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The duration of inpatient admission predicts cognitive functioning at discharge in patients with bipolar disorder.

Abstract：

:Previous studies of cognitive functioning in bipolar disorder generally indicate that a more severe course of illness is associated with greater cognitive impairment. In particular, a history of greater number and longer duration of mood episodes predicts enduring cognitive deficits in euthymic patients. Shifting the focus of this investigation to the cognitive effects of a discrete mood episode, the current study aimed to explore whether patients who require a longer hospitalization to stabilize from an acute episode of mood disturbance present with more compromised cognitive functioning during the phase of early recovery. For this purpose, the study examined the link between the duration of inpatient admission and neuropsychological test scores at the time of discharge in 41 patients with bipolar disorder. Participants were assigned to long (n = 20) and short (n = 21) stay groups using a median split (M = 12). Results indicated that longer admissions were associated with more severe deficits in executive functioning at discharge after controlling for residual mood symptoms and previous number of psychiatric admissions. Findings from the current study may inform discharge planning for patients with bipolar disorder after an extended hospital stay.

journal_name

Compr Psychiatry

journal_title

Comprehensive psychiatry

authors

Levy B,Stephansky MR,Dobie KC,Monzani BA,Medina AM,Weiss RD

doi

10.1016/j.comppsych.2008.09.005

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

322-6

issue

4

eissn

0010-440X

issn

1532-8384

pii

S0010-440X(08)00142-9

journal_volume

50

pub_type

杂志文章

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