Developing neurocognitive standard clinical care: A study of young adult inpatients

A M Tickell; E M Scott; T Davenport; F Iorfino; L Ospina-Pinillos; D White; K Harel; L Parker; I B Hickie; Daniel F Hermens

doi:10.1016/j.psychres.2019.05.003

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Developing neurocognitive standard clinical care: A study of young adult inpatients

Journal article

Peer reviewed

Developing neurocognitive standard clinical care: A study of young adult inpatients

A M Tickell, E M Scott, T Davenport, F Iorfino, L Ospina-Pinillos, D White, K Harel, L Parker, I B Hickie and Daniel F Hermens

Psychiatry Research, Vol.276, pp.232-238

2019

DOI: https://doi.org/10.1016/j.psychres.2019.05.003

Appears in Thompson Institute Research Collection

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https://doi.org/10.1016/j.psychres.2019.05.003View

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Abstract

affective disorder

cognition

inpatients

psychiatric disorder

young adult

Other Collaborations

Thompson Institute Special Collection

UniSC Diversity Area - Disability and Inclusion

UniSC Diversity Area - Life Stages

Neuropsychological assessments have provided the field of psychiatry with important information about patients. As an assessment tool, a neuropsychological battery can be useful in a clinical setting; however, implementation as standard clinical care in an inpatient unit has not been extensively evaluated. A computerized cognitive battery was administered to 103 current young adult inpatients (19.2±3.1 years; 72% female) with affective disorder. Neurocognitive tasks included Verbal Recognition Memory (VRM), Attention Switching (AST), Paired Association Learning (PAL), and Rapid Visual Processing (RVP). Patients also completed a computerized self-report questionnaire evaluating subjective impressions of their cognition. Hierarchical cluster analysis determined three neurocognitive subgroups: cluster 1 (n = 17) showed a more impaired neurocognitive profile on three of the four variables compared to their peers in cluster 2 (n = 59), and cluster 3 (n = 27), who had the most impaired attentional shifting. Two of the four neurocognitive variables were significantly different between all three cluster groups (verbal learning and sustained attention). Overall group results showed an association between poorer sustained attention and increased suicidal ideation. These findings strengthen the idea that neurocognitive profiles may play an important role in better understanding the severity of illness in young inpatients with major psychiatric disorders.

Details

Title: Developing neurocognitive standard clinical care: A study of young adult inpatients
Authors: A M Tickell (Author) - University of Sydney
E M Scott (Author) - St Vincent's Hospital
T Davenport (Author) - University of Sydney
F Iorfino (Author) - University of Sydney
L Ospina-Pinillos (Author) - University of Sydney
D White (Author) - University of Sydney
K Harel (Author) - St Vincent's Hospital
L Parker (Author) - St Vincent's Hospital
I B Hickie (Author) - University of Sydney
Daniel F Hermens (Author) - University of the Sunshine Coast
Publication details: Psychiatry Research, Vol.276, pp.232-238
Publisher: Elsevier Ireland Ltd.
Date published: 2019
DOI: 10.1016/j.psychres.2019.05.003
ISSN: 0165-1781
Organisation Unit: University of the Sunshine Coast, Queensland; Thompson Institute
Language: English
Record Identifier: 99450721002621
Output Type: Journal article

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Web Of Science research areas: Psychiatry

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