Psychometric properties and cross-cultural comparison of the cognitive complaints in bipolar disorder rating assessment (COBRA) in Mexican patients with bipolar disorder

Yoldi‐Negrete, María; Fresán‐Orellana, Ana; Martínez‐Camarillo, Sara; Ortega‐Ortiz, Hiram; García, Francisco L. Juárez; Castañeda-Franco, Marisol; Tirado-Durán, Elsa Georgina; Becerra‐Palars, Claudia

doi:10.1016/j.psychres.2018.08.098

Cited by 8 publications

(4 citation statements)

References 34 publications

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“…Cognition, when objectively measured, is severely impaired in BD (Miskowiak et al, 2018) and has also been associated with occupational outcomes: flaws in attention, verbal memory, executive functions and processing speed have been found to be related to low employment (Bearden, Woogen, & Glahn, 2010; Levy & Manove, 2012). Subjective cognitive complaints have also been found to be highly prevalent in this population (Rosa et al, 2013; Yoldi-Negrete et al, 2018). Cognitive complaints have been associated with perceived difficulties in managing work tasks and withdrawal from occupational activities (Baker, Gibson, Georgiou-Karistianis, & Giummarra, 2018; Stenfors, Magnusson Hanson, Oxenstierna, Theorell, & Nilsson, 2013).…”

Section: Introductionmentioning

confidence: 83%

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Work motivation in patients with bipolar disorder: Associated factors

Martínez‐Camarillo

Yoldi‐Negrete

Fresán‐Orellana

et al. 2019

Int J Soc Psychiatry

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Background: Occupational functioning is severely impaired in patients with bipolar disorder (BD). Work motivation (WM), defined as the psychological processes that determine the direction, intensity, and persistence of action within the work, is an essential component of work-related functioning. Aim: To assess whether WM is affected in patients with BD and which clinical and sociodemographic factors are related to low WM. Methods: In all, 95 euthymic BD patients were invited to answer the Motivation for Work Questionnaire and the Rating Scale on Subjective Cognitive Deficits in Bipolar Disorder (COBRA). Results: A total of 49.5% ( n = 47) of the patients were classified in the Low Motivated (LM) group. Unemployment and the report of more subjective cognitive complaints were predictors of poor WM in this sample ((OR) = 3.01 and 7.10, respectively). Conclusions: Perceived cognitive deficits related to the disorder and current unemployment negatively impact WM in patients with BD. In addition to symptomatic recovery, the need of the inclusion of personal and occupational areas in the comprehensive treatment of patients with BD is necessary.

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Section: Introductionmentioning

confidence: 83%

“…Higher scores refer to more subjective complaints, and the proposed cut-off point is 10 (Rosa et al, 2013). This instrument has been validated in Mexican population (Yoldi-Negrete et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Work motivation in patients with bipolar disorder: Associated factors

Martínez‐Camarillo

Yoldi‐Negrete

Fresán‐Orellana

et al. 2019

Int J Soc Psychiatry

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“…Its internal consistency for its use in Mexican patients with type I BD was high (0.91) with an adequate construct validity (one-factor explaining 45.5% of the total variance). 41 For objective cognitive performance, we centered on two cognitive domains: attention and inhibition of cognitive interference. Attention is a lower-order cognitive task that can be affected by a spectrum of factors; its integrity is necessary for more intricate functions.…”

Section: Assessment Proceduresmentioning

confidence: 99%

Cognition in Euthymic Patients with Bipolar Disorder: Do Not Forget to Account for Anxiety!

