Cognitive reserve as an outcome predictor: first‐episode affective versus non‐affective psychosis

Objective Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first‐episode affective or non‐...

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Published inActa psychiatrica Scandinavica Vol. 138; no. 5; pp. 441 - 455
Main Authors Amoretti, S., Cabrera, B., Torrent, C., Mezquida, G., Lobo, A., González‐Pinto, A., Parellada, M., Corripio, I., Vieta, E., Serna, E., Butjosa, A., Contreras, F., Sarró, S., Penadés, R., Sánchez‐Torres, A. M., Cuesta, M., Bernardo, M., Bioque, M, Meseguer, A, García, S, Fernández, J, Barcones, F, De‐la‐Cámara, C, Sanjuan, J, Aguilar, EJ, Garnier, PC, Morro, L, Montejo, L, Gomes da Costa, S, Baeza, I, Castro‐Fornieles, J, Menchon, JM, Baenas, I, García‐Portilla, MP, Gutiérrez, M, Segarra, R, Morales‐Muñoz, I, Rodriguez‐Jimenez, R, Usall, J, Pardo, M, Pomarol‐Clotet, E, Landin‐Romero, R, Ibánez, A, Lorente‐Omeñaca, R, Balanzá‐Martínez, V
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.11.2018
Subjects
cognition
Cognitive ability
cognitive remediation
cognitive reserve
Diagnosis
first episode
Memory
Mental disorders
neuropsychology
Psychosis
Rehabilitation
neuropsychology
first episode
cognition
cognitive remediation
cognitive reserve
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Abstract Objective Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first‐episode affective or non‐affective psychosis (FEP). Method A total of 247 FEP patients (211 non‐affective and 36 affective) and 205 healthy controls were enrolled. To assess CR, common proxies have been integrated (premorbid IQ; education–occupation; leisure activities). The groups were divided into high and low CR. Results In non‐affective patients, those with high CR were older, had higher socioeconomic status (SES), shorter duration of untreated psychosis, and a later age of onset. They also showed greater performance in most cognitive domains. In affective patients, those with a greater CR showed a higher SES, better functioning, and greater verbal memory performance. Conclusion CR plays a differential role in the outcome of psychoses according to the diagnosis. Specifically, in order to address the needs of non‐affective patients with low CR, cognitive rehabilitation treatments will need to be ‘enriched’ by adding pro‐cognitive pharmacological agents or using more sophisticated approaches. However, a functional remediation therapy may be of choice for those with an affective psychosis and low CR.
AbstractList Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first-episode affective or non-affective psychosis (FEP). A total of 247 FEP patients (211 non-affective and 36 affective) and 205 healthy controls were enrolled. To assess CR, common proxies have been integrated (premorbid IQ; education-occupation; leisure activities). The groups were divided into high and low CR. In non-affective patients, those with high CR were older, had higher socioeconomic status (SES), shorter duration of untreated psychosis, and a later age of onset. They also showed greater performance in most cognitive domains. In affective patients, those with a greater CR showed a higher SES, better functioning, and greater verbal memory performance. CR plays a differential role in the outcome of psychoses according to the diagnosis. Specifically, in order to address the needs of non-affective patients with low CR, cognitive rehabilitation treatments will need to be 'enriched' by adding pro-cognitive pharmacological agents or using more sophisticated approaches. However, a functional remediation therapy may be of choice for those with an affective psychosis and low CR.
ObjectiveCognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first‐episode affective or non‐affective psychosis (FEP).MethodA total of 247 FEP patients (211 non‐affective and 36 affective) and 205 healthy controls were enrolled. To assess CR, common proxies have been integrated (premorbid IQ; education–occupation; leisure activities). The groups were divided into high and low CR.ResultsIn non‐affective patients, those with high CR were older, had higher socioeconomic status (SES), shorter duration of untreated psychosis, and a later age of onset. They also showed greater performance in most cognitive domains. In affective patients, those with a greater CR showed a higher SES, better functioning, and greater verbal memory performance.ConclusionCR plays a differential role in the outcome of psychoses according to the diagnosis. Specifically, in order to address the needs of non‐affective patients with low CR, cognitive rehabilitation treatments will need to be ‘enriched’ by adding pro‐cognitive pharmacological agents or using more sophisticated approaches. However, a functional remediation therapy may be of choice for those with an affective psychosis and low CR.
