Cargando…
Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study
INTRODUCTION: Cognitive biases are a core feature of psychotic disorders. Moreover, people with first episode of psychosis (FEP) have more difficulties in social cognition, in particular in theory of mind. On the other hand, deficits in processing speed and distractibility appear to be core features...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566741/ http://dx.doi.org/10.1192/j.eurpsy.2022.535 |
_version_ | 1784809226429792256 |
---|---|
author | Manzanares Tesón, N. Solé, M. Algora, M.J. Cabezas, A. Sánchez-Gistau, V. |
author_facet | Manzanares Tesón, N. Solé, M. Algora, M.J. Cabezas, A. Sánchez-Gistau, V. |
author_sort | Manzanares Tesón, N. |
collection | PubMed |
description | INTRODUCTION: Cognitive biases are a core feature of psychotic disorders. Moreover, people with first episode of psychosis (FEP) have more difficulties in social cognition, in particular in theory of mind. On the other hand, deficits in processing speed and distractibility appear to be core features of attention deficit hyperactivity disorder (ADHD) and impairment in these basic processes can lead to deficits in more complex functions, that could induced to cognitive biases. OBJECTIVES: To evaluate whether FEP with and without ADHD differ in the rate and type of cognitive biases. METHODS: Participants 121 FEP treated at the Early Intervention Service of Reus and aged between 14 and 28 years. Instruments : The Diagnostic Interview for ADHD (DIVA) and the Cognitive Biases Questionnaire for Psychosis (CBQp) measuring 2 themes : anomalous perception (AP) and threatening events (TE) and 5 cognitive biases: Intentionalising (Int) , Catastrophising (Cat), Dichotomous thinking (DT), Jumping to conclusions (JTC) and Emotional reasoning (ER) RESULTS: 31 out 121 (25.6%) met criteria for childhood ADHD. Compared with FEP ADHD- , FEP-ADHD+ presented significant higher scores in the CBQp total score (U= 2.538 ; p=0.001), the AP theme (U=2.262; p=0.02) , the TE theme (U= 2.242 ; p=0.02) and DT bias ((U= 2.188 ; p=0.03) CONCLUSIONS: Our findings support the fact that subjects with FEP-ADHD+ presented more cognitive biases than those ADHD-. So, FEP-ADHD+ subjects could represent a clinical subgroup with a worse prognosis than FEP-ADHD (-) subjects, presenting more delusions, distress and a worse cognitive insight. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9566741 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95667412022-10-17 Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study Manzanares Tesón, N. Solé, M. Algora, M.J. Cabezas, A. Sánchez-Gistau, V. Eur Psychiatry Abstract INTRODUCTION: Cognitive biases are a core feature of psychotic disorders. Moreover, people with first episode of psychosis (FEP) have more difficulties in social cognition, in particular in theory of mind. On the other hand, deficits in processing speed and distractibility appear to be core features of attention deficit hyperactivity disorder (ADHD) and impairment in these basic processes can lead to deficits in more complex functions, that could induced to cognitive biases. OBJECTIVES: To evaluate whether FEP with and without ADHD differ in the rate and type of cognitive biases. METHODS: Participants 121 FEP treated at the Early Intervention Service of Reus and aged between 14 and 28 years. Instruments : The Diagnostic Interview for ADHD (DIVA) and the Cognitive Biases Questionnaire for Psychosis (CBQp) measuring 2 themes : anomalous perception (AP) and threatening events (TE) and 5 cognitive biases: Intentionalising (Int) , Catastrophising (Cat), Dichotomous thinking (DT), Jumping to conclusions (JTC) and Emotional reasoning (ER) RESULTS: 31 out 121 (25.6%) met criteria for childhood ADHD. Compared with FEP ADHD- , FEP-ADHD+ presented significant higher scores in the CBQp total score (U= 2.538 ; p=0.001), the AP theme (U=2.262; p=0.02) , the TE theme (U= 2.242 ; p=0.02) and DT bias ((U= 2.188 ; p=0.03) CONCLUSIONS: Our findings support the fact that subjects with FEP-ADHD+ presented more cognitive biases than those ADHD-. So, FEP-ADHD+ subjects could represent a clinical subgroup with a worse prognosis than FEP-ADHD (-) subjects, presenting more delusions, distress and a worse cognitive insight. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9566741/ http://dx.doi.org/10.1192/j.eurpsy.2022.535 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Manzanares Tesón, N. Solé, M. Algora, M.J. Cabezas, A. Sánchez-Gistau, V. Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title | Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title_full | Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title_fullStr | Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title_full_unstemmed | Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title_short | Cognitive biases in first psychotic episode with Attention deficit and hyperactivity disorder: a controlled study |
title_sort | cognitive biases in first psychotic episode with attention deficit and hyperactivity disorder: a controlled study |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566741/ http://dx.doi.org/10.1192/j.eurpsy.2022.535 |
work_keys_str_mv | AT manzanarestesonn cognitivebiasesinfirstpsychoticepisodewithattentiondeficitandhyperactivitydisorderacontrolledstudy AT solem cognitivebiasesinfirstpsychoticepisodewithattentiondeficitandhyperactivitydisorderacontrolledstudy AT algoramj cognitivebiasesinfirstpsychoticepisodewithattentiondeficitandhyperactivitydisorderacontrolledstudy AT cabezasa cognitivebiasesinfirstpsychoticepisodewithattentiondeficitandhyperactivitydisorderacontrolledstudy AT sanchezgistauv cognitivebiasesinfirstpsychoticepisodewithattentiondeficitandhyperactivitydisorderacontrolledstudy |