The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis
Background and purpose: Self‐reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance. Methods: The first phas...
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| Veröffentlicht in: | European journal of neurology 2012-04, Vol.19 (4), p.562-569 |
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| creator | van der Hiele, K. Spliethoff-Kamminga, N. G. A. Ruimschotel, R. P. Middelkoop, H. A. M. Visser, L. H. |
| description | Background and purpose: Self‐reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance.
Methods: The first phase was an inventory of cognitive complaints by means of self‐reported (and partner‐reported) questionnaires. At the second phase (January–October 2009), 114 of the 128 participants met the inclusion and exclusion criteria and underwent cognitive and neurological assessments.
Results: A total of 19% (N = 22) of participants reported subjective executive impairment, whilst 81% (N = 92) reported no subjective executive impairment. Based on Behavioural Assessment of the Dysexecutive Syndrome–Dysexecutive Questionnaire self‐reports, 67% (N = 76) of the participants accurately reported no subjective executive impairment, 14% (N = 16) overestimated, and 15% underestimated (N = 17) their executive performance; 78% of the informants accurately reported no subjective executive impairment, 15% overestimated the patient’s executive performance, and 4% underestimated the patient’s executive performance. Patients with MS underestimating their executive performance were characterized by more depression (F(2,106 = 12.9, P |
| doi_str_mv | 10.1111/j.1468-1331.2011.03538.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_928905747</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1008845369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4678-8d8c31f715d22ed676b93018526340243efb153f53cd7d77b86413f9fd6301ef3</originalsourceid><addsrcrecordid>eNqNkUmP1DAQRiMEYhb4C8gSB7gkeImXHDigoWdgNGoujZC4WIlTpt04C3bCdP97HHroAweELy7J7yur6mUZIrgg6bzZFaQUKieMkYJiQgrMOFPF_lF2fnp4nGrGSc4JJmfZRYw7jDGVFD_NzijFWJWcnmfTZgsogK8nN_Rx60bUwHQP0KMI3uYBxiFM0CLYg5kn9xPQCMEOoat7A6juWzTGg9kOfvjmTO2R2dahNhMEFydnInI96mY_udEDisZDGKKLz7IntvYRnj_cl9nn69Xm6kN-9-nm49W7u9yUQqpctcowYiXhLaXQCimaimGiOBWsxLRkYBvCmeXMtLKVslGiJMxWthUJA8sus1fHvmMYfswQJ925aMD7uodhjrqiqsJcljKRr_9JkrSvtDAmqoS-_AvdDXPo0xyaSCEUkQlOlDpSJk0cA1g9BtfV4ZBa6cWh3ulFlV5U6cWh_u1Q71P0xcMHc9NBewr-kZaAt0fg3nk4_HdjvVqvlirl82M-OYL9KV-H71pIJrn-sr7RRGzW1e3XW_2e_QKxYLpF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1766817100</pqid></control><display><type>article</type><title>The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>van der Hiele, K. ; Spliethoff-Kamminga, N. G. A. ; Ruimschotel, R. P. ; Middelkoop, H. A. M. ; Visser, L. H.</creator><creatorcontrib>van der Hiele, K. ; Spliethoff-Kamminga, N. G. A. ; Ruimschotel, R. P. ; Middelkoop, H. A. M. ; Visser, L. H.</creatorcontrib><description>Background and purpose: Self‐reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance.
Methods: The first phase was an inventory of cognitive complaints by means of self‐reported (and partner‐reported) questionnaires. At the second phase (January–October 2009), 114 of the 128 participants met the inclusion and exclusion criteria and underwent cognitive and neurological assessments.
Results: A total of 19% (N = 22) of participants reported subjective executive impairment, whilst 81% (N = 92) reported no subjective executive impairment. Based on Behavioural Assessment of the Dysexecutive Syndrome–Dysexecutive Questionnaire self‐reports, 67% (N = 76) of the participants accurately reported no subjective executive impairment, 14% (N = 16) overestimated, and 15% underestimated (N = 17) their executive performance; 78% of the informants accurately reported no subjective executive impairment, 15% overestimated the patient’s executive performance, and 4% underestimated the patient’s executive performance. Patients with MS underestimating their executive performance were characterized by more depression (F(2,106 = 12.9, P < 0.001), anxiety (F2,105 = 7.4, P = 0.001) and psychosocial stress (F2,103 = 17.8, P < 0.001), more often used the coping style ‘disclosure of emotions’ (H2 = 12.1, P = 0.002) than accurate estimators and overestimators and displayed a more passive reaction pattern (F2,104 = 4.4, P = 0.014) than accurate estimators.
Conclusions: Self‐reports of executive performance are generally reliable, but 29% of patients with MS underestimated or overestimated their abilities. It is especially important to identify underestimators as they display underlying psychological problems and dysfunctional coping styles in need of further psychological treatment. Informants are valuable in this respect, but should not be seen as the ‘gold standard’ to identify cognitive impairment.
