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Subjective cognitive functioning in psychosis deserves more attention: Practical tips and recommendations.

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Subjective cognitive complaints in psychotic disorders are vital for quality of life and treatment motivation. Clinicians should prioritize assessing these subjective experiences to improve patient care.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Cognitive functioning is a key symptom in psychotic disorders.
  • Subjective cognitive complaints have been historically overlooked in clinical practice.
  • Concerns about insight and weak correlations with objective tests have limited focus on subjective cognition.

Purpose of the Study:

  • To advocate for increased clinical attention to subjective cognitive complaints in psychotic disorders.
  • To highlight the importance of subjective cognitive experiences for patients' quality of life and treatment engagement.
  • To provide practical guidance for clinicians on assessing and addressing subjective cognition.

Main Methods:

  • Review of existing literature on cognitive functioning in psychotic disorders.
  • Analysis of the impact of subjective cognitive complaints on patient outcomes.
  • Development of recommendations for clinical practice regarding subjective cognition.

Main Results:

  • Subjective cognitive complaints significantly impact patients' daily lives and motivation for treatment.
  • Despite historical neglect, subjective cognition is crucial for holistic patient care.
  • Effective assessment and intervention strategies for subjective cognition can enhance treatment efficacy.

Conclusions:

  • Mental health clinicians should integrate the assessment of subjective cognitive complaints into routine care for psychotic disorders.
  • Addressing subjective cognitive experiences can improve patient engagement and outcomes in cognitive remediation therapies.
  • Further research and clinical focus are needed to fully understand and leverage subjective cognition in managing psychotic disorders.