Subjective Perception of Cognitive Deficit in Psychotic Patients

Abstract

The objective of this study is to evaluate the subjective perception of cognitive deficit and how it relates to the perception of patients' relatives. Differences between the subjective perception of cognitive deficits in 107 DSM-IV-diagnosed psychotic patients and that of their relatives or caregivers were evaluated using the GEOPTE Scale. Fair agreement was observed between patient and family perception of cognitive functions, although there were important differences on those items that correspond to social functioning. A high degree of correlation was detected between the scores on this scale and clinical global impression scores, as well as the physicians' global impression of cognitive impairment. Psychotic patients maintain insight as to their cognitive deficits, but they fail to conserve an awareness of their perception of social functioning.

Subjective perception of cognition is related to mood and not performance

“…Further, the findings in our present studies are consistent with a number of prior studies from disparate patient populations including epilepsy [15,17], psychogenic nonepileptic seizures [27], coronary artery bypass surgery [28], Cushing’s Disease [29], cancer [30], multiple sclerosis [31,32], and psychiatric disorders [33,34]. The observation of a similar pattern across independent samples, different clinical conditions, different neuropsychological measures, and different experimental designs in our studies as well as in others replicates the finding that mood is a primary contributor to subjective cognitive complaints, and illustrates the robustness of this effect.…”

Subjective perceptions of cognitive deficits and their influences on quality of life among patients with schizophrenia

“…Approximately 70 % of patients with schizophrenia have neurocognitive impairments [1,2]. These impairments, which involve difficulties acquiring and processing general information, have profound effects on functioning throughout the course of the disorder [1][2][3][4].…”

“…These impairments, which involve difficulties acquiring and processing general information, have profound effects on functioning throughout the course of the disorder [1][2][3][4]. Social cognition is also related to patient functioning and is of prime interest as a potential treatment target to improve functioning [5][6][7][8][9].…”

La relación entre la percepción subjetiva del funcionamiento cognitivo y el autoestigma con la experiencia de recuperación de las personas con enfermedad mental grave

“…Mientras que otros análisis avalan que sí existe autoreconocimiento de sus dificultades cognitivas (24)(25)(26)(27). Esta divergencia de resultados podría ser debida a las diferencias metodológicas entre estudios dado que los instrumentos psicométricos empleados son dispares en extensión, exhaustividad e incluso en el contenido de lo analizado.…”