State of illness-dependent associations of neuro-cognition and psychopathological syndromes in a large transdiagnostic cohort
There is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)). SANS, SAPS, HAMA, HAM-D,...
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| Vydané v: | Journal of affective disorders Ročník 324; s. 589 - 599 |
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| Hlavní autori: | , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Netherlands
Elsevier B.V
01.03.2023
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| ISSN: | 0165-0327, 1573-2517, 1573-2517 |
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| Abstract | There is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)).
SANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV-TR criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV-TR diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition – psychopathology relationship.
The negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder.
No healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments.
This study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant.
•Psychopathological dimensions are correlated with distinct cognitive domains in a state-of-illness dependent manner•Positive formal thought disorder and the negative syndrome show largest correlations with cognitive domains•Illness severity moderates the association between psychopathology and cognition•Schizophrenia patients show most severe cognitive impairment compared to major depression and bipolar disorder |
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| AbstractList | There is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)).
SANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV-TR criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV-TR diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition – psychopathology relationship.
The negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder.
No healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments.
This study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant.
•Psychopathological dimensions are correlated with distinct cognitive domains in a state-of-illness dependent manner•Positive formal thought disorder and the negative syndrome show largest correlations with cognitive domains•Illness severity moderates the association between psychopathology and cognition•Schizophrenia patients show most severe cognitive impairment compared to major depression and bipolar disorder AbstractBackgroundThere is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)). MethodSANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition – psychopathology relationship. ResultsThe negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder. LimitationsNo healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments. ConclusionsThis study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant. There is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)). SANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV-TR criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV-TR diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition - psychopathology relationship. The negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder. No healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments. This study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant. There is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)).BACKGROUNDThere is a lack of knowledge regarding the relationship between dimensional psychopathological syndromes and neurocognitive functions, particularly across the major psychiatric disorders (i.e., Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Schizophrenia (SZ)).SANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV-TR criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV-TR diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition - psychopathology relationship.METHODSANS, SAPS, HAMA, HAM-D, and YMRS were assessed in 1064 patients meeting DSM-IV-TR criteria for MDD, BD, SZ or schizoaffective disorder (SZA). In addition, a comprehensive neuropsychological test battery was administered. Psychopathological syndromes derived from factor analysis and present state of illness were used to explore psychopathology-cognition relationships. Correlational analyses were corrected for age, sex, verbal IQ, years of education, and DSM-IV-TR diagnosis. Age of onset and total duration of hospitalizations as proxies for illness severity were tested as moderators on the cognition - psychopathology relationship.The negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder.RESULTSThe negative syndrome, positive formal thought disorder as well as the paranoid-hallucinatory syndrome exhibited associations with neuro-cognition in an illness state-dependent manner, while the psychopathological factors depression and increased appetite only showed weak associations. Illness severity showed moderating effects on the neurocognitive-psychopathology relationship only for the negative syndrome and positive formal thought disorder.No healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments.LIMITATIONSNo healthy control subjects were entered into the analyses because of lack of variance in psychopathological symptoms, which prevents from drawing conclusions regarding the relative level of potential cognitive impairments.This study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant.CONCLUSIONSThis study suggests the relationship of neuro-cognition and psychopathology to be highly state of illness-dependent across affective and psychotic disorders. Results hint at the moderating effects of illness severity on psychopathological factors that might be more treatment resistant. |
| Author | Meller, Tina Nagels, Arne Ringwald, Kai Pfarr, Julia-Katharina Krug, Axel Stein, Frederike Lemke, Hannah Preuss, Ulrich W. Dannlowski, Udo Meinert, Susanne Schmitt, Simon Metzger, Florian G. Brosch, Katharina Franz, Michael Kircher, Tilo Philipsen, Alexandra Thiel, Katharina Lemmer, Gunnar Nenadić, Igor Waltemate, Lena |
| Author_xml | – sequence: 1 givenname: Frederike surname: Stein fullname: Stein, Frederike email: frederike.stein@staff.uni-marburg.de organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 2 givenname: Simon surname: Schmitt fullname: Schmitt, Simon organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 3 givenname: Katharina surname: Brosch fullname: Brosch, Katharina organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 4 givenname: Tina surname: Meller fullname: Meller, Tina organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 5 givenname: Julia-Katharina surname: Pfarr fullname: Pfarr, Julia-Katharina organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 6 givenname: Kai surname: Ringwald fullname: Ringwald, Kai organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 7 givenname: Gunnar surname: Lemmer fullname: Lemmer, Gunnar organization: Institute of Psychology, University of Marburg, Germany – sequence: 8 givenname: Alexandra surname: Philipsen fullname: Philipsen, Alexandra organization: Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany – sequence: 9 givenname: Susanne surname: Meinert fullname: Meinert, Susanne organization: Institute for Translational Psychiatry, University of Münster, Germany – sequence: 10 givenname: Hannah surname: Lemke fullname: Lemke, Hannah organization: Institute for Translational Psychiatry, University of Münster, Germany – sequence: 11 givenname: Lena surname: Waltemate fullname: Waltemate, Lena organization: Institute for Translational Psychiatry, University of Münster, Germany – sequence: 12 givenname: Katharina surname: Thiel fullname: Thiel, Katharina organization: Institute for Translational Psychiatry, University of Münster, Germany – sequence: 13 givenname: Michael surname: Franz fullname: Franz, Michael organization: Psychiatric Hospital Vitos, Marburg and Gießen, Germany – sequence: 14 givenname: Ulrich W. surname: Preuss fullname: Preuss, Ulrich W. organization: Psychiatric Hospital Vitos, Herborn, Germany – sequence: 15 givenname: Florian G. surname: Metzger fullname: Metzger, Florian G. organization: Psychiatric Hospital Vitos, Haina, Germany – sequence: 16 givenname: Arne surname: Nagels fullname: Nagels, Arne organization: Institute for Linguistics: General Linguistics, University of Mainz, Germany – sequence: 17 givenname: Igor surname: Nenadić fullname: Nenadić, Igor organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 18 givenname: Udo surname: Dannlowski fullname: Dannlowski, Udo organization: Institute for Translational Psychiatry, University of Münster, Germany – sequence: 19 givenname: Tilo surname: Kircher fullname: Kircher, Tilo organization: Department of Psychiatry and Psychotherapy, University of Marburg, Germany – sequence: 20 givenname: Axel surname: Krug fullname: Krug, Axel organization: Department of Psychiatry and Psychotherapy, University Hospital Bonn, Germany |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36586619$$D View this record in MEDLINE/PubMed |
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| Keywords | Neuro-cognition Major psychiatric disorders Factor analysis Neuropsychology Psychopathology |
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| Title | State of illness-dependent associations of neuro-cognition and psychopathological syndromes in a large transdiagnostic cohort |
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