Click here to view the accompanying paper in this issue.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/j.1468-1331.2011.03538.x</identifier><identifier>PMID: 22008452</identifier><identifier>CODEN: EJNEFL</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Anxiety ; Behavioral Symptoms - diagnosis ; Behavioral Symptoms - etiology ; Chi-Square Distribution ; Cognition Disorders - diagnosis ; Cognition Disorders - etiology ; Cognitive ability ; coping skills ; Depression ; Emotions ; Executive function ; Executive Function - physiology ; Executives ; Female ; Humans ; Inventories ; Male ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - complications ; Multiple Sclerosis - psychology ; Neurologic Examination ; Neuropsychological Tests ; Patients ; Pay for performance ; Psychiatric Status Rating Scales ; psychological stress ; Self Report ; Social interactions ; Styles ; Surveys and Questionnaires</subject><ispartof>European journal of neurology, 2012-04, Vol.19 (4), p.562-569</ispartof><rights>2011 The Author(s). European Journal of Neurology © 2011 EFNS</rights><rights>2011 The Author(s). European Journal of Neurology © 2011 EFNS.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4678-8d8c31f715d22ed676b93018526340243efb153f53cd7d77b86413f9fd6301ef3</citedby><cites>FETCH-LOGICAL-c4678-8d8c31f715d22ed676b93018526340243efb153f53cd7d77b86413f9fd6301ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1468-1331.2011.03538.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1468-1331.2011.03538.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22008452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van der Hiele, K.</creatorcontrib><creatorcontrib>Spliethoff-Kamminga, N. G. A.</creatorcontrib><creatorcontrib>Ruimschotel, R. P.</creatorcontrib><creatorcontrib>Middelkoop, H. A. M.</creatorcontrib><creatorcontrib>Visser, L. H.</creatorcontrib><title>The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and purpose: Self‐reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance.
Methods: The first phase was an inventory of cognitive complaints by means of self‐reported (and partner‐reported) questionnaires. At the second phase (January–October 2009), 114 of the 128 participants met the inclusion and exclusion criteria and underwent cognitive and neurological assessments.
Results: A total of 19% (N = 22) of participants reported subjective executive impairment, whilst 81% (N = 92) reported no subjective executive impairment. Based on Behavioural Assessment of the Dysexecutive Syndrome–Dysexecutive Questionnaire self‐reports, 67% (N = 76) of the participants accurately reported no subjective executive impairment, 14% (N = 16) overestimated, and 15% underestimated (N = 17) their executive performance; 78% of the informants accurately reported no subjective executive impairment, 15% overestimated the patient’s executive performance, and 4% underestimated the patient’s executive performance. Patients with MS underestimating their executive performance were characterized by more depression (F(2,106 = 12.9, P < 0.001), anxiety (F2,105 = 7.4, P = 0.001) and psychosocial stress (F2,103 = 17.8, P < 0.001), more often used the coping style ‘disclosure of emotions’ (H2 = 12.1, P = 0.002) than accurate estimators and overestimators and displayed a more passive reaction pattern (F2,104 = 4.4, P = 0.014) than accurate estimators.
Conclusions: Self‐reports of executive performance are generally reliable, but 29% of patients with MS underestimated or overestimated their abilities. It is especially important to identify underestimators as they display underlying psychological problems and dysfunctional coping styles in need of further psychological treatment. Informants are valuable in this respect, but should not be seen as the ‘gold standard’ to identify cognitive impairment.
Click here to view the accompanying paper in this issue.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Behavioral Symptoms - diagnosis</subject><subject>Behavioral Symptoms - etiology</subject><subject>Chi-Square Distribution</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - etiology</subject><subject>Cognitive ability</subject><subject>coping skills</subject><subject>Depression</subject><subject>Emotions</subject><subject>Executive function</subject><subject>Executive Function - physiology</subject><subject>Executives</subject><subject>Female</subject><subject>Humans</subject><subject>Inventories</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - psychology</subject><subject>Neurologic Examination</subject><subject>Neuropsychological Tests</subject><subject>Patients</subject><subject>Pay for performance</subject><subject>Psychiatric Status Rating Scales</subject><subject>psychological stress</subject><subject>Self Report</subject><subject>Social interactions</subject><subject>Styles</subject><subject>Surveys and Questionnaires</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUmP1DAQRiMEYhb4C8gSB7gkeImXHDigoWdgNGoujZC4WIlTpt04C3bCdP97HHroAweELy7J7yur6mUZIrgg6bzZFaQUKieMkYJiQgrMOFPF_lF2fnp4nGrGSc4JJmfZRYw7jDGVFD_NzijFWJWcnmfTZgsogK8nN_Rx60bUwHQP0KMI3uYBxiFM0CLYg5kn9xPQCMEOoat7A6juWzTGg9kOfvjmTO2R2dahNhMEFydnInI96mY_udEDisZDGKKLz7IntvYRnj_cl9nn69Xm6kN-9-nm49W7u9yUQqpctcowYiXhLaXQCimaimGiOBWsxLRkYBvCmeXMtLKVslGiJMxWthUJA8sus1fHvmMYfswQJ925aMD7uodhjrqiqsJcljKRr_9JkrSvtDAmqoS-_AvdDXPo0xyaSCEUkQlOlDpSJk0cA1g9BtfV4ZBa6cWh3ulFlV5U6cWh_u1Q71P0xcMHc9NBewr-kZaAt0fg3nk4_HdjvVqvlirl82M-OYL9KV-H71pIJrn-sr7RRGzW1e3XW_2e_QKxYLpF</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>van der Hiele, K.