Self-report and objective measures of cognitive deficit in patients entering substance abuse treatment

• Published in: Psychiatry research Vol. 86; no. 2; pp. 155 - 161
• Main Authors: Horner, Michael David, Harvey, Richard T, Denier, Carol A
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 31.05.1999; Elsevier
• Subjects: Adult; Alcoholism; Analysis of Variance; Anxiety - complications; Biological and medical sciences; Cocaine; Cognition; Cognition Disorders - diagnosis; Cognition Disorders - etiology; Depression - complications; Desintoxication. Drug withdrawal; Diagnosis, Dual (Psychiatry); Female; Humans; Male; Medical sciences; Middle Aged; Neuropsychological Tests; Neuropsychology; Psychology. Psychoanalysis. Psychiatry; Psychomotor Performance; Psychopathology. Psychiatry; Self-Assessment; Substance-related disorders; Substance-Related Disorders - complications; Substance-Related Disorders - diagnosis; Treatments; Cognition; Cocaine; Neuropsychology; Substance-related disorders; Alcoholism; Human; Drug addiction; Cognitive disorder; Abuse; Self evaluation; Illicit drug; Early phase; Detoxification; Aptitude test; Psychometrics; Alcoholic beverage; Treatment; Dependence; Comparative study
• ISSN: 0165-1781; 1872-7123
• DOI: 10.1016/S0165-1781(99)00031-1

The relationship between self-reported cognitive deficits and objectively measured cognitive performance was examined in 86 patients entering substance abuse treatment. Self-ratings of cognitive impairment were strongly correlated with indices of depression and vulnerability to stress, but not with objective cognitive performance. Confirming the lack of relationship between self-report and objective cognitive measures, cognitive performance did not differ between patients at the extremes of the cognitive-complaint distribution; and cognitively impaired patients did not differ from cognitively intact patients in their self-ratings of impairment.