The search for neuroimaging and cognitive endophenotypes: A critical systematic review of studies involving unaffected first-degree relatives of individuals with bipolar disorder.

Abstract:

:The phenomenology and underlying pathophysiology of bipolar disorder (BD) are heterogeneous. The identification of putative endophenotypes for BD can aid in the investigation of unique patho-etiological pathways, which may lead to the development of personalised preventative and therapeutic approaches for this multi-faceted disorder. We included original studies involving unaffected first-degree relatives of BD patients (URs) and a healthy control (HC) comparison group with no first-degree family history of mental disorders, investigating: 'cold' and 'hot' cognition and functional and structural neuroimaging. Seventy-seven cross-sectional studies met the inclusion criteria. The present review revealed that URs in comparison with HCs showed: (i) widespread deficits in verbal memory, sustained attention, and executive function; (ii) abnormalities in the reactivity to and regulation of emotional information along with aberrant reward processing, and heightened attentional interference by emotional stimuli; and (iii) less consistency in the findings regarding structural and resting state neuroimaging, and electrophysiological measures.

journal_name

Neurosci Biobehav Rev

authors

Miskowiak KW,Kjærstad HL,Meluken I,Petersen JZ,Maciel BR,Köhler CA,Vinberg M,Kessing LV,Carvalho AF

doi

10.1016/j.neubiorev.2016.12.011

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

1-22

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(16)30319-0

journal_volume

73

pub_type

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