Evolution of cognitive impairment in bipolar disorder: a systematic review of cross-sectional evidence.

Abstract:

OBJECTIVES:The notion that sufferers of bipolar disorder achieve complete syndromal and functional recovery between illness episodes has been brought into question by evidence that a large proportion of patients fail to regain premorbid levels of functioning after the resolution of major affective symptoms. A growing body of evidence suggests that bipolar patients exhibit neuropsychological impairment that persists even during the euthymic state, which may be a contributory factor to poor psychosocial outcome. However, the aetiology of such impairment and its relation to progression of illness are not well understood. This review aims to consider evidence from studies investigating both the relationship between cognitive impairment and clinical outcome and studies of neurocognitive function in unaffected first-degree relatives (FDRs) of bipolar sufferers to address issues of the temporal evolution of cognitive impairment in bipolar disorder. METHODS:Systematic literature review. RESULTS:The weight of evidence suggests that greater neuropsychological dysfunction in bipolar disorder is associated with a worse prior course of illness, particularly the number of manic episodes, hospitalizations and length of illness. The most consistent finding was a negative relationship between the number of manic episodes and verbal declarative memory performance. Impairment in unaffected FDRs was reported in verbal declarative memory and some facets of executive function. CONCLUSIONS:Cognitive impairment may be a trait vulnerability factor for bipolar disorder that is present before illness onset and worsens as the illness progresses. Further investigation into the causal relationship between cognitive impairment and illness course is essential.

journal_name

Bipolar Disord

journal_title

Bipolar disorders

authors

Robinson LJ,Ferrier IN

doi

10.1111/j.1399-5618.2006.00277.x

keywords:

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

103-16

issue

2

eissn

1398-5647

issn

1399-5618

pii

BDI277

journal_volume

8

pub_type

杂志文章,meta分析,评审
  • Wisconsin Card Sorting Test performance in bipolar disorder: effects of mood state and early course.

    abstract:OBJECTIVES:Patients experiencing an acute mood episode of bipolar disorder are impaired on cognitive tests of executive functioning when compared with healthy subjects. However, it is unclear to what extent executive dysfunction exists (i) during syndromal remission, when mood symptoms are attenuated, and (ii) during t...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2008.00582.x

    authors: Fleck DE,Shear PK,Madore M,Strakowski SM

    更新日期:2008-06-01 00:00:00

  • A randomized, double-blind, controlled trial evaluating the effect of intranasal insulin on neurocognitive function in euthymic patients with bipolar disorder.

    abstract:BACKGROUND:Neurocognitive deficits are prevalent, persistent, and implicated as mediators of functional impairment in adults with bipolar disorder. Notwithstanding progress in the development of pharmacological treatments for various phases of bipolar disorder, no available treatment has been proven to be reliably effi...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bdi.12006

    authors: McIntyre RS,Soczynska JK,Woldeyohannes HO,Miranda A,Vaccarino A,Macqueen G,Lewis GF,Kennedy SH

    更新日期:2012-11-01 00:00:00

  • Laterality of pain in migraine with comorbid unipolar depressive and bipolar II disorders.

    abstract:OBJECTIVES:The purpose of the present study has been to examine differences in the laterality of pain in patients with migraine and comorbid unipolar depressive (UP) and bipolar II (BP II) disorders. METHODS:Semi-structured interviews of 102 patients with major affective disorders were conducted, using DSM-IV criteria...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1034/j.1399-5618.2002.01226.x

    authors: Fasmer OB,Oedegaard KJ

    更新日期:2002-10-01 00:00:00

  • An investigation of mental imagery in bipolar disorder: Exploring "the mind's eye".

    abstract:OBJECTIVES:Mental imagery abnormalities occur across psychopathologies and are hypothesized to drive emotional difficulties in bipolar disorder (BD). A comprehensive assessment of mental imagery in BD is lacking. We aimed to test whether (i) mental imagery abnormalities (abnormalities in cognitive stages and subjective...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12453

    authors: Di Simplicio M,Renner F,Blackwell SE,Mitchell H,Stratford HJ,Watson P,Myers N,Nobre AC,Lau-Zhu A,Holmes EA

