If you feel you can't, you won't : the role of subjective and objective cognitive competence on psychosocial functioning in depression
Vicent Gil, Muriel (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Trujols, Joan (Institut d'Investigació Biomèdica Sant Pau)
Serra-Blasco, Maria (Institut Català d'Oncologia)
Navarra-Ventura, Guillem (Hospital Universitari Son Espases (Palma de Mallorca, Balears))
Puigdemont, Dolors (Institut d'Investigació Biomèdica Sant Pau)
Alemany Santamaría, Carlo (Institut d'Investigació Biomèdica Sant Pau)
Crivillés, Sara (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Diego-Adeliño, Javier de (Institut d'Investigació Biomèdica Sant Pau)
Cardoner, Narcís (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Portella Moll, Maria J., 1975- (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona. Institut de Neurociències

Date:	2023
Abstract:	The 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). Methods A sample of 325 patients with MDD, 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. Results Residual 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. Discussion This 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.
Note:	Altres ajuts: acords transformatius de la UAB
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Cognition ; Depression ; Executive function ; Psychosocial functioning ; Self-appraisal
Published in:	European psychiatry, 2023 , ISSN 1778-3585

DOI: 10.1192/j.eurpsy.2023.2454
PMID: 37855104

10 p, 322.0 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Neurociències (INc)
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles