Executive function deficits in psychiatric outpatients in Australia

Oei, T.P.S., Shaw, S., and Healy, K.L. (2016) Executive function deficits in psychiatric outpatients in Australia. International Journal of Mental Health and Addiction, 14 (3). pp. 337-349.

[img] PDF (Published Version) - Published Version
Restricted to Repository staff only

View at Publisher Website: http://dx.doi.org/10.1007/s11469-016-963...
 
1


Abstract

This study compared deficits in executive functioning in psychiatric outpatients with anxiety and depression to neurologically impaired patients and a community sample using a cross-sectional design. Anxious, depressed and neurologically impaired patients were compared for executive dysfunction using the revised Dysexecutive Questionnaire. A large sample of 663 community individuals, 39 mood disordered, 121 anxiety disordered and 120 neurologically impaired outpatients participated. Anxious and depressed patients exhibited significantly greater executive dysfunction than neurological patients and healthy controls. Anxiety patients reported the greatest executive dysfunction than all other groups including greater total problems and specific deficits in inhibiting responses and in acting with volition. Problems with inhibition reflect difficulties of anxiety patients in preventing automatic responses. Problems with volition reported by anxiety patients were attributed to comorbid depression, consistent with anxiety patients reporting the highest levels of depressive as well as anxious symptomology. Depressed patients reported greater problems with volition than community members, reflecting problems with planning and motivation. Neurologically impaired individuals reported a comparable level of executive dysfunction to the general community. This was attributed mainly to the poor ability of neurologically impaired individuals to report their own deficits. We discuss the relevance of executive functioning to anxiety and depression, and the implications of using the DEX-R with clinical samples.

Item ID: 44159
Item Type: Article (Refereed Research - C1)
Keywords: DEX-R, executive function, executive dysfunction, dysexecutive syndrome, depression, anxiety disorders
ISSN: 1557-1882
Date Deposited: 23 Aug 2016 05:11
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111714 Mental Health @ 20%
17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology @ 30%
17 PSYCHOLOGY AND COGNITIVE SCIENCES > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified @ 50%
SEO Codes: 97 EXPANDING KNOWLEDGE > 970117 Expanding Knowledge in Psychology and Cognitive Sciences @ 100%
Downloads: Total: 1
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page