Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15-year follow-up
Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15‐year follow‐up. Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to af...
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| Published in | Acta psychiatrica Scandinavica Vol. 122; no. 6; pp. 499 - 506 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.12.2010
Blackwell |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0001-690X 1600-0447 1600-0447 |
| DOI | 10.1111/j.1600-0447.2010.01590.x |
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| Abstract | Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15‐year follow‐up.
Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms.
Method: A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow‐up and analyzed by linear regression.
Results: Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability.
Conclusion: Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. |
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| AbstractList | Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15‐year follow‐up.
Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms.
Method: A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow‐up and analyzed by linear regression.
Results: Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability.
Conclusion: Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15‐year follow‐up. Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms. Method: A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow‐up and analyzed by linear regression. Results: Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability. Conclusion: Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms.OBJECTIVEDespite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms.A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow-up and analyzed by linear regression.METHODA total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow-up and analyzed by linear regression.Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability.RESULTSGlobal functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability.Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode.CONCLUSIONProcessing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms. Method: A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow-up and analyzed by linear regression. Results: Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability. Conclusion: Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. [PUBLICATION ABSTRACT] Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms. A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow-up and analyzed by linear regression. Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability. Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15-year follow-up.Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective symptoms.Method: A total of 33 bipolar I subjects were evaluated at index hospitalization and prospectively followed up 15 years later. Affective symptoms, cognition, global functioning, work, and social adjustment were assessed at follow-up and analyzed by linear regression.Results: Global functional impairment was significantly associated with poor performance on a cognitive measure of processing speed (WAIS Digit Symbol). Digit symbol performance also was the sole significant predictor of social functioning. Neither symptom severity nor course of illness features significantly contributed to global and social functioning. In contrast, verbal learning deficits, recent depression, and lifetime hospitalizations all were independently associated with work disability.Conclusion: Processing speed is robustly associated with social and global functioning in bipolar disorder. Poor work functioning is significantly related to subsyndromal depression, course of illness, and verbal learning deficits. Cognitive and mood symptoms warrant consideration as independent determinants of functioning in patients with bipolar disorder many years after an index manic episode. |
| Author | Goldberg, J. F. Harrow, M. Burdick, K. E. |
| AuthorAffiliation | 3 Department of Psychiatry, Albert Einstein College of Medicine, Bronx, NY 4 Department of Psychiatry, Mount Sinai School of Medicine, New York, NY 1 Center for Translational Psychiatry, The Feinstein Medical Research Institute, Manhasset, NY 5 Affective Disorders Research Program, Silver Hill Hospital, New Canaan, CT 6 Department of Psychiatry, The University of Illinois College of Medicine, Chicago, IL, USA 2 Department of Psychiatry Research, The Zucker Hillside Hospital-North Shore Long Island, Jewish Health System, Glen Oaks, NY |
