledge databases. Studies that made specific reference to occupational outcomes were included, and those that reported on global psychosocial measures were excluded. Majority of the papers reviewed (20 out of 23) identified an association between neurocognitive impairment (particularly in executive functioning, verbal learning and memory, processing speed and attention) and occupational functioning. Several methodological issues were identified. There was a discrepancy in the measures used to assess neurocognitive function across studies and also the definition and measurement of occupational functioning. The clinical features of the samples varied across studies, and confounding variables were intermittently controlled. The review focused on English-language papers only and hence there is a bias toward the Western labour market. These limitations therefore influence the generalizability of the interpreted findings and the reliability of comparisons across studies. Neurocognitive impairment in BD appears to play a role in occupational outcomes. The findings of this review highlight the challenges for future research in this area, particularly in the measurement of neurocognitive and occupational functioning. Incorporating neurocognitive interventions in the treatment of BD, which has traditionally focussed solely on symptomatic recovery, may advance the vocational rehabilitation of these patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The relationship between neurocognitive functioning and occupational functioning in bipolar disorder: A literature review

2016

View full text Add to dashboard Cite

show abstract

“…Since between 30 to 60% of patients do not attain full functioning following treatment, exploration of additional factors correlated with persistent impairment in BD is warranted (10). Research investigating psychosocial factors and comorbidity, such as the number of previous episodes, psychotic symptoms, and outcome have been variable in determining effects on outcome (11,6,12,13,14). Social support has been identified as a variable associated with positive outcome, particularly with regard to depressive symptoms (18).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Associated With Recovery In Bipolar Disorder

Rapport

Lynch

McGrady

et al. 2015

JDT

View full text Add to dashboard Cite

Bipolar disorder (BD) is a chronic psychiatric illness impacting patient functioning and quality of life. Medication produces improvement in many patients and remission in some, but there is minimal understanding about why some patients improve and others do not. Our goal was to identify demographic, psychosocial and comorbid variables associated with outcomes in BD. Charts of 121 outpatients treated with medication and supportive psychotherapy were reviewed. Forty four percent attained euthymia for 12 months while 56% did not. Poorer outcome was associated with economic stress, missed appointments, life stress, and presence of pain (p < 0.05). Those employed were more likely to improve (p < 0.02). Patients with BP-II reported more frequent life stressors, headache and use of alcohol (p <0.05) and were less likely to achieve euthymia than BP-I. Gender, education, and co-morbid medical illness did not affect results. Our findings suggest that poorer outcome is related to psychosocial factors. Increased attention to these variables may increase providers' ability to manage challenging patients with BD.

show abstract

The latent structure of the Delis–Kaplan system for autism

MacDonald,

Baker‐Ericzén,

Roesch

et al. 2024

Autism Research

View full text Add to dashboard Cite

A core feature of autism is deficits in executive functioning (EF), including difficulty with planning, cognitive flexibility, and working memory. Despite a growing need for evidence‐based assessments of EF for autism populations, statistical models of many commonly used measures of EF, including the Delis–Kaplan Executive Function System (D‐KEFS), have not been investigated for a sample of autistic participants. The purpose of this study was to address a gap in the literature regarding the latent structure of the D‐KEFS in a sample of autistic individuals. The D‐KEFS is one of the most widely used clinical assessments of executive function, but its factor structure has not been examined in a sample of autistic participants. Reliability analyses were performed for sample subgroups based on participants' clinical and demographic characteristics, including IQ, autism severity, age, and race/ethnicity. Verbal Fluency (VF) was found to consistently decrease or not affect the overall reliability score. Additionally, one‐ and two‐factor structure models were tested for the D‐KEFS with a sample of autistic participants. The one‐factor model was not found to be a good fit for the data. However, the two‐factor model, with Cognitive Flexibility and Abstraction latent factors, was found to fit the data relatively well. This two‐factor model was reexamined excluding the VF observed variable, resulting in a better overall model fit. Communication deficits are a common feature of autism, which explains why the VF task, that requires participants to produce novel words, may not be an adequate measure of executive function for autism populations.

show abstract

Executive Function and Employment Status Among Veterans With Bipolar Disorder

Cited by 58 publications

References 56 publications

The relationship between neurocognitive functioning and occupational functioning in bipolar disorder: A literature review

The relationship between neurocognitive functioning and occupational functioning in bipolar disorder: A literature review

Psychosocial Factors Associated With Recovery In Bipolar Disorder

The latent structure of the Delis–Kaplan system for autism

Contact Info

Product

Resources

About