Cognition Assessment in Virtual Reality (CAVIR): Associations with neuropsychological performance and activities of daily living in patients with mood or psychosis spectrum disorders
Andreas Elleby Jespersen, Anders Lumbye, Johanna Mariegaard Schandorff, Viktoria Damgaard, Louise Birkedal Glenthøj, Merete Nordentoft, Christina Mikkelsen, Maria Didriksen, Sisse Rye Ostrowski, Maj Vinberg, Eva Ejlersen Wæhrens, Kamilla Woznica Miskowiak
Abstract
BACKGROUND: More ecologically valid tools are needed to better capture daily-life cognitive impairments in patients with mood or psychosis spectrum disorders in clinical settings and cognitive treatment trials. We developed the Cognition Assessment in Virtual Reality (CAVIR) test, which assesses daily-life cognitive skills in an immersive virtual reality kitchen scenario. This study investigated the validity and sensitivity of CAVIR, including its association with activities of daily living (ADL) ability. METHODS: Seventy symptomatically stable patients with mood or psychosis spectrum disorders and 70 healthy controls completed CAVIR and standard neuropsychological tests and were rated for clinical symptoms, functional capacity, and subjective cognition. In addition, patients' ADL ability was evaluated with the Assessment of Motor and Process Skills. RESULTS: ≥ 0.09). Further, CAVIR was sensitive to cognitive impairments in patients and was able to differentiate between patients with and without the ability to undertake regular employment. LIMITATIONS: The modest sample size and concomitant medication. CONCLUSION: Our results indicate that CAVIR is a sensitive measure of daily-life cognitive skills in patients with mood or psychosis spectrum disorders.