| AuthorAffiliation_xml | – name: 3 Department of Psychiatry, Albert Einstein College of Medicine, Bronx, NY – name: 2 Department of Psychiatry Research, The Zucker Hillside Hospital-North Shore Long Island, Jewish Health System, Glen Oaks, NY – name: 1 Center for Translational Psychiatry, The Feinstein Medical Research Institute, Manhasset, NY – name: 4 Department of Psychiatry, Mount Sinai School of Medicine, New York, NY – name: 5 Affective Disorders Research Program, Silver Hill Hospital, New Canaan, CT – name: 6 Department of Psychiatry, The University of Illinois College of Medicine, Chicago, IL, USA |
| Author_xml | – sequence: 1 givenname: K. E. surname: Burdick fullname: Burdick, K. E. organization: Center for Translational Psychiatry, The Feinstein Medical Research Institute, Manhasset, NY – sequence: 2 givenname: J. F. surname: Goldberg fullname: Goldberg, J. F. organization: Department of Psychiatry, Mount Sinai School of Medicine, New York, NY – sequence: 3 givenname: M. surname: Harrow fullname: Harrow, M. organization: Department of Psychiatry, The University of Illinois College of Medicine, Chicago, IL, USA |
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| Keywords | Mood disorder Human Executive function Cognitive disorder Follow up study Depression Bipolar disorder Cognition Psychosocial factor outcome |
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| References | Brissos S, Dias VV, Kapczinski F. Cognitive performance and quality of life in bipolar disorder. Can J Psychiatry 2008;53:517-524. Harrow M, Grossman LS, Herbener ES, Davies EW. Ten-year outcome: patients with schizoaffective disorders, affective disorders and mood-incongruent psychotic symptoms. Br J Psychiatry 2000;177:421-426. Endicott J, Spitzer RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978;35:837-844. Simon GE, Bauer MS, Ludman EJ, Operskalski BH, Unützer J. Mood symptoms, functional impairment, and disability in people with bipolar disorder: specific effects of mania and depression. J Clin Psychiatry 2007;68:1237-12456. Martinez-Aran A, Vieta E, Torrent C et al. Functional outcome in bipolar disorder: the role of clinical and cognitive factors. Bipolar Disord 2007;9:103-113. Dickerson FB, Boronow JJ, Stallings CR, Origoni AE, Cole S, Rolken RH. Association between cognitive functioning and employment status of persons with bipolar disorder. Psychiatr Serv 2004;55:54-58. Martino DJ, Marengo E, Igoa A et al. Neurocognitive and symptomatic predictors of functional outcome in bipolar disorders: a prospective 1 year follow-up study. J Affect Disord 2009;116:37-42. Grinker Rr SR, Harrow M (Eds) A Multidimensional Approach to Clinical Research in Schizophrenia. Springfield, IL: Charles C. Thomas, 1987. Goldberg JF, Harrow M. Consistency of remission and outcome in bipolar and unipolar mood disorders: a 10-year prospective follow-up. J Affect Disord 2004;81:123-131. Mohamed S, Rosenheck R, Swartz M, Stroup S, Lieberman JA, Keefe RS. Relationship of cognition and psychopathology to functional impairment in schizophrenia. Am J Psychiatry 2008;165:978-987. Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G. Wisconsin Card Sorting Test Manual: Revised and Expanded. Odessa, FL: Psychological Assessment Resources, Inc., 1993. Martinez-Aran A, Vieta E, Colom F et al. Cognitive impairment in euthymic bipolar patients: implications for clinical and functional outcome. Bipolar Disord 2004;6:224-232. Shi L, Namjoshi MA, Swindle R et al. Effects of olanzapine alone and olanzapine/fluoxetine combination on health-related quality of life in patients with bipolar depression: secondary analyses of a double-blind, placebo-controlled, randomized clinical trial. Clin Ther 2004;26:125-134. Burdick KE, Goldberg JF, Harrow M, Faull RN, Malhotra AK. Neurocognition as a stable endophenotype in bipolar disorder and schizophrenia. J Nerv Ment Dis 2006;194:255-260. Wechsler D. WAIS-R Manual. San Antonio, TX: The Psychological Corporation, 1981. Jaeger J, Berns S, Loftus S, Gonzalez C, Czobor P. Neurocognitive test performance predicts functional recovery from acute exacerbation leading to hospitalization in bipolar disorder. Bipolar Disord 2007;9:93-102. Tabarés-Seisdedo R, Balanzá-Mártinez V, Sánchez-Moreno J et al. Neurocognitive and clinical predictors of functional outcome in patients with schizophrenia and bipolar I disorder at one-year follow-up. J Affect Disord 2008;109:286-299. Malhi GS, Ivanovski