Mazumdar Shaw Center, Narayana Health City, Bengaluru, India.
Department of Clinical Psychology, National Institute of Mental Health & Neuro Sciences (NIMHANS), Bengaluru, India.
Asian J Psychiatr. 2019 Aug;44:121-126. doi: 10.1016/j.ajp.2019.07.037. Epub 2019 Jul 24.
Bipolar disorder is a chronic psychiatric condition characterized by episodes of elevated/irritable and depressed moods resulting in the loss of more disability-adjusted life years (DALYs) than other major conditions. The neurocognitive impairments in these patients interfere with sustained goal-directed performance and achievement even during the euthymic phase of the illness.
The study aimed to explore the neurocognitive profile of patients in their euthymic phase. We matched 30 patients diagnosed with Bipolar Affective Disorder (BD) in the age range of 20-40 years with 30 healthy controls (with no axis I or II diagnosis, assessed on MINI) matched on age, gender, and education. The neurocognitive profile was assessed using NIMHANS Neuropsychology Battery.
Euthymic phase patients with bipolar disorder had statistically significant low scores on the speed of processing information as compared to healthy controls. Although impaired in BD group, no statistically significant difference was found between the two groups on executive functions and memory.
The findings of the study suggest that cognitive retraining aimed at ameliorating these deficits can be a used as an essential intervention in rehabilitation programs to successfully reintegrate patients with the bipolar affective disorder into the society. The research also indicates that despite the symptomatic recovery between the episodes, impairments in the speed of processing information continue to disrupt performance in patients with Bipolar Disorder.
双相情感障碍是一种慢性精神疾病,其特征为情绪升高/易怒和抑郁发作,导致丧失的残疾调整生命年(DALYs)比其他主要疾病更多。这些患者的神经认知障碍干扰了持续的目标导向表现和成就,即使在疾病的缓解期也是如此。
该研究旨在探索处于缓解期的患者的神经认知特征。我们匹配了 30 名年龄在 20-40 岁之间被诊断为双相情感障碍(BD)的患者和 30 名健康对照者(无轴 I 或 II 诊断,通过 MINI 评估),这些对照者在年龄、性别和教育方面相匹配。使用 NIMHANS 神经心理学电池评估神经认知特征。
与健康对照组相比,处于缓解期的双相情感障碍患者在信息处理速度方面的得分明显较低。尽管在 BD 组中存在障碍,但两组在执行功能和记忆方面没有发现统计学上的显著差异。
研究结果表明,旨在改善这些缺陷的认知训练可以作为康复计划中的重要干预措施,成功地将双相情感障碍患者重新融入社会。该研究还表明,尽管在发作之间有症状缓解,但信息处理速度的障碍仍会继续干扰双相情感障碍患者的表现。