Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/205388
Title: If you feel you can’t, you won’t: the role of subjective and objective cognitive competence on psychosocial functioning in depression
Author: Vicent Gil, Muriel
Trujols i Albet, Joan
Serra Blasco, María
Navarra Ventura, Guillem
Puigdemont, Dolors
Alemany, Carlo
Crivillés, Sara
Diego Adeliño, Javier de
Cardoner, N. (Narcís)
Portella Moll, María Jesús
Keywords: Depressió psíquica
Processament humà de la informació
Human information processing
Issue Date: 1-Jan-2023
Publisher: Royal College of Psychiatrists
Abstract: BackgroundThe 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).MethodsA sample of 325 patients with major depressive disorder, 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.ResultsResidual 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.DiscussionThis 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: Reproducció del document publicat a: https://doi.org/10.1192/j.eurpsy.2023.2454
It is part of: European Psychiatry, 2023, vol. 66, num. 1
URI: http://hdl.handle.net/2445/205388
Related resource: https://doi.org/10.1192/j.eurpsy.2023.2454
ISSN: 1778-3585
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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