Cargando…

Self-report versus performance based executive functioning in people with psychotic disorders

BACKGROUND: Although executive functioning is often measured using performance-based measures, these measures have their limits, and self-report measures may provide added value. Especially since these two types of measures often do not correlate with one another. It thus has been proposed they migh...

Descripción completa

Detalles Bibliográficos
Autores principales: van Aken, B.C., Rietveld, R., Wierdsma, A.I., Voskes, Y., Pijnenborg, G.H.M., van Weeghel, J., Mulder, C.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598699/
https://www.ncbi.nlm.nih.gov/pubmed/37886698
http://dx.doi.org/10.1016/j.scog.2023.100293
_version_ 1785125612149538816
author van Aken, B.C.
Rietveld, R.
Wierdsma, A.I.
Voskes, Y.
Pijnenborg, G.H.M.
van Weeghel, J.
Mulder, C.L.
author_facet van Aken, B.C.
Rietveld, R.
Wierdsma, A.I.
Voskes, Y.
Pijnenborg, G.H.M.
van Weeghel, J.
Mulder, C.L.
author_sort van Aken, B.C.
collection PubMed
description BACKGROUND: Although executive functioning is often measured using performance-based measures, these measures have their limits, and self-report measures may provide added value. Especially since these two types of measures often do not correlate with one another. It thus has been proposed they might measure different aspects of the same construct. To explore the differences between a performance-based measure of executive functioning and a self-report measure, we examined their associations in patients with a psychotic disorder with the following: other neurocognitive measures; psychotic symptoms; anxiety and depression symptoms, and daily-life outcome measures. METHOD: This cross-sectional study consisted of baseline measures collected as part of a cohort study of people with a psychotic disorder (the UP'S study; n = 301). The Behavioral Rating Inventory of Executive Functioning Adult version (BRIEF-A) was used to assess self-rated executive functioning, and the Tower of London (TOL) to assess performance-based executive functioning. Generalized linear models (GLM) were used with the appropriate distribution and link function to study the associations between TOL and BRIEF-A, and the other variables, including the Brief Assessment of Cognition in Schizophrenia (BACS), the Positive and Negative Symptoms Scale-Remission (PANSS-R), the General Anxiety Disorder – 7 (GAD-7), the Patient Health Questionnaire – 9 (PHQ-9) and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Model selection was based on the Wald test. RESULTS: The TOL was associated with other neurocognitive measures, such as verbal list learning (β = 0.24), digit sequencing (β = 0.35); token motor task (β = 0.20); verbal fluency (β = 0.24); symbol coding (β = 0.43); and a screener for intelligence (β = 2.02). It was not associated with PANNS-R or WHO-DAS scores. In contrast, the BRIEF-A was associated not with other neurocognitive measures, but with the PANSS-R (β = 0.32); PHQ-9 (β = 0.52); and GAD-7 (β = 0.55); and with all the WHODAS domains: cognition domain (β = 0.54), mobility domain (β = 0.30) and selfcare domain (β = 0.22). CONCLUSION: Performance-based and self-report measures of executive functioning measure different aspects of executive functioning. Both have different associations with neurocognition, symptomatology and daily functioning measures. The difference between the two instruments is probably due to differences in the underlying construct assessed.
format Online
Article
Text
id pubmed-10598699
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-105986992023-10-26 Self-report versus performance based executive functioning in people with psychotic disorders van Aken, B.C. Rietveld, R. Wierdsma, A.I. Voskes, Y. Pijnenborg, G.H.M. van Weeghel, J. Mulder, C.L. Schizophr Res Cogn Article BACKGROUND: Although executive functioning is often measured using performance-based measures, these measures have their limits, and self-report measures may provide added value. Especially since these two types of measures often do not correlate with one another. It thus has been proposed they might measure different aspects of the same construct. To explore the differences between a performance-based measure of executive functioning and a self-report measure, we examined their associations in patients with a psychotic disorder with the following: other neurocognitive measures; psychotic symptoms; anxiety and depression symptoms, and daily-life outcome measures. METHOD: This cross-sectional study consisted of baseline measures collected as part of a cohort study of people with a psychotic disorder (the UP'S study; n = 301). The Behavioral Rating Inventory of Executive Functioning Adult version (BRIEF-A) was used to assess self-rated executive functioning, and the Tower of London (TOL) to assess performance-based executive functioning. Generalized linear models (GLM) were used with the appropriate distribution and link function to study the associations between TOL and BRIEF-A, and the other variables, including the Brief Assessment of Cognition in Schizophrenia (BACS), the Positive and Negative Symptoms Scale-Remission (PANSS-R), the General Anxiety Disorder – 7 (GAD-7), the Patient Health Questionnaire – 9 (PHQ-9) and the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0). Model selection was based on the Wald test. RESULTS: The TOL was associated with other neurocognitive measures, such as verbal list learning (β = 0.24), digit sequencing (β = 0.35); token motor task (β = 0.20); verbal fluency (β = 0.24); symbol coding (β = 0.43); and a screener for intelligence (β = 2.02). It was not associated with PANNS-R or WHO-DAS scores. In contrast, the BRIEF-A was associated not with other neurocognitive measures, but with the PANSS-R (β = 0.32); PHQ-9 (β = 0.52); and GAD-7 (β = 0.55); and with all the WHODAS domains: cognition domain (β = 0.54), mobility domain (β = 0.30) and selfcare domain (β = 0.22). CONCLUSION: Performance-based and self-report measures of executive functioning measure different aspects of executive functioning. Both have different associations with neurocognition, symptomatology and daily functioning measures. The difference between the two instruments is probably due to differences in the underlying construct assessed. Elsevier 2023-10-20 /pmc/articles/PMC10598699/ /pubmed/37886698 http://dx.doi.org/10.1016/j.scog.2023.100293 Text en © 2023 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
van Aken, B.C.
Rietveld, R.
Wierdsma, A.I.
Voskes, Y.
Pijnenborg, G.H.M.
van Weeghel, J.
Mulder, C.L.
Self-report versus performance based executive functioning in people with psychotic disorders
title Self-report versus performance based executive functioning in people with psychotic disorders
title_full Self-report versus performance based executive functioning in people with psychotic disorders
title_fullStr Self-report versus performance based executive functioning in people with psychotic disorders
title_full_unstemmed Self-report versus performance based executive functioning in people with psychotic disorders
title_short Self-report versus performance based executive functioning in people with psychotic disorders
title_sort self-report versus performance based executive functioning in people with psychotic disorders
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598699/
https://www.ncbi.nlm.nih.gov/pubmed/37886698
http://dx.doi.org/10.1016/j.scog.2023.100293
work_keys_str_mv AT vanakenbc selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT rietveldr selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT wierdsmaai selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT voskesy selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT pijnenborgghm selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT vanweeghelj selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders
AT muldercl selfreportversusperformancebasedexecutivefunctioninginpeoplewithpsychoticdisorders