A McCleery and KH Nuechterlein,
Dialogues in clinical neuroscience , Sep 2019
Despite effective pharmacological treatments for psychotic symptoms (eg, hallucinations, delusions), functional outcomes for people with psychotic disorders are often disappointing. Although it is not included in the diagnostic criteria for psychotic disorders, cognitive impairment is one of the strongest determinants of community functioning in this clinical population, and thus it is an important target for intervention. In this review, we discuss the major areas of research regarding impaired cognition in psychotic illness. The specific topics covered include: (i) the prevalence of cognitive impairment in psychotic disorders; (ii) the profile and magnitude of cognitive impairment in psychotic disorders; (iii) the developmental course of cognitive impairment; (iv) the longitudinal stability of cognitive impairment; and (v) treatment approaches to improve cognitive performance in people with psychotic disorders.
.A pesar de los tratamientos farmacolĂłgicos efectivos para los sĂntomas psicĂłticos (como alucinaciones y delirios), los resultados funcionales para las personas con trastornos psicĂłticos a menudo son decepcionantes. Aunque el deterioro cognitivo no está incorporado entre los criterios diagnĂłsticos para los trastornos psicĂłticos, es uno de los determinantes más importantes para el funcionamiento social en esta poblaciĂłn clĂnica y, por lo tanto, es un objetivo clave para el manejo. En esta revisiĂłn se discuten las principales áreas de investigaciĂłn relacionadas con el deterioro de la cogniciĂłn en la enfermedad psicĂłtica. Los temas especĂficos abordados incluyen: 1) la prevalencia del deterioro cognitivo en los trastornos psicĂłticos, 2) el perfil y la magnitud del deterioro cognitivo en los trastornos psicĂłticos, 3) el curso evolutivo del deterioro cognitivo, 4) la estabilidad longitudinal del deterioro cognitivo y 5) los enfoques terapĂ©uticos para mejorar el rendimiento cognitivo en personas con trastornos psicĂłticos.Les rĂ©sultats fonctionnels chez les sujets souffrant de troubles psychotiques sont souvent dĂ©cevants malgrĂ© un traitement pharmacologique efficace des symptĂ´mes psychotiques (hallucinations, dĂ©lire). Bien qu’il ne figure pas dans les critères diagnostiques des troubles psychotiques, le dĂ©ficit cognitif est l’un des dĂ©terminants les plus forts du fonctionnement en communautĂ© au sein de cette population de patients ; c’est donc une cible thĂ©rapeutique importante. Nous discutons dans cet article les principaux domaines de recherche concernant le dĂ©ficit cognitif dans la maladie psychotique. Les sujets spĂ©cifiques abordĂ©s comprennent : 1) la prĂ©valence du dĂ©ficit cognitif dans les troubles psychotiques, 2) le profil et l’ampleur du dĂ©ficit cognitif dans les troubles psychotiques, 3) l’évolution au cours du dĂ©veloppement du dĂ©ficit cognitif, 4) la stabilitĂ© longitudinale du dĂ©ficit cognitif et 5) les approches thĂ©rapeutiques pour amĂ©liorer la performance cognitive des sujets atteints de troubles psychotiques.
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I definitely think my cognitive abilities took a major hit when I went psychotic (they weren’t amazing to begin with but still).
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Wave
November 22, 2019, 5:44pm
3
In 2016 I went completely nuts and my cognition took a big hit.
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IIgr
November 22, 2019, 11:33pm
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This analysis supports cognitive stability over long term contrary to recent Zanelli’s finding of cognitive decline in 10 years follow (2 follow ups are cited in this article). So the question is still controversial.
I’m concerned with this research since I don’t know whether I would be able to work as senior software engineer