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Subjective cognitive complaints and its associations to response inhibition and neural activation in patients with stress-related exhaustion disorder
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0003-3256-9018
Umeå University, Faculty of Medicine, Department of Integrative Medical Biology (IMB). Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI).ORCID iD: 0000-0003-4743-6365
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.ORCID iD: 0000-0002-1812-3581
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2023 (English)In: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 26, no 1, article id 2188092Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 26, no 1, article id 2188092
National Category
Neurosciences Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
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
Funder
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 FoundationsAvailable from: 2023-03-17 Created: 2023-03-17 Last updated: 2023-04-28Bibliographically approved

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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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Department of PsychologyDepartment of Integrative Medical Biology (IMB)Umeå Centre for Functional Brain Imaging (UFBI)Centre for Demographic and Ageing Research (CEDAR)StatisticsSection of PhysiotherapySection of Sustainable HealthDiagnostic Radiology
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Stress
NeurosciencesPublic Health, Global Health, Social Medicine and EpidemiologyPsychiatry

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