Yoldi-Negrete,

Fresán,

Jiménez-Rodríguez

et al. 2024

NDT

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Despite the high prevalence of anxiety disorders in BD and its known impact on cognitive performance, the presence and severity of anxious symptoms is not systematically evaluated in studies on cognition in BD. Our aim was to determine if attention and/or inhibition of cognitive interference in euthymic patients with type I Bipolar Disorder (BD-I) is affected by symptoms of anxiety. Patients and Methods: Eighty-seven euthymic BD-I patients were included. Patients with comorbidities other than Generalized Anxiety Disorder (GAD) or Panic Disorder (PD) were excluded. State anxiety was measured with the Brief Inventory of Anxious Responses and Situations (ISRA-B). Subjective cognitive performance was evaluated with the COBRA scale, attention with the Digit-Span Forward task and inhibition of cognitive interference was assessed with the StroopTest interference score. Multiple linear regression models were used to test if anxious symptoms were associated with attention or inhibition of cognitive interference, considering other known contributors for cognitive impairment. Results: Attention was unaffected by anxiety symptoms, but the overall regression for inhibition of cognitive interference was significant: years of schooling (β=1.12, p = 0.001), cognitive complaints (β=0.44, p = 0.008), and anxiety (β=−0.21, p = 0.017) explained 15% of the interference score of the Stroop test (R2 = 0.15). Conclusion: Beyond residual affective symptoms, anxious symptoms seem to affect inhibition of cognitive interference. We recommend routine testing of anxiety when considering cognitive evaluations, especially when screening for cognitive deficits.

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“…About two-third of the studies (n = 18/28) were conducted either in PWS or people with schizophrenia spectrum disorders (PWSSD) with healthy controls (n = 13/18) [42,43,45,46,49,[52][53][54][55][56][57][58][59] or without healthy controls (n = 5/18) [47, 50, 51, 59, 60,]. Three studies each were conducted in PWD [44,62,63] and PWBD [48,64,65] with healthy controls, while those remaining (n = 4/28) were conducted in mixed populations [66][67][68][69]. A total of 6396 participants (2196 clinical samples and 4200 healthy controls) were included in the main studies of this review.…”

Section: Study Characteristicsmentioning

confidence: 99%

Assessing cognition in people with severe mental disorders in low- and middle-income countries: a systematic review of assessment measures

Haile

Habatmu

Derese

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Background Cognitive difficulties are common in people with severe mental disorders (SMDs) and various measures of cognition are of proven validity. However, there is a lack of systematic evidence regarding the psychometric properties of these measures in low- and middle-income countries (LMICs). Objective To systematically review the psychometric properties of cognitive measures validated in people with SMDs in LMICs. Methods We conducted a systematic review of the literature by searching from four electronic databases. Two authors independently screened studies for their eligibility. Measurement properties of measures in all included studies were extracted. All eligible measures were assessed against criteria set for clinical and research recommendations. Results are summarized narratively and measures were grouped by measurement type and population. Results We identified 23 unique measures from 28 studies. None of these was from low-income settings. Seventeen of the measures were performance-based. The majority (n = 16/23) of the measures were validated in people with schizophrenia. The most commonly reported measurement properties were: known group, convergent, and divergent validity (n = 25/28). For most psychometric property, studies of methodological qualities were found to be doubtful. Among measures evaluated in people with schizophrenia, Brief Assessment of Cognition in Schizophrenia, Cognitive Assessment Interview, MATRICS Consensus Cognitive Battery, and CogState Schizophrenia Battery were with the highest scores for clinical and research recommendation. Conclusions Studies included in our review provide only limited quality evidence and future studies should consider adapting and validating measures using stronger designs and methods. Nonetheless, validated assessments of cognition could help in the management and allocating therapy in people with SMDs in LMICs.

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Psychometric properties and cross-cultural comparison of the cognitive complaints in bipolar disorder rating assessment (COBRA) in Mexican patients with bipolar disorder

Cited by 8 publications

References 34 publications

Work motivation in patients with bipolar disorder: Associated factors

Work motivation in patients with bipolar disorder: Associated factors

Cognition in Euthymic Patients with Bipolar Disorder: Do Not Forget to Account for Anxiety!

Assessing cognition in people with severe mental disorders in low- and middle-income countries: a systematic review of assessment measures

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