B, Hadzi-Pavlovic D, Mitchell PB, Vieta E, Sachdev P. Neuropsychological deficits and functional impairment in bipolar depression, hypomania, and euthymia. Bipolar Disord 2007;9:114-125. Torres IJ, Boudreau VG, Yatham LN. Neuropsychological functioning in euthymic bipolar disorder: a meta-analysis. Acta Psychiatr Scand 2007;434:17-26. Goldberg JG, Harrow M, Grossman LS. Course and outcome in bipolar affective disorder: a longitudinal follow-up study. Am J Psychiatry 1995;152:379-384. Spreen O, Strauss E. A compendium of neuropsychological tests: Administration, norms, and commentary, 2nd edn. New York: Oxford University Press, 1998. Goldberg JF, Harrow M, Grossman LS. Recurrent affective syndromes in bipolar and unipolar mood disorders at follow-up. Br J Psychiatry 1995;166:382-385. Mcgurk SR, Mueser KT, Harvey PD, Lapuglia R, Marder J. Cognitive and symptom predictors of work outcomes for clients with schizophrenia in supported employment. Psychiatr Serv 2003;54:1129-1135. Shi L, Juarez R, Hackworth J et al. Open-label olanzapine treatment in bipolar I disorder: clinical and work functional outcomes. Curr Med Res Opin 2006;22:961-966. Delis DC, Kramer JH, Kaplan E, Ober BA. California Verbal Learning Test (CVLT) Adult Version Manual. Research Edition. San Antonio, TX: The Psychological Corporation, 1987. Goldberg JF, Burdick KE. Cognitive Dysfunction in Bipolar Disorder: a Guide for Clinicians. Washington, DC: American Psychiatric Press Inc., 2008. Strauss JS, Carpenter WT Jr. The prediction of outcome in schizophrenia. I. Characteristics of outcome. Arch Gen Psychiatry 1972;27:739-746. Mur M, Portella M, Martínez-Arán A, Pifarr J, Vieta E. Neuropsychological profile in bipolar disorder: a preliminary study of monotherapy lithium-treated euthymic bipolar patients evaluated at a 2-year interval. Acta Psychiatr Scand 2008;118:373-381. Mur M, Portella MJ, Martinez-Aran A, Pifarré J, Vieta E. Persistent neuropsychological deficits in euthymic bipolar patients: executive function as a core deficit. J Clin Psychiatry 2007;68:1078-1086. Spitzer RL, Endicott J, Robins E. Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 1978;35:773-782. Bonnín CM, Martínez-Arán A, Torrent C et al. Clinical and neurocognitive predictors of functional outcome in bipolar euthymic patients: A long-term, follow-up study. J Affect Disord 2010;121:156-160. Sanchez-Moreno J, Martinez-Aran A, Tabarés-Seisdedos R, Torrent C, Vieta E, Ayuso-Mateos JL. Functioning and disability in bipolar disorder: an extensive review. Psychother Psychosom 2009;78:285-297. Fleck DE, Shear PK, Zimmerman ME et al. Verbal memory in mania: effects of clinical state and task requirements. Bipolar Disord 2003;5:375-380. Altshuler LL, Post RM, Black DO et al. Subsyndromal depressive symptoms are associated with functional impairment in patients with bipolar disorder: results of a large, multisite study. J Clin Psychiatry 2006;67:1551-1560. Burdick KE, Gunawardane N, Goldberg JF, Halperin JM, Garno JL, Malhotra AK. Attention and psychomotor functioning in bipolar depression. Psychiatry Res 2009;166:192-200. Laes JR, Sponheim SR. Does cognition predict community function only in schizophrenia?: A study of schizophrenia patients, bipolar affective disorder patients, and community control subjects. Schizophr Res 2006;84:121-131. Levenstein S, Klein DF, Pollack M. Follow-up study of formerly hospitalized voluntary psychiatric patients: the first two years. Am J Psychiatry 1966;122:1102-1109. Coryell W, Turvey C, Endicott J et al. Bipolar I affective disorder: predictors of outcome after 15 years. J Affect Disord 1998;50:109-116. 2004; 81 2004; 26 1998 2010; 121 2008; 109 2008 2004; 6 1993 2006; 194 2000; 177 1978; 35 2008; 53 2008; 165 1995; 152 2003; 54 1972; 27 2009; 116 2009; 78 2007; 434 2004; 55 1966; 122 2006; 84 2006; 67 2006; 22 1987 2009; 166 2007; 9 2008; 118 2003; 5 1998; 50 1995; 166 1981 2007; 68 e_1_2_9_30_2 e_1_2_9_10_2 e_1_2_9_33_2 e_1_2_9_34_2 e_1_2_9_12_2 e_1_2_9_31_2 e_1_2_9_11_2 e_1_2_9_32_2 e_1_2_9_14_2 e_1_2_9_37_2 e_1_2_9_13_2 e_1_2_9_38_2 e_1_2_9_16_2 e_1_2_9_35_2 e_1_2_9_15_2 e_1_2_9_36_2 e_1_2_9_18_2 e_1_2_9_17_2 e_1_2_9_39_2 e_1_2_9_21_2 Heaton RK (e_1_2_9_25_2) 1993 e_1_2_9_22_2 e_1_2_9_7_2 e_1_2_9_6_2 e_1_2_9_5_2 e_1_2_9_4_2 e_1_2_9_3_2 Spreen O (e_1_2_9_20_2) 1998 Wechsler D (e_1_2_9_23_2) 1981 Delis DC (e_1_2_9_24_2) 1987 e_1_2_9_9_2 e_1_2_9_8_2 e_1_2_9_27_2 e_1_2_9_26_2 Goldberg JF (e_1_2_9_2_2) 2008 Grinker Rr SR (e_1_2_9_19_2) 1987 e_1_2_9_29_2 e_1_2_9_28_2 |
