Stress-related exhaustion is associated with cognitive impairment as measured by both subjective cognitive complaints (SCCs) and objective cognitive test performance. This study aimed to examine how patients diagnosed with exhaustion disorder differ from healthy control participants in regard to levels and type of SCCs, and if SCCs are associated with cognitive test performance and psychological distress. We compared a group of patients with stress-related exhaustion disorder (n = 103, female = 88) with matched healthy controls (n = 58, female = 47) cross-sectionally, concerning the type and magnitude of self-reported SCCs. We furthermore explored the association between SCCs and cognitive test performance as well as with self-reported depression, anxiety and burnout levels, in the patient and the control group, respectively. Patients reported considerably more cognitive failures and were more likely than controls to express memory failures in situations providing few external cues and reminders in the environment. In both groups, SCCs were associated with demographic and psychological factors, and not with cognitive test performance. Our findings underline the high burden of cognitive problems experienced by patients with exhaustion disorder, particularly in executively demanding tasks without external cognitive support. From a clinical perspective, SCCs and objective cognitive test performance may measure different aspects of cognitive functioning, and external cognitive aids could be of value in stress rehabilitation. Participants were recruited as part of the Rehabilitation for Improved Cognition (RECO) study (ClinicalTrials.gov: NCT03073772). Date of registration: 8 March 2017

中文翻译：

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压力相关力竭障碍患者的主观认知主诉：一项横断面研究

通过主观认知主诉 (SCC) 和客观认知测试表现来衡量，与压力相关的疲惫与认知障碍有关。本研究旨在检查被诊断患有疲劳症的患者与健康对照参与者在 SCC 的水平和类型方面有何不同，以及 SCC 是否与认知测试表现和心理困扰有关。我们横断面比较了一组患有压力相关衰竭障碍的患者（n = 103，女性 = 88）与匹配的健康对照（n = 58，女性 = 47），关于自我报告的 SCC 的类型和程度。我们进一步探讨了患者和对照组的 SCC 与认知测试表现以及自我报告的抑郁、焦虑和倦怠水平之间的关联。患者报告的认知失败要多得多，并且比对照组更有可能在环境中提供很少外部线索和提醒的情况下表达记忆失败。在两组中，SCC 都与人口统计学和心理因素有关，而与认知测试表现无关。我们的研究结果强调了力竭障碍患者所经历的认知问题的沉重负担，特别是在没有外部认知支持的执行要求高的任务中。从临床角度来看，SCC 和客观认知测试表现可以衡量认知功能的不同方面，外部认知辅助可能对压力康复有价值。参与者被招募为改善认知的康复 (RECO) 研究 (ClinicalTrials.gov: NCT03073772) 的一部分。注册日期：