Skip to main content
Search
Search
    Quick Search anywhere
    Quick search in Citations
Advanced Search
Skip main navigationClose Drawer MenuOpen Drawer Menu
Previous article
Next article
Originalartikel

Entwicklung eines Fragebogens zur subjektiven Einschätzung der geistigen Leistungsfähigkeit (FLei) bei Patienten mit psychischen Störungen

Published Online:August 17, 2010https://doi.org/10.1024/1016-264X/a000013

Abstract

Das Ziel dieser Untersuchung besteht in einer ersten Überprüfung der testtheoretischen Kennwerte des neu entwickelten «Fragebogens zur geistigen Leistungsfähigkeit (FLei)» bei Patienten mit psychischen Störungen. An der Untersuchung nahmen insgesamt 259 Personen teil, 68 Schizophreniepatienten, 94 depressive Patienten und 97 Kontrollpersonen. Die ursprüngliche Version des Fragebogens umfasste 88 Items der Bereiche Aufmerksamkeit, Gedächtnis und Exekutivfunktionen sowie Fragen zum visuellen Neglekt. Der Fragebogen konnte auf 35 Items reduziert werden. Items verschiedener Funktionsbereiche waren hoch miteinander korreliert. Itemkennwerte, interne Konsistenz und Split-Half Reliabilität sind durchgängig als gut zu bezeichnen. Depressive Patienten berichteten die deutlichsten Defizite. Eine funktionsspezifische Auswertung ist aufgrund der hohen Interkorrelationen zwischen den Funktionsbereichen nur bedingt zu empfehlen. In weiteren Untersuchungen sollten die Ergebnisse an einer unabhängigen Stichprobe bestätigt werden.


Construction of a Questionnaire for Complaints of Cognitive Disturbances in Patients with Mental Disorders

The present study aimed at a first evaluation of the new developed questionnaire for complaints of cognitive disturbances (FLei) in patients with mental disorders. We investigated 259 subjects, 68 patients with schizophrenia, 94 patients with depression, and 97 healthy subjects. The first version of the questionnaire had 88 items covering the domains of attention, memory, executive functions, and visual neglect. We shortened the questionnaire to 35 items. Domains were highly correlated. The questionnaire demonstrated sound characteristics of the items, high consistency, and sound split-half reliability. Depressive patients reported the most pronounced deficits. High intercorrelations question the distinctiveness of the neuropsychological domains. In future studies the results of the present study need to be confirmed with independent samples.

Literatur

  • Acker, M. B. (1990). A review of ecological validity of neuropsychological tests. In D. E. Tupper, D. Cicerone (Eds.), The neuropsychology of everyday life (pp. 19–51). Massachusetts: Kluwer. First citation in articleCrossref, Google Scholar

  • Beblo, T. , Mensebach, C. , Wingenfeld, K. , Schlosser, N. , Rullkoetter, N. , Schaffrath, C. , Driessen, M. (2010). The impact of neutral and emotional negative distraction on memory performance in major depression and its relation to memory complaints. Psychiatry Research, 178, 106–111. First citation in articleCrossref, Google Scholar

  • Chan, R. C. , Wang, Y. , Ma, Z. , Hong, X. H. , Yuan, Y. , Yu, X. , ... Gong, Q. Y. (2008). Objective measures of prospective memory do not correlate with subjective complaints in schizophrenia. Schizophrenia Research, 103(1–3), 229–239. First citation in articleCrossref, Google Scholar

  • Fertuck, E. A. , Marsano-Jozefowicz, S. , Stanley, B. , Tryon, W. W. , Oquendo, M. , Mann, J. J. , Keilp, J. G. (2006). The impact of borderline personality disorder and anxiety on neuropsychological performance in major depression. Journal of Personality Disorders, 20(1), 55–70. First citation in articleCrossref, Google Scholar

  • Fitzgerald, K. L. , Demakis, G. J. (2007). The neuropsychology of antisocial personality disorder. Disease-a-month, 53, 177–183. First citation in articleCrossref, Google Scholar