</creator><creator>Spliethoff-Kamminga, N. G. A.</creator><creator>Ruimschotel, R. P.</creator><creator>Middelkoop, H. A. M.</creator><creator>Visser, L. H.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201204</creationdate><title>The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis</title><author>van der Hiele, K. ; Spliethoff-Kamminga, N. G. A. ; Ruimschotel, R. P. ; Middelkoop, H. A. M. ; Visser, L. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4678-8d8c31f715d22ed676b93018526340243efb153f53cd7d77b86413f9fd6301ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Behavioral Symptoms - diagnosis</topic><topic>Behavioral Symptoms - etiology</topic><topic>Chi-Square Distribution</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - etiology</topic><topic>Cognitive ability</topic><topic>coping skills</topic><topic>Depression</topic><topic>Emotions</topic><topic>Executive function</topic><topic>Executive Function - physiology</topic><topic>Executives</topic><topic>Female</topic><topic>Humans</topic><topic>Inventories</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - complications</topic><topic>Multiple Sclerosis - psychology</topic><topic>Neurologic Examination</topic><topic>Neuropsychological Tests</topic><topic>Patients</topic><topic>Pay for performance</topic><topic>Psychiatric Status Rating Scales</topic><topic>psychological stress</topic><topic>Self Report</topic><topic>Social interactions</topic><topic>Styles</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Hiele, K.</creatorcontrib><creatorcontrib>Spliethoff-Kamminga, N. G. A.</creatorcontrib><creatorcontrib>Ruimschotel, R. P.</creatorcontrib><creatorcontrib>Middelkoop, H. A. M.</creatorcontrib><creatorcontrib>Visser, L. H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van der Hiele, K.</au><au>Spliethoff-Kamminga, N. G. A.</au><au>Ruimschotel, R. P.</au><au>Middelkoop, H. A. M.</au><au>Visser, L. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2012-04</date><risdate>2012</risdate><volume>19</volume><issue>4</issue><spage>562</spage><epage>569</epage><pages>562-569</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><coden>EJNEFL</coden><abstract>Background and purpose: Self‐reports of cognitive functioning are not always related to objective measures. We examined psychological characteristics of patients with multiple sclerosis (MS) who underestimate, overestimate or accurately estimate their executive performance.
Methods: The first phase was an inventory of cognitive complaints by means of self‐reported (and partner‐reported) questionnaires. At the second phase (January–October 2009), 114 of the 128 participants met the inclusion and exclusion criteria and underwent cognitive and neurological assessments.
Results: A total of 19% (N = 22) of participants reported subjective executive impairment, whilst 81% (N = 92) reported no subjective executive impairment. Based on Behavioural Assessment of the Dysexecutive Syndrome–Dysexecutive Questionnaire self‐reports, 67% (N = 76) of the participants accurately reported no subjective executive impairment, 14% (N = 16) overestimated, and 15% underestimated (N = 17) their executive performance; 78% of the informants accurately reported no subjective executive impairment, 15% overestimated the patient’s executive performance, and 4% underestimated the patient’s executive performance. Patients with MS underestimating their executive performance were characterized by more depression (F(2,106 = 12.9, P < 0.001), anxiety (F2,105 = 7.4, P = 0.001) and psychosocial stress (F2,103 = 17.8, P < 0.001), more often used the coping style ‘disclosure of emotions’ (H2 = 12.1, P = 0.002) than accurate estimators and overestimators and displayed a more passive reaction pattern (F2,104 = 4.4, P = 0.014) than accurate estimators.
Conclusions: Self‐reports of executive performance are generally reliable, but 29% of patients with MS underestimated or overestimated their abilities. It is especially important to identify underestimators as they display underlying psychological problems and dysfunctional coping styles in need of further psychological treatment. Informants are valuable in this respect, but should not be seen as the ‘gold standard’ to identify cognitive impairment.
Click here to view the accompanying paper in this issue.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22008452</pmid><doi>10.1111/j.1468-1331.2011.03538.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Anxiety Behavioral Symptoms - diagnosis Behavioral Symptoms - etiology Chi-Square Distribution Cognition Disorders - diagnosis Cognition Disorders - etiology Cognitive ability coping skills Depression Emotions Executive function Executive Function - physiology Executives Female Humans Inventories Male Middle Aged Multiple sclerosis Multiple Sclerosis - complications Multiple Sclerosis - psychology Neurologic Examination Neuropsychological Tests Patients Pay for performance Psychiatric Status Rating Scales psychological stress Self Report Social interactions Styles Surveys and Questionnaires |
| title | The relationship between self-reported executive performance and psychological characteristics in multiple sclerosis |
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