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Subjective cognitive complaints and its associations to response inhibition and neural activation in patients with stress-related exhaustion disorder
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.ORCID-id: 0000-0003-3256-9018
Umeå universitet, Medicinska fakulteten, Institutionen för integrativ medicinsk biologi (IMB). Umeå universitet, Medicinska fakulteten, Umeå centrum för funktionell hjärnavbildning (UFBI).ORCID-id: 0000-0003-4743-6365
Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.ORCID-id: 0000-0002-1812-3581
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2023 (engelsk)Inngår i: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 26, nr 1, artikkel-id 2188092Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Stress-related exhaustion is associated with cognitive deficits, measured subjectively using questionnaires targeting everyday slips and failures or more objectively as performance on cognitive tests. Yet, only weak associations between subjective and objective cognitive measures in this group has been presented, theorized to reflect recruitment of compensational resources during cognitive testing. This explorative study investigated how subjectively reported symptoms of cognitive functioning and burnout levels relate to performance as well as neural activation during a response inhibition task. To this end, 56 patients diagnosed with stress-related exhaustion disorder (ED; ICD-10 code F43.8A) completed functional magnetic resonance imaging (fMRI) using a Flanker paradigm. In order to investigate associations between neural activity and subjective cognitive complaints (SCCs) and burnout, respectively, scores on the Prospective and retrospective memory questionnaire (PRMQ) and the Shirom-Melamed burnout questionnaire (SMBQ) were added as covariates of interest to a general linear model at the whole-brain level. In agreement with previous research, the results showed that SCCs and burnout levels were largely unrelated to task performance. Moreover, we did not see any correlations between these self-report measures and altered neural activity in frontal brain regions. Instead, we observed an association between the PRMQ and increased neural activity in an occipitally situated cluster. We propose that this finding may reflect compensational processes at the level of basic visual attention which may go unnoticed in cognitive testing but are reflected in the experience of deficits in everyday cognitive functioning.

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Taylor & Francis, 2023. Vol. 26, nr 1, artikkel-id 2188092
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-205760DOI: 10.1080/10253890.2023.2188092ISI: 000953639900001PubMedID: 36883330Scopus ID: 2-s2.0-85150665693OAI: oai:DiVA.org:umu-205760DiVA, id: diva2:1744124
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-0772Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01111)Region VästerbottenAFA InsuranceRiksbankens JubileumsfondThe Kempe FoundationsTilgjengelig fra: 2023-03-17 Laget: 2023-03-17 Sist oppdatert: 2025-02-20bibliografisk kontrollert

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Malmberg Gavelin, HannaAndersson, MicaelJosefsson, MariaEskilsson, ThereseSlunga-Järvholm, LisbethBoraxbekk, Carl-Johan

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Malmberg Gavelin, HannaAndersson, MicaelJosefsson, MariaEskilsson, ThereseSlunga-Järvholm, LisbethBoraxbekk, Carl-Johan
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