    更新日期:2016-12-01 00:00:00

  • Development of the QoL.BD: a disorder-specific scale to assess quality of life in bipolar disorder.

    abstract:BACKGROUND:There is wide recognition that symptom ratings alone are inadequate to measure outcomes in bipolar disorder (BD), and quality of life (QoL) has been proposed as an important separable construct. Although a literature on QoL in BD exists, there is no disorder-specific measure of QoL in BD. In 2004, we embarke...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2010.00865.x

    authors: Michalak EE,Murray G,Collaborative RESearch Team to Study Psychosocial Issues in Bipolar Disorder (CREST.BD).

    更新日期:2010-11-01 00:00:00

  • Prediction of pediatric bipolar disorder using neuroanatomical signatures of the amygdala.

    abstract:OBJECTIVES:Pediatric bipolar disorder is currently diagnosed based on signs and symptoms, and without objective diagnostic biomarkers. In the present study, we investigated the utility of structural neuroanatomical signatures of the amygdala to objectively differentiate individual subjects with pediatric bipolar disord...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12222

    authors: Mwangi B,Spiker D,Zunta-Soares GB,Soares JC

    更新日期:2014-11-01 00:00:00

  • Characterizing the experience of auditory verbal hallucinations and accompanying delusions in individuals with a diagnosis of bipolar disorder: A systematic review.

    abstract:OBJECTIVES:The aim of the current study was to inform ongoing attempts to identify clinically meaningful subcategories of auditory verbal hallucination (AVH), and to evaluate evidence that might pertain to the suitability of current psychological interventions for people with bipolar disorder (BD) who experience psycho...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/bdi.12520

    authors: Smith LM,Johns LC,Mitchell R

    更新日期:2017-09-01 00:00:00

  • Disability and its treatment in bipolar disorder patients.

    abstract::Bipolar disorders (BPD) are major, life-long psychiatric illnesses found in 2-5% of the population. Prognosis for BPD was once considered relatively favorable, but contemporary findings suggest that disability and poor outcomes are prevalent, despite major therapeutic advances. Syndromal recovery from acute episodes o...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2007.00430.x

    authors: Huxley N,Baldessarini RJ

    更新日期:2007-02-01 00:00:00

  • Hot and cold cognition in unmedicated depressed subjects with bipolar disorder.

    abstract:OBJECTIVES:Neuropsychological studies in subjects with bipolar disorder (BD) have reported deficits on a variety of cognitive measures. However, because the majority of subjects were medicated at the time of testing in previous studies, it is currently unclear whether the pattern of deficits reported is related to BD i...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2009.00669.x

    authors: Roiser JP,Cannon DM,Gandhi SK,Taylor Tavares J,Erickson K,Wood S,Klaver JM,Clark L,Zarate CA Jr,Sahakian BJ,Drevets WC

    更新日期:2009-03-01 00:00:00

  • Postnatal euphoria: are 'the highs' an indicator of bipolarity?

    abstract::Research into postnatal mood disorders to date has concentrated on depressive syndromes of varying severity and full-blown acute puerperal mania. However, clinical experience, backed up by a review of the literature, indicates that milder hypomanic symptoms also occur in the early puerperium. Although these symptoms m...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2005.00185.x

    authors: Heron J,Craddock N,Jones I

    更新日期:2005-04-01 00:00:00

  • Sex differences in rates of obesity in bipolar disorder: postulated mechanisms.

