The Association between Executive Functioning and Personal Recovery in People with Psychotic Disorders

B. C. Van Aken*, A. I. Wierdsma, Y. Voskes, G. H.M. Pijnenborg, J. Van Weeghel, C. L. Mulder

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)
13 Downloads (Pure)

Abstract

Background: Recovery in psychotic disorder patients is a multidimensional concept that can include personal, symptomatic, societal, and functional recovery. Little is known about the associations between personal recovery (PR) and functional recovery (FR). FR involves a person's ability to recover or compensate for impaired cognition, such as executive functions, and the loss of skills. Method: In this cross-sectional study (the UP'S study), we used measures of executive functioning and personal recovery to assess a cohort of people with a psychotic disorder. PR was measured using the Recovering Quality of Life (ReQOL) and Individual Recovery Outcomes (I.ROC). FR was assessed using two forms of assessment. The Behavioral Rating Inventory of Executive Functioning Adult version (BRIEF-A) was used for self-rated executive functioning, and the Tower of London (TOL) for performance-based executive functioning. Regression models were calculated between executive functioning (BRIEF-A and TOL) and PR (ReQOL and I.ROC). Model selection was based on the Wald test. Results: The study included data on 260 participants. While total scores of BRIEF-A had a small negative association with those of the ReQOL (β = -0.28, P >. 001) and the I.ROC (β = -0.41, P >. 001), TOL scores were not significantly associated with the ReQOL scores (β = 0.03, P =. 76) and the I.ROC scores (β = 0.17, P = 0.17). Conclusion: Self-reported EF, which measures the accomplishment of goal pursuit in real life was associated with PR. However, processing efficiency and cognitive control as measured by performance-based EF were not.

Original languageEnglish
Article numbersgac023
JournalSchizophrenia Bulletin Open
Volume3
Issue number1
DOIs
Publication statusPublished - 1 Jan 2022

Bibliographical note

Acknowledgments
We would like to thank the following mental health care institutes for their funding and participation in this study:
Parnassia Psychiatric Institute (comprising Antes Delta Psychiatric Centre and Parnassia Psychosis Research); Emergis; Dijk & Duin; Fivoor; GGz Breburg; GGz Delfand; GGz Oost-Brabant; and Stichting Pameijer. As well as thanking the governing body of the City of Rotterdam for their funding and cooperation, we would
like to thank the panel of peer experts for ensuring that the interests of their patients are always considered and
protected. The Authors have declared that there are no conficts of interest in relation to the subject of this study.

Publisher Copyright: © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of the University of Maryland's school of medicine, Maryland Psychiatric Research Center.

Fingerprint

Dive into the research topics of 'The Association between Executive Functioning and Personal Recovery in People with Psychotic Disorders'. Together they form a unique fingerprint.

Cite this