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: 337-349. doi:10.1007/s11469-016-9634-x


Author Oei, T. P. S.
Shaw, S.
Healy, K. L.
Title Executive function deficits in psychiatric outpatients in Australia
Journal name International Journal of Mental Health and Addiction   Check publisher's open access policy
ISSN 1557-1882
1557-1874
Publication date 2016-06
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s11469-016-9634-x
Open Access Status Not Open Access
Volume 14
Issue 3
Start page 337
End page 349
Total pages 13
Place of publication New York, NY, United States
Publisher Springer New York LLC
Collection year 2017
Language eng
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.
Keyword Anxiety disorders
Depression
DEX-R
Dysexecutive syndrome
Executive dysfunction
Executive function
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Psychology Publications
 
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