    abstract:OBJECTIVE:The increased standardized mortality ratio (SMR) from cardiovascular disease (CVD) in women with bipolar disorder (BD), relative to men with BD and individuals of both sexes in the general population, provides the impetus to identify factors that contribute to the differential association of obesity with BD i...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/bdi.12141

    authors: Baskaran A,Cha DS,Powell AM,Jalil D,McIntyre RS

    更新日期:2014-02-01 00:00:00

  • Prevalence of the Child Behavior Checklist-pediatric bipolar disorder phenotype in a German general population sample.

    abstract:BACKGROUND:In children with pediatric bipolar disorder (PBD), a consistent pattern of elevations in inattention/hyperactivity, depression/anxiety, and aggression has been identified on the Child Behavior Checklist (CBCL-PBD profile). In Germany, no epidemiological study has included PBD to date. OBJECTIVES:To estimate...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2007.00463.x

    authors: Holtmann M,Bölte S,Goth K,Döpfner M,Plück J,Huss M,Fegert JM,Lehmkuhl G,Schmeck K,Poustka F

    更新日期:2007-12-01 00:00:00

  • A population-based morphometric MRI study in patients with first-episode psychotic bipolar disorder: comparison with geographically matched healthy controls and major depressive disorder subjects.

    abstract:OBJECTIVES:Many morphometric magnetic resonance imaging (MRI) studies that have investigated the presence of gray matter (GM) volume abnormalities associated with the diagnosis of bipolar disorder (BD) have reported conflicting findings. None of these studies has compared patients with recent-onset psychotic BD with as...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2011.00896.x

    authors: de Azevedo-Marques Périco C,Duran FL,Zanetti MV,Santos LC,Murray RM,Scazufca M,Menezes PR,Busatto GF,Schaufelberger MS

    更新日期:2011-02-01 00:00:00

  • Risk assessment and psychosocial interventions for suicidal patients.

    abstract:OBJECTIVES:Suicide is a leading cause of death in the USA. Although factors elevating long-term risk for suicide are known and include bipolar disorder, signs of imminent suicide risk are difficult to study and not well specified. Acute risk determinations must be made to determine the appropriate level of care to safe...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12092

    authors: Chesin M,Stanley B

    更新日期:2013-08-01 00:00:00

  • The role of atypical antipsychotics in bipolar depression and anxiety disorders.

    abstract::Bipolar disorder is a complex condition that includes symptoms of mania, depression, and often anxiety. Diagnosing and treating bipolar depression is challenging, with the disorder often being diagnosed as unipolar depression. In addition, comorbid anxiety can be a significant detractor to successful outcomes, increas...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-2406.2003.00061.x

    authors: McIntyre R,Katzman M

    更新日期:2003-01-01 00:00:00

  • Right unilateral electroconvulsive therapy does not cause more cognitive impairment than pharmacologic treatment in treatment-resistant bipolar depression: A 6-month randomized controlled trial follow-up study.

    abstract:OBJECTIVES:Electroconvulsive therapy is an effective treatment for bipolar depression, but there are concerns about whether it causes long-term neurocognitive impairment. METHODS:In this multicenter randomized controlled trial, in-patients with treatment-resistant bipolar depression were randomized to either algorithm...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bdi.12594

    authors: Bjoerke-Bertheussen J,Schoeyen H,Andreassen OA,Malt UF,Oedegaard KJ,Morken G,Sundet K,Vaaler AE,Auestad B,Kessler U

    更新日期:2018-09-01 00:00:00

  • Altered frontal-amygdala effective connectivity during effortful emotion regulation in bipolar disorder.

    abstract:OBJECTIVES:Sufficient prefrontal top-down control of limbic affective areas, especially the amygdala, is essential for successful effortful emotion regulation (ER). Difficulties in effortful ER have been seen in patients with bipolar disorder (BD), which could be suggestive of a disturbed prefrontal-amygdala regulation...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/bdi.12611

    authors: Zhang L,Opmeer EM,van der Meer L,Aleman A,Ćurčić-Blake B,Ruhé HG

    更新日期:2018-06-01 00:00:00

  • Efficacy of a protein kinase C inhibitor (tamoxifen) in the treatment of acute mania: a pilot study.

