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

Juul Koene, Susan Zyto*, Jaap Van Der Stel, Natasja Van Lang, Marion Ammeraal, Ralph W. Kupka, Jaap Van Weeghel

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Citations (Scopus)
126 Downloads (Pure)

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.
Original languageEnglish
Article number8
Number of pages25
JournalInternational Journal of Bipolar Disorders
Volume10
Issue number1
DOIs
Publication statusPublished - 2022

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

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