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

Caqueo-Urízar, Alejandra; Boyer, Laurent; Baumstarck, Karine; Gilman, Stephen E.

doi:10.1007/s11136-015-1019-2

Cited by 14 publications

(13 citation statements)

References 53 publications

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“…Though some view this association between subjective cognitive measures and depression as a limitation, others posit that this association is clinically useful as an indication of patients’ distress (Saffer et al, 2015; Lai et al, 2014). Moreover, Caqueo-Urízar et al (2015) found that subjective cognition correlated more strongly than objective cognition with quality of life.…”

Section: Discussionmentioning

confidence: 99%

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Howland

Tatsuoka

Smyth

et al. 2017

Psychiatry Research

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PROMIS(®) Applied Cognition is a short self-assessment of cognitive abilities and concerns that obviates the need for a trained rater and provides online question banks that can be uniformly used across health care providers. This 12-month prospective study of 275 elderly individuals evaluates self-perceptions of cognitive functioning in relation to objective cognition, or assessment by an external rater, and compares PROMIS® Applied Cognition Abilities and Concerns subsets with commonly used “legacy” instruments. PROMIS® correlated with objective legacy measures (the Mini-Mental State Examination [MMSE] and Saint Louis University Mental Status [SLUMS] examination), depression (measured with the Geriatric Depression Scale [GDS]), anxiety, and activities of daily living. PROMIS® and MMSE correlations remained after controlling for depression and anxiety. PROMIS® associated more strongly than MMSE with depression, highlighting the relationship between subjective cognitive deficit and depression. One-year changes in PROMIS® correlated with one-year changes in MMSE and GDS. The PROMIS® Abilities subset more strongly correlated with objective cognition, whereas the Concerns subset more strongly correlated with depression and activities of daily living. PROMIS® seems to be a reasonable prescreening tool to identify patients with cognitive decline or psychological distress.

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Section: Discussionmentioning

confidence: 99%

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Howland

Tatsuoka

Smyth

et al. 2017

Psychiatry Research

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“…Parece que la percepción de los usuarios de su propia cognición social tendría un impacto significativo en la evaluación de su calidad de vida 9,10 .…”

Section: Discussionunclassified

“…Durante los últimos años, una parte importante de la investigación sobre esquizofrenia y otros trastornos psicóticos se ha centrado en conocer los déficits en diversos componentes y procesos de la cognición social, entre ellos las habilidades empáticas, así como la influencia y la relación de estas alteraciones con otras variables como la sintomatología clínica, el rendimiento neurocognitivo y el funcionamiento social [6][7][8] . Sin embargo, los estudios que analizan la relación entre la cognición social en general (en particular la empatía) y la calidad de vida en personas con diagnóstico en esquizofrenia son muy escasos 9,10 . Asimismo, apenas existen estudios sobre el estado de los diversos componentes de la cognición social y de la empatía en usuarios con trastornos psicó-ticos en tratamiento en programas de rehabilitación psicosocial 11 .…”

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Empathy, social cognition and subjective quality of life in schizophrenia

