The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review

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 dimini...

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Main Authors: Juul Koene, Susan Zyto, Jaap van der Stel, Natasja van Lang, Marion Ammeraal, Ralph W. Kupka, Jaap van Weeghel
Format: Article
Language:English
Published: SpringerOpen 2022-03-01
Series:International Journal of Bipolar Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40345-022-00255-7
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author Juul Koene
Susan Zyto
Jaap van der Stel
Natasja van Lang
Marion Ammeraal
Ralph W. Kupka
Jaap van Weeghel
author_facet Juul Koene
Susan Zyto
Jaap van der Stel
Natasja van Lang
Marion Ammeraal
Ralph W. Kupka
Jaap van Weeghel
author_sort Juul Koene
collection DOAJ
description 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.
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spelling doaj.art-15eeef1d844b4718abfb6f5dd01b925c2022-12-21T23:56:23ZengSpringerOpenInternational Journal of Bipolar Disorders2194-75112022-03-0110112510.1186/s40345-022-00255-7The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping reviewJuul Koene0Susan Zyto1Jaap van der Stel2Natasja van Lang3Marion Ammeraal4Ralph W. Kupka5Jaap van Weeghel6University of Applied Sciences LeidenDepartment of Psychiatry, Amsterdam University Medical Center, Vrije UniversiteitUniversity of Applied Sciences LeidenUniversity of Applied Sciences LeidenGGZinGeest Center for Mental Health CareDepartment of Psychiatry, Amsterdam University Medical Center, Vrije UniversiteitTranzo, Scientific Centre for Care and Wellbeing, Tilburg UniversityAbstract 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.https://doi.org/10.1186/s40345-022-00255-7Executive functionsOccupational functioningSelf-regulationEmotion regulationBipolar disorderScoping review
spellingShingle Juul Koene
Susan Zyto
Jaap van der Stel
Natasja van Lang
Marion Ammeraal
Ralph W. Kupka
Jaap van Weeghel
The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
International Journal of Bipolar Disorders
Executive functions
Occupational functioning
Self-regulation
Emotion regulation
Bipolar disorder
Scoping review
title The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
title_full The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
title_fullStr The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
title_full_unstemmed The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
title_short The relations between executive functions and occupational functioning in individuals with bipolar disorder: a scoping review
title_sort relations between executive functions and occupational functioning in individuals with bipolar disorder a scoping review
topic Executive functions
Occupational functioning
Self-regulation
Emotion regulation
Bipolar disorder
Scoping review
url https://doi.org/10.1186/s40345-022-00255-7
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