  • Hill, S. K. , Reilly, J. L. , Harris, M. S. , Rosen, C. , Marvin, R. W. , Deleon, O. , Sweeney, J. A. (2009). A comparison of neuropsychological dysfunction in first-episode psychosis patients with unipolar depression, bipolar disorder, and schizophrenia. Schizophrenia Research, 113(2–3), 167–175. First citation in articleCrossref, Google Scholar

  • Lahr, D. , Beblo, T. , Hartje, W. (2007). Cognitive performance and subjective complaints before and after remission of major depression. Cognitive Neuropsychiatry, 12(1), 25–45. First citation in articleCrossref, Google Scholar

  • Lautenbacher, S. , Gauggel, S. (2004). Neuropsychologie psychischer Störungen. Berlin: Springer-Verlag. First citation in articleCrossref, Google Scholar

  • Lautenbacher, S. , Spernal, J. , Krieg, J. C. (2002). Divided and selective attention in panic disorder. A comparative study of patients with panic disorder, major depression and healthy controls. European Archives of Psychiatry and Clinical Neuroscience, 252, 210–213. First citation in articleCrossref, Google Scholar

  • Lienert, G. A. , Raatz, U. (1998). Testaufbau und Testanalyse (6. Aufl.). Weinheim: Psychologie Verlags Union. First citation in articleGoogle Scholar

  • Mensebach, C. , Wingenfeld, K. , Driessen, M. , Rullkoetter, N. , Schlosser, N. , Steil, C. , ... Beblo, T. (2009). Emotion-induced memory dysfunction in borderline personality disorder. Cognitive Neuropsychiatry, 14, 524–541. First citation in articleCrossref, Google Scholar

  • Mowla, A. , Ashkani, H. , Ghanizadeh, A. , Dehbozorgi, G. R. , Sabayan, B. , Chohedri, A. H. (2008). Do memory complaints represent impaired memory performance in patients with major depressive disorder? Depression and Anxiety, 25(10), E92–6. First citation in articleGoogle Scholar

  • Naismith, S. L. , Longley, W. A. , Scott, E. M. , Hickie, I. B. (2007). Disability in major depression related to self-rated and objectively-measured cognitive deficits: A preliminary study. BMC Psychiatry, 7, 32. First citation in articleCrossref, Google Scholar

  • Olley, A. , Malhi, G. , Sachdev, P. (2007). Memory and executive functioning in obsessive-compulsive disorder: A selective review. Journal of Affective Disorders, 104(1–3), 15–23. First citation in articleCrossref, Google Scholar

  • Porter, R. J. , Bourke, C. , Gallagher, P. (2007). Neuropsychological impairment in major depression: Its nature, origin and clinical significance. Australian and New Zealand Journal of Psychiatry, 41, 115–128. First citation in articleCrossref, Google Scholar

  • Rajji, T. K. , Ismail, Z. , Mulsant, B. H. (2009). Age at onset and cognition in schizophrenia: Meta-analysis. British Journal of Psychiatry, 195, 286–293. First citation in articleCrossref, Google Scholar

  • Reid, L. M. , Maclullich, A. M. (2006). Subjective memory complaints and cognitive impairment in older people. Dementia and Geriatric Cognitive Disorders, 22, 471–485. First citation in articleCrossref, Google Scholar

  • Rourke, S. B. , Halman, M. H. , Bassel, C. (1999). Neurocognitive complaints in HIV-infection and their relationship to depressive symptoms and neuropsychological functioning. Journal of Clinical and Experimental Neuropsychology, 21, 737–756. First citation in articleCrossref, Google Scholar

  • Ruocco, A. C. (2005). The neuropsychology of borderline personality disorder: A meta-analysis and review. Psychiatry Research, 137, 191–202. First citation in articleCrossref, Google Scholar

  • van der Flier, W. M. , van Buchem, M. A. , Weverling-Rijnsburger, A. W. , Mutsaers, E. R. , Bollen, E. L. , Admiraal-Behloul, F. , ... Middelkoop, H. A. (2004). Memory complaints in patients with normal cognition are associated with smaller hippocampal volumes. Journal of Neurology, 251, 671–675. First citation in articleGoogle Scholar

  • Wechsler, D. (1987). Wechsler Memory Scale-Revised manual. San Antonio, TX: The Psychological Corporation. First citation in articleGoogle Scholar