    abstract:OBJECTIVES:Considerable preclinical biochemical and behavioral data suggest that protein kinase C inhibition would bring about antimanic effects. Notably, the structurally highly dissimilar antimanic agents lithium and valproate, when administered in therapeutically relevant paradigms, attenuate protein kinase C [corre...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-5618.2007.00530.x

    authors: Zarate CA Jr,Singh JB,Carlson PJ,Quiroz J,Jolkovsky L,Luckenbaugh DA,Manji HK

    更新日期:2007-09-01 00:00:00

  • Lithium regulates PKC-mediated intracellular cross-talk and gene expression in the CNS in vivo.

    abstract::It has become increasingly appreciated that the long-term treatment of complex neuropsychiatric disorders like bipolar disorder (BD) involves the strategic regulation of signaling pathways and gene expression in critical neuronal circuits. Accumulating evidence from our laboratories and others has identified the famil...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-5618.2000.20303.x

    authors: Chen G,Masana MI,Manji HK

    更新日期:2000-09-01 00:00:00

  • A functional MRI study of working memory in adolescents and young adults at genetic risk for bipolar disorder: preliminary findings.

    abstract:OBJECTIVES:In this report, we seek to (i) identify a potential neuroimaging endophenotype for bipolar disorder (BD) in emotion regulatory and autonomic circuitry in young first-degree relatives of persons with BD; and (ii) replicate our previous work identifying the functional neuroanatomy of working memory (WM) in an ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2011.00920.x

    authors: Thermenos HW,Makris N,Whitfield-Gabrieli S,Brown AB,Giuliano AJ,Lee EH,Faraone SV,Tsuang MT,Seidman LJ

    更新日期:2011-05-01 00:00:00

  • Is bipolar disorder overdiagnosed among patients with substance abuse?

    abstract:BACKGROUND:Bipolar illness is frequently misdiagnosed. Several studies have focused on the underdiagnosis of this condition and the frequent long delay in its recognition. However, the illness is difficult to diagnose and many of its symptoms are shared by other conditions. In order to determine the accuracy of the dia...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2007.00465.x

    authors: Stewart C,El-Mallakh RS

    更新日期:2007-09-01 00:00:00

  • Frontal lobe bioenergetic metabolism in depressed adolescents with bipolar disorder: a phosphorus-31 magnetic resonance spectroscopy study.

    abstract:OBJECTIVES:To compare the concentrations of high-energy phosphorus metabolites associated with mitochondrial function in the frontal lobe of depressed adolescents with bipolar disorder (BD) and healthy controls (HC). METHODS:We used in vivo phosphorus-31 magnetic resonance spectroscopy ((31) P-MRS) at 3 Tesla to measu...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2012.01040.x

    authors: Shi XF,Kondo DG,Sung YH,Hellem TL,Fiedler KK,Jeong EK,Huber RS,Renshaw PF

    更新日期:2012-09-01 00:00:00

  • Randomized trial comparing caregiver-only family-focused treatment to standard health education on the 6-month outcome of bipolar disorder.

    abstract:OBJECTIVES:Caregivers of people with bipolar disorder often have depression and health problems. This study aimed to evaluate the sustained effects of a 12-15 week psychoeducational intervention on the health and mental health of caregivers of persons with bipolar disorder. We also evaluated the effects of the interven...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bdi.12621

    authors: Perlick DA,Jackson C,Grier S,Huntington B,Aronson A,Luo X,Miklowitz DJ

    更新日期:2018-11-01 00:00:00

  • Ketoconazole in bipolar patients with depressive symptoms: a case series and literature review.

