Loading...
The relations between executive functions and occupational functioning in individuals with bipolar disorder: A scoping review
Koene,Juul Zyto,Susan Van Der Stel,Jaap Van Lang,Natasja Ammeraal,Marion Kupka,Ralph W. Van Weeghel,Jaap
Koene,Juul
Zyto,Susan
Van Der Stel,Jaap
Van Lang,Natasja
Ammeraal,Marion
Kupka,Ralph W.
Van Weeghel,Jaap
Abstract
Background Patients with bipolar disorder experience impairments in their occupational functioning, despite remission of symptoms. Previous research has shown that neurocognitive deficits, especially deficits in executive functions, may persist during euthymia and are associated with diminished occupational functioning. Objectives The aim of this scoping review was to identify published studies that report on the relationships between executive functions and occupational functioning in BD to review current knowledge and identify knowledge gaps. In addition to traditional neuropsychological approaches, we aimed to describe executive functioning from a self-regulation perspective, including emotion regulation. Methods We applied the methodological framework as described by Arksey and O’Malley (Int J Soc Res Methodol Theory Pract 8:19–32, 2005) and Levac et al. (Implement Sci 5:1–9, 2010). We searched PubMed and psycINFO for literature up to November 2021, after which we screened papers based on inclusion criteria. Two reviewers independently performed the screening process, data charting process, and synthesis of results. Results The search yielded 1202 references after deduplication, of which 222 remained after initial screening. The screening and inclusion process yielded 82 eligible papers in which relationships between executive functions and occupational functioning are examined. Conclusion Neurocognitive deficits, including in executive functions and self-regulation, are associated with and predictive of diminished occupational functioning. Definitions and measurements for neurocognitive functions and occupational functioning differ greatly between studies, which complicates comparisons. Studies on functional remediation show promising results for improving occupational functioning in patients with BD. In research and clinical practice more attention is needed towards the quality of work functioning and the various contexts in which patients with BD experience deficits.
Description
The authors declare no funding.
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
Organizational Units
Journal Issue
Keywords
Bipolar disorder, CLINICAL PREDICTORS, COGNITIVE IMPAIRMENT, EMPLOYMENT STATUS, EUTHYMIC PATIENTS, Emotion regulation, Executive functions, INTERNATIONAL SOCIETY, NEUROCOGNITIVE IMPAIRMENT, Occupational functioning, QUALITY-OF-LIFE, RESIDUAL SYMPTOMS, SLEEP DISTURBANCE, SOCIAL-ADJUSTMENT, Scoping review, Self-regulation
Citation
Koene, J, Zyto, S, Van Der Stel, J, Van Lang, N, Ammeraal, M, Kupka, R W & Van Weeghel, J 2022, 'The relations between executive functions and occupational functioning in individuals with bipolar disorder : A scoping review', International Journal of Bipolar Disorders, vol. 10, no. 1, 8. https://doi.org/10.1186/s40345-022-00255-7
License
info:eu-repo/semantics/openAccess