| References_xml | – reference: Tabarés-Seisdedo R, Balanzá-Mártinez V, Sánchez-Moreno J et al. Neurocognitive and clinical predictors of functional outcome in patients with schizophrenia and bipolar I disorder at one-year follow-up. J Affect Disord 2008;109:286-299. – reference: Strauss JS, Carpenter WT Jr. The prediction of outcome in schizophrenia. I. Characteristics of outcome. Arch Gen Psychiatry 1972;27:739-746. – reference: Mcgurk SR, Mueser KT, Harvey PD, Lapuglia R, Marder J. Cognitive and symptom predictors of work outcomes for clients with schizophrenia in supported employment. Psychiatr Serv 2003;54:1129-1135. – reference: Fleck DE, Shear PK, Zimmerman ME et al. Verbal memory in mania: effects of clinical state and task requirements. Bipolar Disord 2003;5:375-380. – reference: Mohamed S, Rosenheck R, Swartz M, Stroup S, Lieberman JA, Keefe RS. Relationship of cognition and psychopathology to functional impairment in schizophrenia. Am J Psychiatry 2008;165:978-987. – reference: Torres IJ, Boudreau VG, Yatham LN. Neuropsychological functioning in euthymic bipolar disorder: a meta-analysis. Acta Psychiatr Scand 2007;434:17-26. – reference: Harrow M, Grossman LS, Herbener ES, Davies EW. Ten-year outcome: patients with schizoaffective disorders, affective disorders and mood-incongruent psychotic symptoms. Br J Psychiatry 2000;177:421-426. – reference: Jaeger J, Berns S, Loftus S, Gonzalez C, Czobor P. Neurocognitive test performance predicts functional recovery from acute exacerbation leading to hospitalization in bipolar disorder. Bipolar Disord 2007;9:93-102. – reference: Dickerson FB, Boronow JJ, Stallings CR, Origoni AE, Cole S, Rolken RH. Association between cognitive functioning and employment status of persons with bipolar disorder. Psychiatr Serv 2004;55:54-58. – reference: Coryell W, Turvey C, Endicott J et al. Bipolar I affective disorder: predictors of outcome after 15 years. J Affect Disord 1998;50:109-116. – reference: Bonnín CM, Martínez-Arán A, Torrent C et al. Clinical and neurocognitive predictors of functional outcome in bipolar euthymic patients: A long-term, follow-up study. J Affect Disord 2010;121:156-160. – reference: Burdick KE, Goldberg JF, Harrow M, Faull RN, Malhotra AK. Neurocognition as a stable endophenotype in bipolar disorder and schizophrenia. J Nerv Ment Dis 2006;194:255-260. – reference: Martinez-Aran A, Vieta E, Torrent C et al. Functional outcome in bipolar disorder: the role of clinical and cognitive factors. Bipolar Disord 2007;9:103-113. – reference: Goldberg JG, Harrow M, Grossman LS. Course and outcome in bipolar affective disorder: a longitudinal follow-up study. Am J Psychiatry 1995;152:379-384. – reference: Laes JR, Sponheim SR. Does cognition predict community function only in schizophrenia?: A study of schizophrenia patients, bipolar affective disorder patients, and community control subjects. Schizophr Res 2006;84:121-131. – reference: Shi L, Namjoshi MA, Swindle R et al. Effects of olanzapine alone and olanzapine/fluoxetine combination on health-related quality of life in patients with bipolar depression: secondary analyses of a double-blind, placebo-controlled, randomized clinical trial. Clin Ther 2004;26:125-134. – reference: Mur M, Portella M, Martínez-Arán A, Pifarr J, Vieta E. Neuropsychological profile in bipolar disorder: a preliminary study of monotherapy lithium-treated euthymic bipolar patients evaluated at a 2-year interval. Acta Psychiatr Scand 2008;118:373-381. – reference: Burdick KE, Gunawardane N, Goldberg JF, Halperin JM, Garno JL, Malhotra AK. Attention and psychomotor functioning in bipolar depression. Psychiatry Res 2009;166:192-200. – reference: Goldberg JF, Harrow M. Consistency of remission and outcome in bipolar and unipolar mood disorders: a 10-year prospective follow-up. J Affect Disord 2004;81:123-131. – reference: Altshuler LL, Post RM, Black DO et al. Subsyndromal depressive symptoms are associated with functional impairment in patients with bipolar disorder: results of a large, multisite study. J Clin Psychiatry 2006;67:1551-1560. – reference: Spreen O, Strauss E. A compendium of neuropsychological tests: Administration, norms, and commentary, 2nd edn. New York: Oxford University Press, 1998. – reference: Simon GE, Bauer MS, Ludman EJ, Operskalski BH, Unützer J. Mood symptoms, functional impairment, and disability in people with bipolar disorder: specific effects of mania and depression. J Clin Psychiatry 2007;68:1237-12456. – reference: Mur M, Portella MJ, Martinez-Aran A, Pifarré J, Vieta E. Persistent neuropsychological deficits in euthymic