[en] Persons diagnosed with bipolar disorder often suffer from cognitive impairments.
However, little is known concerning how these cognitive deficits impact their real world
functioning. We developed a computerized real-life activity task, where participants are
required to shop for a list of grocery store items. Twenty one individuals diagnosed with
bipolar disorder and 21 matched healthy controls were administered the computerized
shopping task. Moreover, the patient group was assessed with a battery of cognitive tests and
clinical scales. Performance on the shopping task significantly differentiated patients and
healthy controls for two variables: Total time to complete the shopping task and Mean time
spent to consult the shopping list. Moreover, in the patient group, performance on these
variables from the shopping task correlated significantly with cognitive functioning (i.e.
processing speed, verbal episodic memory, planning, cognitive flexibility, and inhibition) and
with clinical variables including duration of illness and real world functioning. Finally,
variables from the shopping task were found to significantly explain 41% of real world
functioning of patients diagnosed with bipolar disorder. These findings suggest that the
shopping task provides a good indication of real world functioning and cognitive functioning
of persons diagnosed with bipolar disorder.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Laloyaux, Julien ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychologie clinique cognitive et comportementale
Pellegrini, Nadia; Université de Liège - ULiège > Département de Psychologie : cognition et comportement
Mourad, Haitham; Intercommunale de Soins Spécialisés de Liège (Mental Health Sector)
Bertrand, Hervé; Intercommunale de Soins Spécialisés de Liège (Mental Health Sector)
Domken, Marc-André; Intercommunale de Soins Spécialisés de Liège (Mental Health Sector)
Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychopathologie cognitive
Laroi, Frank ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychologie clinique cognitive et comportementale
Language :
English
Title :
Performance on a computerized shopping task significantly predicts real world functioning in persons diagnosed with bipolar disorder.
Publication date :
2013
Journal title :
Psychiatry Research
ISSN :
0165-1781
eISSN :
1872-7123
Publisher :
Elsevier North Holland Biomedical Press, Limerick, Ireland
Altshuler L.L., Bearden C.E., Green M.F., van Gorp W., Mintz J. A relationship between neurocognitive impairment and functional impairment in bipolar disorder: a pilot study. Psychiatry Research 2008, 157:289-293.
American Psychiatric Association Diagnostic and Statistical Manual for Mental Disorders 1994, American Psychiatric Association Press, Washington. 4th ed.
Army Individual Test Battery Manual of Directions and Scoring 1944, War Department, Adjudant General's Office, Washington.
Benjamini Y., Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society: Series B 1995, 57:289-300.
Benjamini Y., Yekutieli D. The control of the false discovery rate in multiple testing under dependency. Annals of Statistics 2001, 29:1165-1188.
Bora E., Yucel M., Pantelis C. Cognitive endophenotypes of bipolar disorder: a meta-analysis of neuropsychological deficits in euthymic patients and their first-degree relatives. Journal of Affective Disorders 2009, 113:1-20.
Bowie C.R., Depp C., McGrath J.A., Wolyniec P., Mausbach B.T., Thornquist M.H., Luke J., Patterson T.L., Harvey P.D., Pulver A.E. Prediction of real-world functional disability in chronic mental disorders: a comparison of schizophrenia and bipolar disorder. American Journal of Psychiatry 2010, 167:1116-1124.
Brickenkamp R. Le Test d2 d'attention concentrée 1966, Editest, Paris.
Delis D.C., Freeland J., Kramer J.H., Kaplan E. Integrating clinical assessment with cognitive neuroscience: construct validation of the California Verbal Learning Test. Journal of Consulting and Clinical Psychology 1988, 56:123-130.
Favre S., Aubry J.M., Gex-Fabry M., Ragama-Pardos E., McQuillan A., Bertschy G. Translation and validation of a French version of the Young Mania Rating Scale (YMRS). L'Encephale 2003, 29:499-505.
Golden C.J. Stroop Color and Word Test: A Manual for Clinical and Experimental Uses 1978, Skoelting, Chicago.
Greenwood K.E., Landau S., Wykes T. Negative symptoms and specific cognitive impairments as combined targets for improved functional outcome within cognitive remediation therapy. Schizophrenia Bulletin 2005, 31:910-921.
Hamera E., Brown C.E. Developing a context-based performance measure for persons with schizophrenia: the test of grocery shopping skills. American Journal of Occupational Therapy 2000, 54:20-25.
Knight C., Alderman N., Burgess P.W. Development of a simplified version of the multiple errands test for use in hospital settings. Neuropsychological Rehabilitation 2002, 12:231-255.
Krabbendam L., Arts B., van Os J., Aleman A. Cognitive functioning in patients with schizophrenia and bipolar disorder: a quantitative review. Schizophrenia Research 2005, 80:137-149.
Laloyaux J., Michel C., Mourad H., Bertrand H., Domken M.A., Van der Linden M., Laroi F. Performance on an everyday life activity in persons diagnosed with alcohol dependency compared to healthy controls: relations between a computerized shopping task and cognitive and clinical variables. Alcohol and Alcoholism 2012, 47:240-247.
