Cognitive functioning in a population-based sample of young adults with anxiety disorders

被引:33
作者
Castaneda, A. E. [1 ,2 ,3 ]
Suvisaari, J. [1 ,2 ,4 ]
Marttunen, M. [1 ,2 ,5 ,6 ]
Perala, J. [1 ,2 ]
Saarni, S. I. [1 ,2 ,6 ]
Aalto-Setala, T. [1 ,2 ,7 ]
Lonnqvist, J. [1 ,2 ,6 ]
Tuulio-Henriksson, A. [1 ,2 ,3 ]
机构
[1] Natl Inst Hlth & Welf, Dept Mental Hlth, Helsinki 00300, Finland
[2] Natl Inst Hlth & Welf, Subst Abuse Serv, Helsinki 00300, Finland
[3] Univ Helsinki, Dept Psychol, SF-00100 Helsinki, Finland
[4] Univ Tampere, Tampere Sch Publ Hlth, Dept Social Psychiat, FIN-33101 Tampere, Finland
[5] Univ Helsinki, Cent Hosp, Dept Adolescent Psychiat, Helsinki, Finland
[6] Univ Helsinki, Dept Psychiat, SF-00180 Helsinki, Finland
[7] Univ Helsinki, Cent Hosp, Dept Child Psychiat, Helsinki, Finland
基金
芬兰科学院;
关键词
Anxiety disorder; Neuropsychology; Cognitive impairment; Young adult; General population; OBSESSIVE-COMPULSIVE DISORDER; POSTTRAUMATIC-STRESS-DISORDER; AGE-OF-ONSET; PANIC DISORDER; NEUROPSYCHOLOGICAL PROFILE; NEUROCOGNITIVE IMPAIRMENT; MENTAL-DISORDERS; SOCIAL PHOBIA; MEMORY; PERFORMANCE;
D O I
10.1016/j.eurpsy.2009.11.006
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective. - Cognitive functioning in anxiety disorders has received little investigation, particularly among young adults and in non-clinical samples. The present study examined cognitive functioning in a population-based sample of young adults with anxiety disorders in comparison to healthy peers. Methods. - A population-based sample of 21-35-year-olds with a lifetime history of anxiety disorders (n = 75) and a random sample of healthy controls (n = 71) derived from the same population were compared in terms of performance in neuropsychological tests measuring verbal and visual short-term memory, verbal long-term memory, attention, psychomotor processing speed, and executive functioning. Results. - In general, young adults with anxiety disorders did not have major cognitive impairments when compared to healthy peers. When participants with anxiety disorder in remission were excluded, persons with current anxiety disorder scored lower in visual working memory tests. Current psychotropic medication use and low current psychosocial functioning associated with deficits in executive functioning, psychomotor processing speed, and visual short-term memory. Conclusion. - Lifetime history of anxiety disorders is not associated with cognitive impairment among young adults in the general population. However, among persons with anxiety disorders, current psychotropic medication use and low psychosocial functioning, indicating more severe symptoms, may associate with cognitive impairments. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:346 / 353
页数:8
相关论文
共 69 条
[1]   WISCONSIN CARD SORTING TEST-PERFORMANCE IN OBSESSIVE-COMPULSIVE DISORDER - NO EVIDENCE FOR INVOLVEMENT OF DORSOLATERAL PREFRONTAL CORTEX [J].
ABBRUZZESE, M ;
FERRI, S ;
SCARONE, S .
PSYCHIATRY RESEARCH, 1995, 58 (01) :37-43
[2]   HPA axis activity in patients with panic disorder: Review and synthesis of four studies [J].
Abelson, James L. ;
Khan, Samir ;
Liberzon, Israel ;
Young, Elizabeth A. .
DEPRESSION AND ANXIETY, 2007, 24 (01) :66-76
[3]   Neuropsychological functions in anxiety disorders in population-based samples: evidence of episodic memory dysfunction [J].
Airaksinen, E ;
Larsson, M ;
Forsell, Y .
JOURNAL OF PSYCHIATRIC RESEARCH, 2005, 39 (02) :207-214
[4]  
Aromaa A, 2004, BASELINE RESULTS HLT
[5]  
ASMUNDSON GJG, 1994, ANXIETY, V1, P201
[6]  
Barrett DH, 1996, AM J PSYCHIAT, V153, P1492
[7]   Visuospatial abilities, memory, and executive functioning in trichotillomania and obsessive-compulsive disorder [J].
Bohne, A ;
Savage, CR ;
Deckersbach, T ;
Keuthen, NJ ;
Jenike, MA ;
Tuschen-Caffier, B ;
Wilhelm, S .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 2005, 27 (04) :385-399
[8]   Memory for emotionally neutral information in posttraumatic stress disorder: A meta-analytic investigation [J].
Brewin, Chris R. ;
Kleiner, Jennifer Sue ;
Vasterling, Jennifer J. ;
Field, Andy Peter .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2007, 116 (03) :448-463
[9]   Cognitive functioning in a population-based sample of young adults with a history of non-psychotic unipolar depressive disorders without psychiatric comorbidity [J].
Castaneda, A. E. ;
Suvisaari, J. ;
Marttunen, M. ;
Perala, J. ;
Saarni, S. I. ;
Aalto-Setala, T. ;
Aro, H. ;
Koskinen, S. ;
Lonnqvist, J. ;
Tuuio-Henriksson, A. .
JOURNAL OF AFFECTIVE DISORDERS, 2008, 110 (1-2) :36-45
[10]   The effect of psychiatric co-morbidity on cognitive functioning in a population-based sample of depressed young adults [J].
Castaneda, A. E. ;
Marttunen, M. ;
Suvisaari, J. ;
Perala, J. ;
Saarni, S. I. ;
Aalto-Setala, T. ;
Aro, H. ;
Lonnqvist, J. ;
Tuulio-Henriksson, A. .
PSYCHOLOGICAL MEDICINE, 2010, 40 (01) :29-39