The relationship between objective and subjective cognitive performance to clinical features in bipolar disorder: A 6 years follow-up study
Eur. j. psychiatry
; 37(1): 63-66, enero 2023.
Artigo
em Inglês
| IBECS
| ID: ibc-213941
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
There is a consensus in the literature indicating that patients with Bipolar Disorder (BD) show cognitive impairments, especially in executive function, during both acute episodes and euthymia.1 An emerging body of knowledge indicates the importance of promoting functional recovery and improving cognitive deficits to achieve an adequate treatment of BD. However, the trajectories of cognitive deficits are still unclear. The neuroprogression hypothesis suggests that BD may present a progressive course with cognitive and functioning decline, which may be associated with mood episodes, length of the illness, early trauma,2 and biological rhythms disturbance, which may be a feature of BD.3 However, most of the evidence in this field came from cross-sectional studies, and the few existing longitudinal studies bring contrary results.4 A small number of studies assess the patient's perception of their cognitive function, which might be highly relevant to their everyday life.5 Therefore, the ideal study to assess the progression of cognition in BD might include objective as well as subjective measures from a longitudinal perspective.Thus, the purpose of the present study was to evaluate longitudinal cognitive performance in a sample of individuals with BD at baseline and after six years. All patients were in a depressive episode at baseline and euthymic at follow-up. We assessed subjective and objective cognitive difficulties in both points. We also investigated the relationship between psychosocial functioning, biological rhythms, and childhood trauma to cognition and the course of the illness. As far as we know, this is the first report using specific instruments to measure the relationship between these aspects to objective and subjective cognitive difficulties in a longitudinal BD sample. (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Pacientes
/
Transtorno Bipolar
/
Cognição
/
Disfunção Cognitiva
Limite:
Humanos
Idioma:
Inglês
Revista:
Eur. j. psychiatry
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
McMaster University/Canada
/
Universidade Federal do Rio Grande do Sul/Brazil
/
Universidade do Vale do Taquari/Brazil