Objective Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first‐episode affective or non‐affective psychosis (FEP). Method A total of 247 FEP patients (211 non‐affective and 36 affective) and 205 healthy controls were enrolled. To assess CR, common proxies have been integrated (premorbid IQ; education–occupation; leisure activities). The groups were divided into high and low CR. Results In non‐affective patients, those with high CR were older, had higher socioeconomic status (SES), shorter duration of untreated psychosis, and a later age of onset. They also showed greater performance in most cognitive domains. In affective patients, those with a greater CR showed a higher SES, better functioning, and greater verbal memory performance. Conclusion CR plays a differential role in the outcome of psychoses according to the diagnosis. Specifically, in order to address the needs of non‐affective patients with low CR, cognitive rehabilitation treatments will need to be ‘enriched’ by adding pro‐cognitive pharmacological agents or using more sophisticated approaches. However, a functional remediation therapy may be of choice for those with an affective psychosis and low CR.
Objective Cognitive reserve ( CR ) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first‐episode affective or non‐affective psychosis ( FEP ). Method A total of 247 FEP patients (211 non‐affective and 36 affective) and 205 healthy controls were enrolled. To assess CR , common proxies have been integrated (premorbid IQ ; education–occupation; leisure activities). The groups were divided into high and low CR . Results In non‐affective patients, those with high CR were older, had higher socioeconomic status ( SES ), shorter duration of untreated psychosis, and a later age of onset. They also showed greater performance in most cognitive domains. In affective patients, those with a greater CR showed a higher SES , better functioning, and greater verbal memory performance. Conclusion CR plays a differential role in the outcome of psychoses according to the diagnosis. Specifically, in order to address the needs of non‐affective patients with low CR , cognitive rehabilitation treatments will need to be ‘enriched’ by adding pro‐cognitive pharmacological agents or using more sophisticated approaches. However, a functional remediation therapy may be of choice for those with an affective psychosis and low CR .
Author Bernardo, M.
Cuesta, M.
Amoretti, S.
Segarra, R
Usall, J
Penadés, R.
Torrent, C.
Balanzá‐Martínez, V
De‐la‐Cámara, C
Rodriguez‐Jimenez, R
Fernández, J
Montejo, L
Castro‐Fornieles, J
Sánchez‐Torres, A. M.
Pomarol‐Clotet, E
Gutiérrez, M
Cabrera, B.
García‐Portilla, MP
Vieta, E.
Baenas, I
Garnier, PC
Corripio, I.
Sanjuan, J
Pardo, M
Morro, L
Serna, E.
Aguilar, EJ
Gomes da Costa, S
Ibánez, A
Menchon, JM
Bioque, M
Lobo, A.
Meseguer, A
Morales‐Muñoz, I
Baeza, I
Sarró, S.
Barcones, F
Parellada, M.
Butjosa, A.
Contreras, F.
Lorente‐Omeñaca, R
González‐Pinto, A.
García, S
Mezquida, G.
Landin‐Romero, R
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30105820$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Contributor Rodriguez-Jimenez, R
Pomarol-Clotet, E
Castro-Fornieles, J
Segarra, R
Usall, J
Fernández, J
Montejo, L
Landin-Romero, R
Gutiérrez, M
Lorente-Omeñaca, R
Baenas, I
Aguilar, E J
Sanjuan, J
Pardo, M
Morro, L
Gomes da Costa, S
Ibánez, A
Morales-Muñoz, I
Garnier, P C
Menchon, J M
Bioque, M
De-la-Cámara, C
Meseguer, A
García-Portilla, M P
Baeza, I
Barcones, F
Balanzá-Martínez, V
García, S
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Issue 5
Keywords neuropsychology
first episode
cognition
cognitive remediation
cognitive reserve
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Snippet Objective Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different...
Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in...
Objective Cognitive reserve ( CR ) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different...
ObjectiveCognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different...
OBJECTIVECognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different...
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SubjectTerms cognition
Cognitive ability
cognitive remediation
cognitive reserve
Diagnosis
first episode
Memory
Mental disorders
neuropsychology
Psychosis
Rehabilitation
Title Cognitive reserve as an outcome predictor: first‐episode affective versus non‐affective psychosis
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Facps.12949
https://www.ncbi.nlm.nih.gov/pubmed/30105820
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https://search.proquest.com/docview/2088290147
Volume 138
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