Martin

Secades

López-Goñi

et al. 2017

An Sist Sanit Navar

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Fundamento. Las personas con diagnóstico de esquizofrenia presentan déficits en empatía que se han relacionado con su pobre funcionamiento psicosocial. Los objetivos fueron: 1) analizar la relación entre empatía, cognición social, y calidad de vida en sujetos con diagnós-tico de esquizofrenia y otros trastornos psicóticos 2) evaluar estas variables según la gravedad del cuadro clínico Material y métodos. Participaron 41 pacientes divididos en dos grupos según el nivel de gravedad del cuadro clínico. Se aplicó una batería de pruebas: el Índi-ce de Reactividad Interpersonal (IRI), escala GEOPTE de Cognición Social para la psicosis, Instrumento de Evaluación de la Calidad de Vida de la Organización Mundial de la Salud -Versión breve (WHOQOL-BREF), Escala de Impresión Clínica Global (CGI), Escala para la evaluación de Síntomas Positivos (SAPS) y Síntomas Negativos (SANS).resultados. Las subescalas angustia personal y fantasía del IRI presentaron una relación directa con la escala GEOPTE, e inversa con varias dimensiones de calidad de vida del WHOQOL-BREF. La escala GEOPTE, tuvo una relación inversa con todas las dimensiones de la calidad de vida evaluadas. El grupo levemente enfermo obtuvo puntuaciones significativamente menores en fantasía (15,44 vs. 20,12; p=,001) y significativamente más elevadas en salud psicológica (58,63 vs. 45,40; p=0,017) y ambiente (67,00 vs. 53,68; p=0,006).conclusiones. Se halla relación entre empatía, cognición social y calidad de vida subjetiva en personas con diagnóstico de esquizofrenia en programas de rehabilitación psicosocial, Asimismo, destaca la existencia de diferencias relevantes en estas variables según el nivel de gravedad del cuadro clínico.Palabras clave. Cognición social. Empatía. Calidad de vida. Esquizofrenia. Índice de reactividad interpersonal. aBstractBackground. People diagnosed with schizophrenia present empathy deficits that have been related to their poor psychosocial functioning. The objectives were: 1) analyse the relation between empathy, social cognition and quality of life in subjects diagnosed with schizophrenia and other psychotic disorders; 2) evaluate these variables according to the severity of the features.Methods. Forty-one patients, divided into two groups according to the level of severity, were included. A battery of tests was applied: Interpersonal Reactivity Index (IRI), GEOPTE scale of social cognition for psychosis, World Health Organization Quality of Life Assessment: Brief Version (WHOQOL-BREF), Clinical Global Impression scale (CGI), Scale for the Assessment of Positive Symptoms (SAPS) and Negative Symptoms (SANS).results. There was a direct relationship between personal anxiety and fantasy sub-scales of the IRI and the GEOPTE scale, and an inverse relationship with several dimensions of quality of life of the WHOQOL-BREF. The GEOPTE scale had an inverse relation with all the dimensions of quality of life evaluated. The mildly sick group obtained scores that were significantly lower in fantasy (15.44 vs. 20.12; p=0.001) and significantly h...

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“…This finding is in agreement with previous reports that patients’ perception of cognitive impairments has a significant negative impact on quality of life. 44 …”

Section: Discussionmentioning

confidence: 99%

Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

Shin¹,

Joo²,

Kim³

2016

NDT

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BackgroundWe investigated self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia in order to shed light on the clinical correlates of subjective cognitive deficits in schizophrenia.MethodsSeventy outpatients with schizophrenia were evaluated. Patients’ self-perceived cognitive deficits, internalized stigma, and subjective quality of life were assessed using the Scale to Investigate Cognition in Schizophrenia (SSTICS), the Internalized Stigma of Mental Illness Scale (ISMI), and the Schizophrenia Quality of Life Scale Revision 4 (SQLS-R4), respectively. Correlation and regression analyses controlling for the severity of symptoms of schizophrenia were performed, and a mediation analysis was conducted to examine the hypothesis that internalized stigma mediates the relationship between self-perceived cognitive deficits and subjective quality of life.ResultsPearson’s partial correlation analysis showed significant correlations among the SSTICS, ISMI, and SQLS-R4 scores (P<0.01). Multiple regression analysis showed that the SSTICS and ISMI scores significantly predicted the SQLS-R4 score (P<0.01). Mediation analysis revealed that the strength of the association between the SSTICS and SQLS-R4 scores decreased from β=0.74 (P<0.01) to β=0.56 (P<0.01), when the ISMI score was statistically controlled. The Sobel test revealed that this difference was significant (P<0.01), indicating that internalized stigma partially mediated the relationship between self-perceived cognitive deficits and quality of life.ConclusionThe present study indicates that self-perceived cognitive deficits are significantly associated with internalized stigma and quality of life. Furthermore, internalized stigma was identified as a partial mediator of the relationship between self-perceived cognitive deficits and quality of life. These findings suggest that clinicians should be aware that patients with schizophrenia experience significantly greater self-stigma when they suffer subjective cognitive deficits, and that this may further compromise their quality of life.

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

Cited by 14 publications

References 53 publications

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Evaluating PROMIS(®) applied cognition items in a sample of older adults at risk for cognitive decline

Empathy, social cognition and subjective quality of life in schizophrenia

Self-perceived cognitive deficits and their relationship with internalized stigma and quality of life in patients with schizophrenia

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