Larøi F., Canlaire J., Mourad H., Van Der Linden M. Relations between a computerized shopping task and cognitive tests in a group of persons diagnosed with schizophrenia compared with healthy controls. Journal of the International Neuropsychological Society 2010, 16:180-189.
Mackinnon A., Mulligan R. Estimation de l'intelligence prémorbide chez les francophones. L'Encephale 2005, 31:31-43.
Manly T., Hawkins K., Evans J., Woldt K., Robertson I.H. Rehabilitation of executive function: facilitation of effective goal management on complex tasks using periodic auditory alerts. Neuropsychologia 2002, 40:271-281.
Martinez-Aran A., Vieta E., Torrent C., Sanchez-Moreno J., Goikolea J.M., Salamero M., Malhi G.S., Gonzalez-Pinto A., Daban C., Alvarez-Grandi S., Fountoulakis K., Kaprinis G., Tabares-Seisdedos R., Ayuso-Mateos J.L. Functional outcome in bipolar disorder: the role of clinical and cognitive factors. Bipolar Disorders 2007, 9:103-113.
Matsui M., Sumiyoshi T., Yuuki H., Kato K., Kurachi M. Impairment of event schema in patients with schizophrenia: examination of script for shopping at supermarket. Psychiatry Research 2006, 143:179-187.
Mausbach B.T., Harvey P.D., Goldman S.R., Jeste D.V., Patterson T.L. Development of a brief scale of everyday functioning in persons with serious mental illness. Schizophrenia Bulletin 2007, 33:1364-1372.
Mausbach B.T., Harvey P.D., Pulver A.E., Depp C.A., Wolyniec P.S., Thornquist M.H., Luke J.R., McGrath J.A., Bowie C.R., Patterson T.L. Relationship of the Brief UCSD Performance-based Skills Assessment (UPSA-B) to multiple indicators of functioning in people with schizophrenia and bipolar disorder. Bipolar Disorders 2010, 12:45-55.
Morosini P.L., Magliano L., Brambilla L., Ugolini S., Pioli R. Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatrica Scandinavica 2000, 101:323-329.
Nelson H.E., O'Connell A. Dementia: the estimation of premorbid intelligence levels using the New Adult Reading Test. Cortex 1978, 14:234-244.
Poitenaud J., Deweer B., Kalafat M., Van der Linden M. Adaptation en langue française du California Verbal Learning Test 2007, Les Editions du Centre de Psychologie Appliquée, Paris.
Quraishi S., Frangou S. Neuropsychology of bipolar disorder: a review. Journal of Affective Disorders 2002, 72:209-226.
Rempfer M.V., Hamera E.K., Brown C.E., Cromwell R.L. The relations between cognition and the independent living skill of shopping in people with schizophrenia. Psychiatry Research 2003, 117:103-112.
Schneider L.C., Struening E.L. SLOF: a behavioral rating scale for assessing the mentally ill. Social Work Research and Abstracts 1983, 19:9-21.
Semkovska M., Bedard M.A., Godbout L., Limoge F., Stip E. Assessment of executive dysfunction during activities of daily living in schizophrenia. Schizophrenia Research 2004, 69:289-300.
Simonsen C., Sundet K., Vaskinn A., Birkenaes A.B., Engh J.A., Faerden A., Jonsdottir H., Ringen P.A., Opjordsmoen S., Melle I., Friis S., Andreassen O.A. Neurocognitive dysfunction in bipolar and schizophrenia spectrum disorders depends on history of psychosis rather than diagnostic group. Schizophrenia Bulletin 2011, 37:73-83.
Torralva T., Strejilevich S., Gleichgerrcht E., Roca M., Martino D., Cetkovich M., Manes F. Deficits in tasks of executive functioning that mimic real-life scenarios in bipolar disorder. Bipolar Disorders 2012, 14:118-125.
Torres I.J., Boudreau V.G., Yatham L.N. Neuropsychological functioning in euthymic bipolar disorder: a meta-analysis. Acta Psychiatrica Scandinavica-Supplement 2007, 116(Suppl. 434):17-26.
Wechsler D. WAIS-III: Echelle d'Intelligence de Wechsler pour Adultes 2000, Les éditions du Centre de Psychologie Appliquée, Paris. 3ème ed.
Wechsler D. MEM-III: Manuel de l'Echelle Clinique de Mémoire 2001, Les éditions du Centre de Psychologie Appliquée, Paris. 3ème ed.
Wilson B.A., Alderman N., Burgess P.W., Emslie H., Evans J.J. BADS: Behavioural Assessment of the Dysexecutive Syndrome 1996, Thames Valley Test Company, Bury St Edmunds.
Young R.C., Biggs J.T., Ziegler V.E., Meyer D.A. A rating scale for mania: reliability, validity and sensitivity. British Journal of Psychiatry 1978, 133:429-435.
Zayat E., Rempfer M., Gajewski B., Brown C.E. Patterns of association between performance in a natural environment and measures of executive function in people with schizophrenia. Psychiatry Research 2011, 187:1-5.
