Department of Neurosciences and Mental Health, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, Milan, Italy; Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata (AOUI), Verona, Italy.
J Affect Disord. 2023 Oct 1;338:358-364. doi: 10.1016/j.jad.2023.06.026. Epub 2023 Jun 17.
Cognitive deficits are a core feature of bipolar disorder (BD) that persist during the euthymic phase and affect global functioning. However, nowadays, there is no consensus on the optimal tool to capture cognitive deficits in BD. Therefore, this review aims to examine the psychometric properties of tools commonly used to assess cognitive functioning in BD.
Literature search was conducted on PubMed and Web of Science databases on August 1, 2022 and on April 20, 2023, yielding 1758 de-duplicated records. Thirteen studies fulfilled the inclusion criteria and were included in the review.
All tools examined showed acceptable-to-good psychometric properties suggesting that both brief cognitive screeners and comprehensive batteries may be appropriate for detecting or monitoring cognitive changes in BD.
Methodological differences between the included studies precluded a direct comparison of the results. Further research is needed to investigate the psychometric properties of cognitive tools that assess also affective and social cognition.
The tools examined appear sensitive enough to distinguish between BD patients with versus without cognitive deficits, however, an optimal tool has not yet been identified. The applicability and clinical utility of the tools may depend on multiple factors such as available resources. That said, web-based instruments are expected to become the first-choice instrument for cognitive screening as they can be applied on a large scale and at an affordable cost. As for second-level assessment instruments, the BACA shows robust psychometric properties and tests both affective and non-affective cognition.
认知缺陷是双相情感障碍（BD）的核心特征，在病情稳定期仍然存在，并影响整体功能。然而，目前尚无共识确定评估 BD 认知缺陷的最佳工具。因此，本综述旨在检查常用于评估 BD 认知功能的工具的心理测量特性。
于 2022 年 8 月 1 日和 2023 年 4 月 20 日在 PubMed 和 Web of Science 数据库中进行文献检索，生成了 1758 份去重记录。符合纳入标准的 13 项研究被纳入综述。
所有检查的工具均显示出可接受至良好的心理测量特性，表明简短认知筛查和综合电池都可能适合用于检测或监测 BD 中的认知变化。
纳入研究之间存在方法学差异，因此无法直接比较结果。需要进一步研究来调查评估认知工具的心理测量特性，这些工具还可以评估情感和社会认知。
所检查的工具似乎足够敏感，可以区分有和无认知缺陷的 BD 患者，但是尚未确定最佳工具。工具的适用性和临床实用性可能取决于多种因素，例如可用资源。尽管如此，预计基于网络的仪器将成为认知筛查的首选工具，因为它们可以大规模应用且成本合理。对于二级评估工具，BACA 具有良好的心理测量特性，可同时测试情感和非情感认知。