    abstract:BACKGROUND:Data from several studies suggest that medications, such as ketoconazole, which lower cortisol levels, may be effective for major depressive disorder (MDD). As with MDD, the manic, depressive, and mixed phases of bipolar disorder are frequently associated with elevated cortisol levels. The literature on the ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-5618.2001.030103.x

    authors: Brown ES,Bobadilla L,Rush AJ

    更新日期:2001-02-01 00:00:00

  • Executive functioning and theory of mind in euthymic bipolar disorder.

    abstract:OBJECTIVES:To examine the nature of executive deficits in euthymic patients with bipolar disorder (BD). METHODS:Fifteen euthymic BD patients and 13 controls were administered a battery of executive tasks including verbal fluency, Stroop, Theory of Mind (ToM) tests and selected subtests from the Cambridge Neuropsycholo...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2005.00254.x

    authors: Olley AL,Malhi GS,Bachelor J,Cahill CM,Mitchell PB,Berk M

    更新日期:2005-01-01 00:00:00

  • Rapid acute treatment of agitation in patients with bipolar I disorder: a multicenter, randomized, placebo-controlled clinical trial with inhaled loxapine.

    abstract:OBJECTIVE:The present study evaluated inhaled loxapine for the acute treatment of agitation in patients with bipolar I disorder. METHODS:A Phase 3, randomized, double blind, placebo-controlled, parallel group inpatient study was performed at 17 psychiatric research facilities. Agitated patients (N=314) with bipolar I ...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1399-5618.2011.00975.x

    authors: Kwentus J,Riesenberg RA,Marandi M,Manning RA,Allen MH,Fishman RS,Spyker DA,Kehne JH,Cassella JV

    更新日期:2012-02-01 00:00:00

  • Why antidepressants are not antidepressants: STEP-BD, STAR*D, and the return of neurotic depression.

    abstract::The widely held clinical view of 'antidepressants' as highly effective and specific for the treatment of all types of depressive disorders is exaggerated. This sobering conclusion is supported by recent findings from the NIMH-sponsored STEP-BD and STAR*D projects. Antidepressants have limited short-term efficacy in un...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2008.00639.x

    authors: Ghaemi SN

    更新日期:2008-12-01 00:00:00

  • Neuropsychological dysfunction in bipolar affective disorder: a critical opinion.

    abstract::Data from the imaging literature have led to suggestions that permanent structural brain changes may be associated with bipolar disorder. Individuals diagnosed with bipolar disorder display deficits on a range of neuropsychological tasks in both the acute and euthymic phases of illness, and correlations between experi...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-5618.2005.00203.x

    authors: Savitz J,Solms M,Ramesar R

    更新日期:2005-06-01 00:00:00

  • Polarity at illness onset in bipolar I disorder and clinical course of illness.

    abstract:OBJECTIVES:Studies have suggested that episode polarity at illness onset in bipolar disorder may be predictive of some aspects of lifetime clinical characteristics. We here examine this possibility in a large, well-characterized sample of patients with bipolar I disorder. METHODS:We assessed polarity at onset in patie...

    journal_title:Bipolar disorders

    pub_type: 杂志文章

    doi:10.1111/j.1399-5618.2008.00654.x

    authors: Forty L,Jones L,Jones I,Smith DJ,Caesar S,Fraser C,Gordon-Smith K,Hyde S,Craddock N

    更新日期:2009-02-01 00:00:00

  • The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism is associated with increased body mass index and insulin resistance measures in bipolar disorder and schizophrenia.

    abstract:OBJECTIVES:We tested the hypothesis that a common functional variant in brain-derived neurotrophic factor (BDNF), Val66Met, which has been shown to be associated with increased body mass index (BMI) in schizophrenia (SCZ) and schizoaffective disorder (SAD), is also associated with antipsychotic-induced weight gain in b...

    journal_title:Bipolar disorders

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/bdi.12294

    authors: Bonaccorso S,Sodhi M,Li J,Bobo WV,Chen Y,Tumuklu M,Theleritis C,Jayathilake K,Meltzer HY

    更新日期:2015-08-01 00:00:00