Longitudinal relationship between clinical course and neurocognitive impairments in bipolar disorder
Journal of Affective Disorders Aug 26, 2017
Martino DJ, et al. Â The experts wished to estimate the association between clinical course and trajectory of neurocognitive functioning during a followÂup period in a sample of euthymic bipolar patients. Despite the fact that there might be a positive correlation between number of episodes and neurocognitive deficits in patients with bipolar disorder, successive episodes don't appear to modify the trajectory of neurocognitive functioning over time.
Methods
- This study was conducted on 51 patients with BD who performed two-neurocognitive assessment separated by a period of at least 48 months.
- The clinical course during the follow-up period was documented by: 3 measures
- Number of affective episodes,
- Time spent ill,
- Mood instability.
Results
- The results of this study showed that patients were followed-up for a mean period of 73.21 months.
- The findings suggested that neurocognitive performance tended to be stable throughout the follow-up.
- It was noted that performance in verbal memory and executive functions toward the finish of study were connected with the number of hypo/manic episodes and time spent with hypo/manic symptoms during the follow-up.
- According to the findings obtained, none of the clinical measures considered were associated with changes in neurocognitive performance over the follow-up period.
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