bipolar patients: executive function as a core deficit. J Clin Psychiatry 2007;68:1078-1086. – reference: Grinker Rr SR, Harrow M (Eds) A Multidimensional Approach to Clinical Research in Schizophrenia. Springfield, IL: Charles C. Thomas, 1987. – reference: Heaton RK, Chelune GJ, Talley JL, Kay GG, Curtiss G. Wisconsin Card Sorting Test Manual: Revised and Expanded. Odessa, FL: Psychological Assessment Resources, Inc., 1993. – reference: Sanchez-Moreno J, Martinez-Aran A, Tabarés-Seisdedos R, Torrent C, Vieta E, Ayuso-Mateos JL. Functioning and disability in bipolar disorder: an extensive review. Psychother Psychosom 2009;78:285-297. – reference: Delis DC, Kramer JH, Kaplan E, Ober BA. California Verbal Learning Test (CVLT) Adult Version Manual. Research Edition. San Antonio, TX: The Psychological Corporation, 1987. – reference: Spitzer RL, Endicott J, Robins E. Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 1978;35:773-782. – reference: Shi L, Juarez R, Hackworth J et al. Open-label olanzapine treatment in bipolar I disorder: clinical and work functional outcomes. Curr Med Res Opin 2006;22:961-966. – reference: Goldberg JF, Harrow M, Grossman LS. Recurrent affective syndromes in bipolar and unipolar mood disorders at follow-up. Br J Psychiatry 1995;166:382-385. – reference: Malhi GS, Ivanovski B, Hadzi-Pavlovic D, Mitchell PB, Vieta E, Sachdev P. Neuropsychological deficits and functional impairment in bipolar depression, hypomania, and euthymia. Bipolar Disord 2007;9:114-125. – reference: Wechsler D. WAIS-R Manual. San Antonio, TX: The Psychological Corporation, 1981. – reference: Endicott J, Spitzer RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978;35:837-844. – reference: Martino DJ, Marengo E, Igoa A et al. Neurocognitive and symptomatic predictors of functional outcome in bipolar disorders: a prospective 1 year follow-up study. J Affect Disord 2009;116:37-42. – reference: Goldberg JF, Burdick KE. Cognitive Dysfunction in Bipolar Disorder: a Guide for Clinicians. Washington, DC: American Psychiatric Press Inc., 2008. – reference: Levenstein S, Klein DF, Pollack M. Follow-up study of formerly hospitalized voluntary psychiatric patients: the first two years. Am J Psychiatry 1966;122:1102-1109. – reference: Brissos S, Dias VV, Kapczinski F. Cognitive performance and quality of life in bipolar disorder. Can J Psychiatry 2008;53:517-524. – reference: Martinez-Aran A, Vieta E, Colom F et al. Cognitive impairment in euthymic bipolar patients: implications for clinical and functional outcome. 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| Snippet | Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15‐year follow‐up.
Objective: ... Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to affective... Objective: Despite increasing interest in cognitive dysfunction in bipolar disorder, little is known about its impact on functional outcome relative to... Burdick KE, Goldberg JF, Harrow M. Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15-year follow-up.Objective:... |
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| SubjectTerms | Adult Adult and adolescent clinical studies Biological and medical sciences Bipolar disorder Bipolar Disorder - diagnosis Bipolar Disorder - epidemiology Bipolar Disorder - psychology Bipolar disorders Chicago - epidemiology Clinical outcomes Cognition Cognition & reasoning Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - psychology Cognitive ability Comorbidity Depression Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - psychology Employment - psychology Employment - statistics & numerical data Executive Function Female Follow-Up Studies Humans Information processing Learning Longitudinal Studies Male Medical sciences Mood Mood disorders Neuropsychological Tests - statistics & numerical data Neuropsychology outcome Prospective Studies Psychiatric Status Rating Scales - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index Social Adjustment Social interactions Social psychology Treatment Outcome |
| Title | Neurocognitive dysfunction and psychosocial outcome in patients with bipolar I disorder at 15-year follow-up |
| URI | https://api.istex.fr/ark:/67375/WNG-DSTVVJJC-9/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1600-0447.2010.01590.x https://www.ncbi.nlm.nih.gov/pubmed/20637012 https://www.proquest.com/docview/762632726 https://www.proquest.com/docview/808459431 https://www.proquest.com/docview/954616512 https://pubmed.ncbi.nlm.nih.gov/PMC2980854 |
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