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Originalartikel

Subjektive Einschätzung und objektive kognitive Leistung bei psychisch Gesunden

Published Online:September 20, 2016https://doi.org/10.1024/1016-264X/a000186

Abstract

Zusammenfassung. Neuropsychologische Untersuchungen verweisen auf uneinheitliche Zusammenhänge zwischen der subjektiven und objektiven kognitiven Leistungsbeurteilung. Bei 286 psychisch Gesunden wurden objektive kognitive Leistungswerte in der deutschen Adaptation der Neuropsychological Assessment Battery (NAB) sowie der Fragebogen zur subjektiven Einschätzung der geistigen Leistungsfähigkeit (FLei) erhoben. Trotz sehr guter Reliabilitäten des FLei limitierten Bodeneffekte die Aufdeckung richtungskonformer Zusammenhänge mit objektiven Leistungswerten in den Bereichen Aufmerksamkeit, Gedächtnis und exekutiven Funktionen. Dennoch erwies sich die Gedächtnisleistung als sensitivste Einzeldomäne für einen positiven Zusammenhang zwischen subjektiver und objektiver Leistungseinschätzung. Dabei moderierte das subjektive Wohlbefinden (WHO-5-Index) den Zusammenhang beider (subjektiver/objektiver) Ebenen im Gedächtnisbereich und in der kognitiven Gesamtleistung. Vor dem Hintergrund dieses Ergebnismusters sollten zukünftige Zusammenhangsanalysen insbesondere bei Personen mit psychischen Belastungen zu weiteren klinisch relevanten Befunden führen.


Subjective ratings and objective cognitive performance in mentally healthy individuals

Abstract. Neuropsychological studies show equivocal results for the relationship between subjective and objective measures of cognitive performance. Cognitive performance (German adaption of the Neuropsychological Assessment Battery, NAB) and subjective complaints of cognitive disturbances (FLei) were assessed in 286 mentally healthy individuals. Although the FLei reliably measures subjective neuropsychological complains, floor effects suppressed correlations to objective scores of attention, memory and executive functions. Yet, memory proved the most sensitive domain for a positive interrelation of subjective and objective cognitive assessment. Moreover, subjective well-being (WHO-5) moderated the relationship between both levels of assessment for memory and overall cognitive performance. Studies including individuals suffering from mental strain may found additional clinically relevant evidence for the interrelation between subjective and objective assessments of cognitive performance.

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